12-100378City of Federal Way '
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253)835 -2607 Fax: (253) 835 -2609
klectrical
Permit #: 12- 100378 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: FEDERAL WAY CHURCH OF NAZARENE
Project Address: 1431 SW DASH POINT RD Parcel Number: 072104 9153
Project Description: Adding /altering 0 -200 amp service
Owner
Applicant
Contractor
FEDERAL WAY CHURCH OF NAZAR
FEDERAL WAY CHURCH OF NAZAR
FEDERAL WAY CHURCH OF NAZAR
1525 SW DASH POINT RD
1525 SW DASH POINT RD
1525 SW DASH POINT RD
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
98023
Is Use Educational or Institutional ? ....................... No
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, July 24, 2012
Permit Issued on Thursday, January 26, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an se will be in ccordance with the laws, rules and regulations of the St to of W hington
and the City of Federal Way.
Owner or agent: Date: /
L/
CITY o� ,
Federal Way
PERMIT #:
12- 100378 -00 -EL
THIS CARD IS TO MAIN ON -SITE t
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1431 SW DASH POINT RD
Project: FEDERAL WAY CHURCH OF NAZA FEDERAL WAY, WA 98023 -4524
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.
Final - Electrical (4055)
Approved
By Date _ .5_
UFER Ground (4295)
Ditch cover (40 0)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date _ .5_
Pool Bonding (4195)
E]
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
Feeders /Sub - panels (4045)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date _ .5_
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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 harmless the City of Federal Way as to any claim /including costs, expenses, and attorneys' fees incurred in
the investigation d defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only wher such claim arises *up of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied to She city as this application.
L.
PRINT
I - Z
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
CITY OF
Federal Way
ELECTRICAL RECEIVED
PERMIT
APPLICATION
JAN 2 6 c:2
* *Most electrical permits may be obtained on -line at w * C
SITE ADDRESS:
SUITE /UNIT /SPACE 0
ASSESSOR'S TAX/PARCEL M CURRENT /PROPO ED USE
I
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAB# !
PRIMARY PHONE
(7- C
MAILING ADDRESS .�
E -MAIL
CITY
r STATE
ZIP Z
FAX
NAME
PRIMARY PHONE
44CONTRACTOR
MAILING ADD
D. E -MA
ELECTRICAL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME ,, -----
PRIMARY PHONE
, -31/ G
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
( FAX
t
PROJECT CONTACT
NAME
PRIMARY PHONE
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 harmless the City of Federal Way as to any claim /including costs, expenses, and attorneys' fees incurred in
the investigation d defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only wher such claim arises *up of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied to She city as this application.
L.
PRINT
I - Z
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
RESID
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1-t Service /Feeder Additional Feeders
OW Ate.- ..MWI"�,t
ALTERED SINGLE or MULTI FAMILY
1st Service /Feeder
Added or Altered Circuits-
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Searder_oly .: x x`;;80:50
NEW COMMERCIAL
1st Service /Feeder Additional Feeders
64'N
4.
801 %ice x$565 x 6,St)
s:
iiveT b0i} volts $urC)IiiPg,,, , ..., 03.50
ALTERED COMMERCIAL
1st Service /Feeder Additional Feeders
020,661 � � $l 5" � z�
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
I MISCELLANEOUS SERVICE /EOUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover /inspection only x $121.00
TEMPORARY SERVICE
1st Service /Feeder Additional Feeders
l , 48iE $12i 430
> 5
""affix
"x',. 92400
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\l-landouts\Electrical Permit Application