08-101538 •
•
City of Federal Way •
Community Development Services Electrical Perm#: 08-101538-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 IL
Ph:(253)835-2607 Fax:(253)835-2609 / 0W1 Inspection Request Line: (253) 835-3050
Project Name: COMCAST CABLE AMPLIFIER
Project Address: 29918 PACIFIC HWY S Parcel Number: 367440 0167
Project Description: Install 20 amp cable amplifier on pole#312518/ 163364
Owner Applicant Contractor
LIEN HOLDINGS LLC TRI COUNTY ELECTRICAL SERVICES LLC TRI COUNTY ELECTRICAL SERVICES LLC
LIEN HOLDINGS LLC P 0 BOX 931 TRICOCE948DZ
29928 PACIFIC HWY S ANACORTES WA 98221 P O BOX 931
FEDERAL WAY WA 98003-4234 ANACORTES WA 98221
Additional Permit Information
Service greater than 1000 Amps No
Electrical Fixtures
Service/Feeder: 101-200 amps-Cc I
PERMIT EXPIRES Thursday, March 26, 2009
Permit Issued on Monday, March 31, 2008
I hereby certify that the above information is correct and that the constructicn on the above described property and
the occupancy and the u -.will-be i) accordance with the laws, rules and regulations of the State of Washington
an 2lity.of Federal Way.
Owner or agent: jj T
40.,
CITY
CARD IS TO•EMAIN ON-SITE
CITY aF " -� kommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101538-00-EL
Owner: LIEN HOLDINGS LLC
Address: 29918 PACIFIC HWY S
FEDERAL WAY, WA 98003-4234
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved /
B,���Bate
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITT OF'4A
,� — " ( ' / , .- .. -
Federaiway PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO MIEL PL DE EN FP
3332PE0
EAV WAY,SWA 98063.970189718 rv!Aj( 3 'APPLICATION
253-835.2607•PAX253-835-2609 T°
www.dtgo/I'Gtlerafwau.com / /
CITY OF FEDERAL WA\
The following is required inform-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION -
SITE ADDRESS_Z99 .�1r_ IX 3+ Z s 1'a i L,33 c:.4
I Priest e" 1n j l. 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# .,,_ - _— __ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deacnption)
IN PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ® ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
.n 5.-f-okr II 2.0641 C 44 b 1c. A ti,e 1 i C,e-- o. P t ,- 4 -Si Z r l e /(lio S3 t,'4
t r a r, -c ,r•..c.- i' D n 39 -10
t
PROJECT NAME(Name of Business or Owner Last Name) C o,,n 4. "s '11' C_i-h(` v-r (‘ c'
• PEOPLE INFORMATION
PROPERTY NAME
OWNERr. j PRIMARY PHONE
(
MAILING ADDRESS
24-2-Q0 CITY,STATE,ZIP E-MAIL ADDRESS
(S-2_S- `7. *t of .S.0, E,_,,_-_1-4-,_ L `i`=h,1:.,3
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
-- r t c,,,,,.4---, E 1,_-4,-I ,-.( ssi,, s,....,--A-A- £i. (1,t ) 5-6 k5 - (-Z i 'S
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
//'; i ; C,�,i `11 i (�►r,ctcrQ, "6.3 L::�.N 9 t' 2-2-) ( 3 6 C) LI(,l - 2 710
/]�\ $7 CITY OF FEDERAL WAY BUSINESS LICENSE N MBE EXPIRATION DATE FAX NUMBER
C 4r 4prat:_7D FD _____ '-137- --31 ice
/✓��, �\"0,( ___.
CONTRACTOR'S REGISTRATION N PUeMBSEXPIRATION DATE E-MAIL ADDRESS
( �i 1 G- tS c- (1-i ►> Z --I-rt Vi(G_}v"t Ce! V C..t L*
APPLICANT COMPANY NAME i APPLICANT NAME OFFICE PHONE �r
MAILING ADDRESS CITY,STATE,f Z�IP
( L Z. � s a+ $2. xa 2-./c.,- 1- c.7... 9 3"l 3 CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent ❑ Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
■ PROJECT FLO9R A.3EAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTnro PROPOSED TOTAL TOTAL RXIST JO ST TOTAL PROPOSED SF TOPAZ AT
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES .
•
Indicate number of each type offacture 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 M1SC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerdafl
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or Tub/Shower Combo( LAVS pen.sud.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Ram
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
• SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold h• less the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation and defense of s claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of reliance of the city, in ding its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applicat••n.
AO A
rte,
SIGNATURE: '
"s A / r i
DATE
Property Owner , 14 r Au orized Agent
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
i
ELECTRICAL PERMIT INFORMATION:. -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 0 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601 -800 amp 439.00 186.00
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
0 401 -600 amp 212.50 106.00
❑ 601 -800 amp 272.00 145.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
0 over 1000 amp 489.00
U 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 0 #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
O 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
U Low Voltage U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System
U Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
El Automation Fee on all Permits .. $5.50
1.'2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) *Per WAC 296-46-910(5)(6)1181N
r
Bulletin#100-January 1,2008 Page 3 of 4 k\I-Iandouts\Permit Application