07-102745 •
City of Federal Way Electrical Permit #: 07-102745-00-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: LAKOTA CREST LOT 17
Project Address: 144 SW 310TH PL Parcel Number: 416680 0170
Project Description: 200 amp service,wiring and T-stat for new SFR.
Owner Applicant Contractor
LAKOTA CREST LLC PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
325 118TH AVE SE SUITE 300 PO BOX 59284 PROVIEI103C2 2/22/08
BELLEVUE WA 98005 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
,
Additional Permit Information
Electrical Fixtures
Service: -Residential 3,116 Thermostat 1
PERMIT,EXPIRES Sunday, November 18, 2007
Permit Issued on Tuesday, May 22, 2007
I hereby certify that the above information is correct and that the construction on the above above4escribed property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State Of Washington
and the City�ofFederal Way.
Owner or agent: I -/V) Date: /3-'2_
2 e7 7
- . ` THIS CARD IS TO REMAIN ON-SITE - .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102745-00-EL
Owner: LAKOTA CREST LLC
Address: 144 SW 310TH PL
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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Bye_N Date n_‘3$,-\ By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By _ Date c ...113_ By Date By_ct;) Date t 2.16.47
•
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date t •l45'C/
"Federal Way RECEIVED t' �� -El - --�•�
,.,:•• . PERMIT '
' COMMUNITY DEVELOPMENT SERVICES SF MF CO iVIFF� PL DE EN FP
3337S8AVENUE •FOBOX 971
FEDERALAY,WA 98063-9718
MAY
2 1 2APPLI•CATION • r _
'
.?53-8357607.FAX?53435-7609 -��`¢®' —
www.oluolhrhmtwou.wnl
CITY QF reDERAL WAY .
The following is requieEiV-an incomplete application will net be accepted. Please print legibly(in ink)or type.
c' / In PROPERTY INFORMATION
/
SITE ADDRESS / 4`1 J V J" l 0 / - . SUITE/UNIT•
`f.
ASSESSOR'S TAX/PARCEL# - / (.' 6: ' g Q -- I 7 0 LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) L fl. 14ork G RE 5Y, LOT• / 7.
Moth aepnataMolar tap Iw Iasi dasaiPliaJ
• 1111 PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING 0 MECHANICAL
0 DEMOLITION )8(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onhi) '
•
A00- SMP Sea.vtcE ÷ w( A)N.C1 4- L.Ecom• for k.._
•
. w •
/ T- Stat-: Wi r i' -
PROJECT NAME(Name of Business or Owner Last Name) L1=�'fva3T . G•REST �SCJ f' 1 '7
a PEOPLE INFORMATION
PROPERTY NAME .• PRIMARY PHONE
OWNER LY .E. 440M Es • ' (ZO()35 2., - Z3o0
MAILING ADDRESSCIY STATE,ZIP E-MAIL ADDRESS
/1001 11413 Ave. 56 4100 -bet revue, WA-q00 9-
CONTRACTOR COMPANY NAME • APPLICANT NAME . OFFICE PHONE
. Prot/talent E(e-c 'tv 1 vl,t: rre✓1 (2.531 (0 31 -1-150
MAILING ADDRESSSTATE,ZIP CELL PHONE
Ian(' Po c 59124' • Ken-toil, Wk 98058 58 .( ) -
CITY OF FEDERAL WAY BUSYNESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
• • Z� - Ov -- ( O 7 `d �f ( 2 ?-1 -p- ( ) -
COPY.tad..yv..l CONTRACTORS REGISTRATION NUMB ER EXPIRATION DATE • E-MAIL ADDRESS
with rsi:application
Pa.oV(ei 10 3c2 aAtAao8
APPLICANT COMPANY A APPLICANT NAME - OFFICE PHONE
(.11. �C/7-W-- ( ) -
MAILING ADDRESS . ' CITY,STATE,ZIP ' - CELL PHONE
( ) -
REI.ATIONSHIP TO PROJECT FAX NUMBER
O Architect C Tenant O Agent 0 Other • ( ) -
PROJECT NAMEPRIMARaY��PHONE E-MAIL ADDRESS '
CONTACT - Kaitev' (2-s8) 4051 -"175o ,
LENDER NAME PerRCW 19.27.095:
Lender inform tir on' rsqub ed if project value exceeds$5,000
MAILING ADDR • ��� CTIY�y ARE;ZjP PHONE
• ( )
• DETAILED BUILDING INFORMATION
EXISTING USE • s PROPOSED USE . ' •
EXISTING ASSESSED/APPRAISED VAL $ • . _ VALUE OF PROPOSED WORK $ '
SPRINKLERED BUILDING? ' O YES b NOSUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO. .
WATER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
AREA DESCRIPTIONTOT."
- - - „ ,___ _ § .FT.
BASEMENT DEPARTMENT OF LABOR AND INDUSTRIES
•
•
FIRST
•
SECOND LICENSED AS PROVIDED BY LAW AS .
ELEC- CONTR GENERAL
THIRD • _
7`' .I - -
•
ADDITIONAL FLOORS(DESCRIBE) We-j3- --...t.....t=z`r `-Z �"`
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGEPROVIDENT ELECTRIC INC
0 CARPORT Cl
PO BOX 59284
=maw RENTON WA 98058 suet
NUMBER OF FLOORS JJ � J
"NEW HOMES ONLY" NUMBER OF BEDROOMS Lf ESTIMATED SELLING PRICE $ -
■ FIXTURES
•
Indicate number of each type offxture to be installed or relocated as part of this project. Do-not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS • •FIREPLACE INSERTS . HOODS(eommercL4q
COMPRESSORS FURNACES RANGES •
' GAS LOG SETS • •
REFRIG.SYSTEMS .. ..
PLUMBING .
BATHTUBS or tub/simmercomba) LAVS(Bauveomsink4 URINALS • •MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS •
.•
.
al FIXTURES
. SHOWERS WATER CLOSETS SWIM)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES •
HOSE BIBBS SUMPS
SIGNATURE
I certify underpenalty 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. •
gli4WI . � � ���� MAY 2 .1 2007
NAME/TITLE DATE
(Signature) (Title) •
RELATIONSHIP TO PROJECT O Owner O Agent a Contractor a Architect O Other
•
a NEW a ADDITION a ALTERATION o REPAIR o•TENANT IMPROVEMENT. • •
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? "o YES o NO
ZONING DESIGNATION • CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO. -- -- UP/SEPA/SU? . . .o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
•
•
•
Bulletin#1100—January 1,2007 Page 2 of 4 l iandouts\Permit Application .
ELECTRICAL PERMIT INFORMATION
: RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE /,, NEW COMM ERCIALIINDUSTRIAL SERVICE
Single Family Square Feet sa1"
l/ Service or Feeder Each Add'n
(First 1300112-$111.00;Each add'n 500 ftP-$35.50) 0 0 to 100 amp • $120.50 $74.00
❑ Detached outbuildingor garage - 0 101-200 amp 149.50 94.50
(Inspected with service) r $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage 0 401-600 amp 327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
0 801- 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or mare) ❑ Over 1000 amp. 563.00 300.00
Service Feeder "
❑ Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94.50 •
0 201 -400 amp 149.50 74.00 0 Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 .
CI 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
•
0 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
•
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92,50 ❑ over.1000 amp 471.00
❑ 201 -600 amp 149.50 0 #of circuits to be added/altered
❑ over 600 amp .:225..50 •(1-5 cirtitiitd-$94.50;Add'n circuits,$7.00/"ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$14.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
0 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 Residenticiptulti-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 .
if of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) . (First - 55.00•addh
(Fu' sign-$55.00; sign$26.00/ea)
❑ Low Voltage 0 Swimming pool/hot tub $111.00
Square Feet to be served by systems) (Includes additional circuit,if required)
O Fire Mann System 0 Yard Pole meter loops $74.00 •
0 Security Alarni System o Additional Plan Review $111.00 hour
O Voice Cabling • (for modified submittals) • . $111.00/
0 Data Cabling
0 0 Automation Fee on all Permits .. $5.00
1.i 2500 ft2-$65.00;
Each add'n 2500 1.0417.00)•Per WAC 296-46.910($J(bJ a I) .
•
Bulletin#100-January 1,2007 . Page3 of 4 kVlandoutsTermit Application