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06-104013 .+ t City of Federal Way Electrical Permit #• 06-104013-00-EL Community Development Services • P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: CLEARWIRE LAKOTA(WA-TAC 155-A) Project Address: 31334 SW DASH PT RD Parcel Number: 122103 9016 Project Description: Install 100 amp servie for unmanned telecommunications facility Owner Applicant Contractor PAGEANTRY COMM OF WASHINGTON CLEARWIRE LLC J&C ELECTRIC INC PAGEANTRY COMM OF WASHINGTON 5808 LAKE WASHINGTON BLVD SUITE 300 JCELEI*990CE(2/06/2007) 25400 74TH AVE S KIRKLAND WA 98033 4125 LUEBBER LN KENT WA 98032 MALASA WA 98828 Additional Permit Information Electrical Fixtures Alt Se , eeder up to 200 amps- 1.00 PERMIT EXPIRES Wednesday, February 7, 2007 ' Permit Issued on Friday,"lig us'11 906 I hereby' rtify that the.above information la'"coact and I that the onstrucc ion a the above gil d property an the occupancy and the use wilt be in accordance with the laws,rules and r tions of the State of WashingtOn and the City of Federal Way. Owner or agent: tt4.11-- Date: ( J-c-c• THIS CARD IS TO REMAIN ON-SITE • GITYOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-104013-00-EL Owner: PAGEANTRY COMM OF WASHINGTON Address: 31334 SW DASH PT RD FEDERAL WAY, WA This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections are logged on the back of this card. ❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) i r Final-Electrical(4055) Approved Approved Approved By Date By Date By ,',11 Date 4 2 ❑ Under-slab groundwork(4295) Approved By Date RECEIVED mar AUG 1 1 2006 _O.�.e- J O_Q f F'ecter�aI war PERMIT COMMON yDEVBLOPiaPaRV196S FEDERAL WAY SF MF CO M del PL DE EN FP • 99925dERALAMINWA 9•P -9718 DEPTAPPLICATION r PSAERAL WAY,WA 98069 971Q / • / [ 259-895.2607•FAX 253-835.2609 Iwww.dtw/6rdemlwau.00m t The oliowi • is -• fired i ormation-an inco .late a-•Motion will not be aces•ted. Please •tint legibi n in or - . R PROPERTY INFORMATION/ Qd� l SITE ADDRESS ?d a l"1 S 4 k S k 101. /CLSUITE/UNIT# ASSESSOR'S TAX/PARCEL# ! 2 I a _1 - 7 G • I LOT SIZE(seg LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (madh separate pagefar lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto) I I*i U• L{ Cc./ I.k VL 1nA_ti v&v&-C cl -kJ.i (O IAA KALA 1°l.c cl4 laµ S 4c'/ 4s, ). v- C. 1-c 4 e W 1 iv-( S.4'44 PROJECT NAME(Name of Business or Owner Last Name) C l' W t e-e L L. C. NI PEOPLE INFORMATION PROPERTY NAME yc PRIMARY PHONE OWNER MAILING D-IE33 I c y STATE,ZIP ( ) - CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 744- El 4 c-,ik, L ---3'-t-fr y,e ct y-(1 (5%`-`1 )4 -',5'73 MAILING ADDRESS CITY,STATE,ZIP f�� CELL PHONE (I/O S L Lk.e.V Ier /"l We N ' la_9qw// FsgoltC (S -q )6 077 -37 S CITY OF FEDERAL WAY BUSINESS LICENSE NUMB EXPIRATION DATE FAX NUMBER 1 ?i.o-f? a-1 L�3B L ' /L/3/ /6 (p ( 1 CONTRACTOR'S REGISTRATION NUMBERy/ (copy of card required with e}ch application) EXPIRATION DATE T L & L E'zd< 7 2 © cL- a ic.4 /a7 APPLICANT COMFANY NAME APPLICANT NAME OFFICE PHONE C Ck f �--)t I\-c LLL ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE f"..88 LR IIS L2kcLiVikK 144/1A1qKa. ?6,b4,23 ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑`Tenant a Agent ❑ Other(Describe) ( ). - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( .) ' - LENDER MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK ($ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) ` SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 ma rvO PROPOUND TOTAL NUMBER OF FLOORS **NEW HOMES ONLY' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(cemme,d p WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING • BATHTUBS(or Tub/Shover Combe) SHOWERS WATER CLOSETS lroneq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS Bathroom shpts) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAII<IER/SIGNATURE BLOCK I certify wider penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorised by the owner of the above premises to perform the work for which the permit application is made.. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim/,which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE 11 n° (S a re) (Title) RELATIONSHIP TO PROJECT o Owner o gent 0 Contractor o Architect c Other • • RnllPtin*inn—Tannery 1 211116 Page 2 of 4 k\I•Iandouts\Perrrut Application • ELECTRICAL PERMIT INFORMATION • RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIALSERVICE. ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ha-$107.50;Each add'n 500 ft2-$34.50) t0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage 101.-200 amp 145.00 91.50 (Inspected with service) $45.50 0 201-400 amp 272.00 107.50 ❑ Detached outbuilding or garage 0 401-600 amp 317.00 127.00 (Inspected separately) $71.50 0 601-800 amp 410.00 173.50 O 801 -1000.amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201-400 amp 145.00 71.50 0 Mast or meter repair $99.00 ❑ 401-600 amp 198.50 99,00 ALTERED COMMERCIAL/INDUSTRIAL Q 601 -800 amp 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY 0 201 600 amp 272.00 ❑ 601-.1000 snip 410.00 Service or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp $89.50 O 201 -600 amp 145.00 ❑ #of circuits to be added/altered 0 over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) • ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee O Service- 1,000 amps or greater O Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MOBILE HOMES 0 Service or feeder only $71.50 O Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK ResidenHal,/1Kult4-Faintly $63.00 ❑ #of service or feeders (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industriai Service or Feeder Ampacity ❑ 0-100 amps $71.50 ❑ 101-200 amps 91.50 ❑ 201-400 amps 107.50 ❑ 401-600 amps 145.00 ❑ over 600.amps 157.00 . MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $107.50 Square Feet to be served by system(s) (Includes additional circuit,if required) O Fire Alarm System ❑ Yard Pole meter loops $71.50 0 Security Alarm System ❑ Additional Plan Review $107.50/hour 0 Voice Cabling (for modified submittals) 0 Data Cabling 0 ❑ Automation Fee on all Permits .. $5.00 (Per Syatem(s) let 2500 ft2-$63.00; Each add'n 2500 ft2-16.50) •Per WAC 296-46910(5)M&I) Bulletin#10(1-Tannary 1 7AA6 -_..._ Dorsal..f •...0. « ..