06-100062 , '► f t Re ,
City of Federal Way Electrical Permit #: 06-100062-00-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: CINGULAR @ SOUTH 288TH STREET
Project Address: 28405 MILITARY RD S Parcel Number: 332204 9141
Project Description: Installing a new 100 amp feeder to new sub-panel
,
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRIC H.D.ALLISON OREGON ELCTRIC CONST.,INC.
FEDERAL WAY WA OREGON ELCTRIC CONST.,INC. OREGOEC188MF 4/30/07
98063-4249 1010 SE 11TH AVE 1010 SE 11TH AVE
PORTLAND OR 97214 PORTLAND OR 97214
Additional Permit Information
Electrical Fixtures
Service/Feeder: 0-100 amps-Con 1
, CONDITIONS:
r� s
PERMIT EXPIRES Wednesday, July 5, 2006
Permit Issued on Friday, January 6, 2006
I hereby certify that the aboveinformation is correct and that the construction on the above described property and
the occupancy and theuse-will,be in accordance with the laws, rules and regulations of the State of Washington
d the.City of Federal Way.
Owner or agent: See Appfi'caion Date: f' /D(_
•-S
... 4k. THIS CARD IS TO REMAIN ON-SITE 1 , .•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100062-00-EL '
Owner:
Address: 28405 MILITARY RD S
FEDERAL WAY, WA 98003-3327
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225)'. 0 Ceiling Cover:(4020) Final Electrical(4055)
Approved Approved J Approved
i�\ ``
By Date ... ,By. Date :' By' \1�. 1 2.1 Date N
❑ Under-slab groundwork(4295) 5 , ,. : " '
Approved
By . Date
COMMUNITY RECEIVED BY
oFPARTM€Nr
cm of JAN 062005 DL — _iU 0 —
—) (p 2
Federal Way PERMIT
COMMIlrr(DEVELOPMENT SERVICES
SF MF COM EI. PL DE EN FP
333258w AVENUE EOM•PO BOX 9718
FEDERAL WAY.WA 98063-9718
253-835.2607•FAX 253-835-2609
LI l//�»�S�i - ,�
�jA�
M itaffedendusu.rom / V �-�"CO, /
The ollowl , is re.wired ormation-an incom•lete . •.Iication will not be acce.ted. Please .rint le,ibI (in ink)or _
��,/ AA • PROPERTY INFORMATION
SITE ADDRESS o2 g /s ,tf .i!/telv Jal SUITE/UNIT#
ASSESSOR'S TAX/PARCEL A (itl - a t L`1' LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) CPZIJ r
RAtlorh separate pageJar lengthy legal deuMwlonI
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION `
f ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION� (Provide'detailed description of work ince luded on this Dermot only)
A..&rAi `f i iffy) -K-......4,- 4 Ail Aa ) SL,h 74-h+F./
PROJECT NAME(Name of Business or Owner Last Name) W 4 O 76 ..co— t A a g g 4 f e�T
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
- OWNER IAk An ti‘A..., 14,/,,,, f/S 7Y'/4 ' ( )
MAILING ADDRESS 1RY.STATE.ZIP
6//si :atii77 me.s,e
CONTRACTOR COMPANY NAME (/ APPLICANT NAME OFFICE PHONE
Fr•�d p.}61.5 E/o7ey z40f 6 . ,2v Y.4 fl,, i TE.ZIP �yas)ELL fre -yia a
/7f IS'`' Matte ie /L)7151 /111//fret OA 41740/6 ( ) -
CRY OF FEDERALLICENSE WAY BUSINESS NUMBER EXPIRATION DATE FAX NUMBER
as-i U-a 42 Q a-B L /a '.3/ ' tn. (yam) we -4/f/
CONTRACTOR'S REGISTRATION NUMBER(copy of card aequlnd with each application) EXPIRATION DATE
Qe _etad' e_ L l' 8Al 9 !3o 'avo7
APPLICANT COMPANY NAMEcls / APPLICANT NAME OFFICE PHONE
c Ll ADDRPS�SS /Q f r-�iL'Ir'/O CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect U Tenant o Agent o Other(Describe) ( ) -
CONTACT NAME >`� PRIMARY PHONE L, E-MAIL ADDRESS
�Cazaz j�/L ( 1. c)yl71f - yl.z l:M/48,Lecrt(]P �
TLPG. e0141
LENDER Per RCW 19:27.095: Lender'information Is NAME
required,lfprq(ect value exceeds$5.000 AVA-
MAILING ADDRESS CRY.STATE. PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTIO EXIS NG PROPOSED TOTAL
S!.FT. SQ.FT. Sq.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
PROPOSED TOTAL TOTAL=UMW Sr TOTAL ARWO sa/AP TOTAL er
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMB ' OF BEDROOMS ESTIMATE. SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this p oJect. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS '•RATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FAN HOODS(commerdall WOODSTOVES
BOILERS FIREP► CE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNAC GAS WATER HEATERS
DUCTS GAS PIPE• iv S
PLUMBING
BATHTUBS ger lbb/ShowerCombo) �— SHO' RS WATER CLOSETS trouee MISC(Describe)
DISHWASHERS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS nsewoom seg.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized 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 th ity,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. n,/�
NAME/TITLE �r��"� Row /i 2�3` '( DATE /'77Z9/0 "
ISlgnstureF tlttlel
RELATIONSHIP TO PROJECT a Owner 0 Agent a Contractor 0 Architect o Other
FOR OFFICE USE ONLY:'::;':.;
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/BEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 0 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
O 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
O Up to 200 amp $113.50 $33.50 0 Over 600 volts surcharge $89.00
❑ 201-400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401-600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601-800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
g 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 264.50
❑ 601- 1000 amp 398.50
Service or Feeder 0 over 1000 amp 443.50
❑ 0 to 200 amp $87.00
O 201-600 amp 141.00 0 #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits.$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50:Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
U Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50 .
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50:each add'n-$45.00) Cornmercial/Industrial Service or Feeder Ampacity
O 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First s1gn-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit.if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ay
❑ yp Automation Fee on all Permits .. $5.00
(Per Systems)la 2500 ft2-$61.00:
Each add'n 2500 62-16.00)•Per WAC 296.46-910(511bM&(0 //8 50
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application