03-101413 City of Federal Way
Community Development Services Electrical Permit #:03 - 101413 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CALVARY LUTHERAN CHURCH
Project Address: 2415 S 320TH 5r Parcel Number: 797820 0525
Project Description: Install(1)800-amp service, (1)new 600-amp and(2)200-amp feeders to commercial addition.
Owner Applicant Contractor
CALVARY EVANGELICAL LUTHE*CALVA LAZER ELECTRIC LAZER ELECTRIC
2415 S 320TH ST 9523 19TH AVE E 9523 19TH AVE E
FEDERAL WAY WA 98003-5442 TACOMA WA 98445 TACOMA WA 98445
(253)535-1900
Electrical Fixtures
w .; . �tio � �.,I� :� P`� . .,. � .p��c�_r►._ Quant` , ,�° . 1#iV4Quantity
Service/Feeder:101-200 amps-Comrjt 2 Service/Feeder:401-600 amps-Comr}t 1 Service/Feeder:601-800 amps-Comm 1
PERMIT EXPIRES November 2,2003.
Permit issued on May 6,2003
I hereby certify that the above information is correct and that the construction on the above described 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 of Federal
Owner or agent: r � �/ ` Date: S~ 6-0S
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4 J RECEIVED
:,� G APR 1 1 2003 CONSTRUCTION PERMIT APPLICATIO
�� f=IY I__ C) BUILDING DTY OF EPT. A APPLICATION NUMBER: C2 7Q/Z 7O a
APPLICATION NUMBER:
APPLICATION NUMBER: - _ _ _ -
**The following is required information—Please print(in ink)or type d*WO= (,),NO2 I -O
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
•
SITE ADDRESS: o� LIl 5 SU;J ' 2.Ui ASSESSOR'S TAX/PARCEL #: .2 g 7 g7,-z) — b5-2
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.• : .• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ B ILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 'Aeh/ c)C0 A-il U(5\ 1 0 1 Z%2'.(O v0lf
serve ce cLr vvck t.A.A(`l.iy c-- c 40-tor. .
PROJECT NAME: (P„..,( 1 tiC t LLLtAIN (jam(C1
• PEOPLE INFORMATION
,
PROPERTY OWNER: NAME: ' `` DAYTIME PHONE:
� t V LA.A.,r?r Clv ca..,
c t- (73) SO g- 0391/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): (
2R l S 32o s-} �ecl eta`wci y
CONTRACTOR: NAVE: DAYTIME PHONE:
L40er Ue6-6-t c 3..,c . (253) 535 - 1700
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
C15z3 ICt�'' Ave__ L 7ckcowt,- c44,-. ci 69(i 5 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - .-53 ).5-35 - /9//
CONTRACTOR'S REGISTRATION NUMBER: _ EXPIRATION DATE: /
(copy of of required) E
L (
APPLICANT: NiAME: DAYTIME PHONE:
.-Le r LVe-CA-V1 L. C.VVV(.- /0P4e'Ai 114*MZ---- CZ -S)S3S 1900
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
dt52 3 \c t ? E 7CtC,Gy,.,6,- W<,. ,-
RELATIONSHIP TO PROJECT: � 0tarte.` FAX NUMBER:
❑ ARCHITECT ❑ TENANT 10 OTHER(DESCRIBE):( „,-\-r��'t14-- iZc3)S S- 1R\1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 1eAPPLICANT El CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
:cwrn} CFDVTrr DDAVTf-rn. r� ■ w vr..�., r'l ..��....-_... ri
r }
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
-
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
- BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: y�
.:... ..... +. .1+tca.:rwr+r�'rar cxurv...p'i•vt r FIA.URESK;.;w.:.:.xv- ........i-,...�.r o.:a s ...r. ..�_.-v.. ,-• . .,.....
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
- - ■ "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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information•lied to the city as a •art of this application.
NAME/TITLE: • LC DATE: 5 -03
❑ PROPERTY OWNERAPPLICANTAl-C-611TRACTOR
F?,
tFOROFFICE:USE ONLYAl
i itici#ADDI ION"f ,; El 1LTERATIONt*` EPAI"R t 1J,ENANrtIMP i3OkVEMENT al
SU5 ICODE,. _ 3 : Or: IZE.: E ,:
O GS LS G TION ..,...00.0..,,:f.,.:04,1� sSUItDIN EL L #Yk$, 0 O ±
f' COP NESIGIATIO '� 1 ' ° }s IXC ?,* 'Ia �ES � O � �s a
f
ECTION m' "TOWNSHIP° , ° RANGE �� ;NE f1 AbDR SSkEQi IRED? r : 43❑ YES` .NO�
Qt. L
,, x • . .,« IIIA TGE OE USE?. ❑,Y..Es : 0 NO �
L�ITTi`D LOT? � 1fES.,��-iy0 •..
y
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
t
•
•
• -ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family -• _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ei
(First 1300 ft2-$75.00;Each add'n 500 R'-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 R2-$43.50;Each add'n 2500 f1'-$11.50
Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
-
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-550.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
-Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
-20l-400 amp 101.00 50.00 0 to 100 $ 81.00 $ 50.00 _601 - 1000 284.50
401-600 amp 138.00 68.50 'r 101-200 101.00 63.50 over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 . 189.00 57 00 _#of circuits
_Over 800 amp 252.50 189.00 l 401-600 .220.5.Q 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY 1601-800 284.50,2: 'MO
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/lndustr
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0- 100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101 -200 63.50
_over 600 amp 151.50 _201 -400 75.00
_Mast or meter repair 37.50 _401-600 101.00
_#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%c
permit fee+563.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) . .NUMBER OF UNITS(C) TOTAL(D)
Ante e-1.r-it\ WO I n-o k5-1(o ( a$ , o
x. " Goon..e c�dd) 0 l c' So
N• " XDo tarp CAd1l) a ' a. 1 • o
TOTAL COLUMN(D): 6-40-06
Total Colum (0) D/C---
Estimated Permit Fee: (12) g 'C V (±7 %.g• Sv)
tea Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( �'O C7 X.35)= (13) I' ' ' Z3 ( g,'1-1-)
■ DEMOLITION
Estimated Permit Fee: (14) r
Bond Amount:(15)
•
IIIENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge: (19) (21) (23)
760•
Total (Pages one&Two): Lines +11 + 12 13 + 14 +(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) 7