07-102744 Community
of. Way Electrical Permit #: 07-1027 A - 0-EL
Community Devevelopment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Li 253)8 150
1I 1
Project Name: LAKOTA CREST LOT 1 -,
Project Address: 31177 2ND AVE SW t r` , cel Number: i :0 0010
Project Description: 200 amp service,wiring and T-stat for new SFR.
Owner A I' t • Al• tor
LAKOTA CREST LLC PROVIDENT EL C,INC. ROVI I. . T " T 4C,INC.
325 118TH AVE SE SUITE 300 PO BOX 59 PIc8
03
BELLEVUE WA 98005 TON WA 9
Additio Perm nfo
illPfli11
ectrical Fixtures
Servic • Reside 18 Thermostat 1
PERMIT EXPIRES Sunday, November 18, 2007
Permit Issued on Tuesday, May 22, 2007
by certify thatthe above information is correct and thatthe'construction on the above described property and
th upancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: e /Y) " ( eZL14 Date: ,P• 2-2 - 2 )
FIHALED
THIS CARD IS TO REMAIN ON-SITE
„�► Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102744-00-EL
Owner: LAKOTA CREST LLC
Address: 31177 2ND AVE SW
FEDERAL WAY, WA 98023
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 ��►. Datel,.... l 3_cn By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By/67/ Date e/_ 16,..� By Date ,,B/ Date ...„?....-09
V
❑ Under-slab groundwork(4295)
Approved 0By Date f / )
For inspector reference only
D Rough Electrical O FINAL-Electrical
Approved Approved
By Date By Date
eder Way RECEIVED
PERMIT ' �'
• COMMURrTYDEVEI ENTSERVICEs SF MF CO ME EL PL DE EN FP
33315'8^mAVENUE Rom.pDBOX 9718 -" ppLICATION
- FEDERAL WAY,1Bt 98069.9718 `r A v 2 y 2
.TSJ-8351607•iJa T53•d3STfi09 'YI/�{T G 1
wuw.d f wllnlimhun u.wm
The following is re r s li Wi rVi:icomplete application will not be accepted. Please print legibly(in ink)or. type.
CU' L7 S PROPERTY INFORMATION
SITE ADDRESS 011 7 7,I o�•nit. PL.- SA4 SUITE/UNIT# -
•
ASSESSORS TAX/PARCEL# _ � �D g : .O O ! .�_- - _ LOT SIZE(sf) •
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1) L.Pr gorA• c RE ST, LOT. 1.!-.
Meme waPwatoPageftr MnOtAll USW doo+»/
• PROJECT INFORMATION
TYPE OF PUMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
•
0 DEMOLITION)ELECTRICAL 0 ENGINEERING Q FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) '
. ADO A-vwP SE{�.vIc ÷ W( A)nJC 4- L c..DM for S�,Q_.
- w• / T— .5tu -: Wi r '� .
PROJECT.NAME(Name of Business or Owner Last Name) �- IGOV 1 G.K•EST Lot' j ••
III PEOPLE INFORMATION
PROPERTY NAME • '. PRIMARY PHONE
OWNER • `. LYLG./ JG- CA/1 DO " . . (zoc,)352. - Z3oo
I loD j I I�ADDRESSMAILING TL Ave, CITY,STATE,ZIP E-MAIL ADDRESS
• �,e I 1 evue, yvA- 9800
CONTRACTOR COMPANY NAME • - APPLICANT NAME • OFFICE PHONE
Provident E( l� Inc- ' Iia,- . •
(253) tao 3/ -7750
MAILING ADDRESS STATE,ZIP CELL PHONE
. Po toil: 59a3 e- groil, wm- q8o 58 .( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-oo. — t61 -` L.( 1Z — 31 -' o'l ( 1 -
COPY of cartCONTRACTORS REGISTRATION NUMBER . EXPIRATION DATE • E-MAIL ADDRESS
with lesek.,,far.w Pi oViei to 3C2 ataat.loos_
APPLICANT COMP Y NAME APPLICANT NAME OFFICE PHONE
L .
4,\ ( ) - .
MAILING ADDRESS . ' CITY,STATE,ZIP ' - CELL PHONE
( , ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect D Tenant D Agent D Other • ( ) -
PROJECT NAME . • PRIMARY PHONE E-MAIL ADDRESS
CONTACT ay (2S 403i -7750
LENDER NAME • PEr RCW 19.27.095:
r information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STAT , _— PHONE '
• . ■ DETAILED BUILDING INFORMATION
EXISTING USE _ / PROPOSED USE . • •
rs.EXISTING ASSESSED/APPRAISED VALUE $ \ VALUE OF PROPOSED WORK $ ..
SPRINKLERED BUILDING? 0 YES a NO FIRE PRESSION SYSTEM PROPOSED/REQUIRED? D YES D NO .
WATER SERi'+10E PROVIDER 0 LAKEHAVEN D HICHLINE 0 TACOMA D PRIVATE(WELL)
SEWER SERE PROVIDER 0 LAKZHAVEN D HIGHLINE 0 PRIVATE(SEPTIC)
- AREA DESCRIPTION - r _
------ TO
-
.BASEMENT • DEPARTMENT OF LABOR AND INDUSTRIES
FIRST •
.
SECOND • LICENSED AS PROVIDED BY LAW AS , ,
ELEC- CONTR GENERAL • •
THIRD �.�..��;^mss :rte--: .�,>:.�-�-�>.�,�--•--.;-
•
ADDITIONAL FLOORS(DESCRIBE) ...1 :, r 5:-5-;,• :4.1::-.,
s .a 44-x'-Z i0�'
•
DECK(0 COVERED OR 0 UNCOVERED?) ..'
•
o' • PROVIDENT ELECTRIC INC
GARAGE o CARPORT
PO BOX 59284 .
twartsoRENTON WA 98058 - TOTAL sr:.:
NUMBER OF FLOORS � ) .
**NEW HOMES ONLY'* NUMBER OF BEDROOMS -- ESTIMATED SELLING PRICE $
a FIXTURES
•
. Indicate number of each type of fixture to be installed or relocated as part of this project. Da not include existing fixtures to remain.
MECIIANICAL • .
Value of Mechanical Work $ • (A COPY OF BID DR ESTIMATE M UST BE INCLUDED WITH APPLICATION) .
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS • 'FIREPLACE INSERTS .. HOODS(commerdrt)
COMPRESSORS FURNACES RANGES • -
D14.t: i .r. ;y. ;...... GAS LOG SETS . • •REI�RIG.SYSTEMS ..
PLUMBING . • -
BATHTUBS i.rhe(snowercambo) • LAYS(eauvoomsbiles) URINALS • -MISC(Describe),
DISHWASHERS ' RAINWATER SYST VACUUM BREAKERS . • •
•
DRINKING FOUNTAINS SHOWERS WATER CLOSETS awe)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
• HOSE BIBBS SUMPS
SIGNATURE
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 nay 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 •gaguin m d+ bat/� DATE MAY 2 1 2007
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent O Contractor O Architect ❑ Other
o NEW a ADDITION a ALTERATION o REPAIR a:TENANT IMPROVEMENT. • •
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION • CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO -- UP/SEPA/SU? . . • .o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
•
•
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application .
ELECTRICAL PERMIT INFORMATION
: RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE
. NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet a' 1 r Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) • ❑ 0 to 100 amp . $120.50 $74.00
❑ Detached outbuildingor garage - ` ❑ 101-200 amp: -149.50 94.50
(Inspected with service) , $47.00 ❑ 20.1-.400 amp 280.00 111.00
❑ Detached outbuilding or garage 0 401-600 amp 327.00 131:00 •
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
. ❑ 801 - 1000 amp 516.50 216.00 -
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00 -
Service Feeder '
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 • 0 Mast or meter repair $102.00
❑ 401 600 amp 205.00 102.00 • ALTERED COMMERCIAL/INDUSTRIAL
0 601-800 amp 262.00 140.50
❑ Over 800 amp . 375.50 . 280.50 • Service or Feeders
. 0 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
•
❑ 601 - 1000 amp 423.00-
Service or Feeder • ❑ over.1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to'be added/altered
. ❑ over 600 amp .:225.50 •(1-5circuits-$94.50;Add'n circuits,$7.00/.ea)
•
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES .
❑ Service or feeder only $74.00 .
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) . Commercial/Industrial Service or Feeder.Ampacity
• ❑ 0-100 amps $74.00
' 0 101-200 amps 94.50
• • ❑ 201-400 amps 111.00 •
❑ 401-600 amps 149.50
❑ over 600 amps ' 162.00
•
•
MISCELLANEOUS SERVICE/EQUIPMENT .
I # of Thermostats ❑ #of Signs •
(First-$55.00;add'n-$17.00/ea) • (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage 0 Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00 '
D Security Alarni System ❑ Additional Plan Review $111.00/hour
D Voice Cabling (for modified submittals) .
❑ Data Cabling
D 0 Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00; -
Each add'n 2500 1'0 417.00)17.00) •Per WAC 29646-9)0JS/b)it Q d)
Bulletin#100-January 1,2007 . Page 3 of 4 kV-)andouts\Permit Application