08-100963City of Electrical Permit ^.8-100963-00-EL
Community Development Services
P.O. BDx 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 =2609 Inspection Request Line: (253) 835 -3050
Project Name: BROOKLAKE COMMUNITY CHURCH
Project Address: 629 S 356TH ST F Parcel Number: 292104 9019
Project Description: (3) low voltage T -stats t y
.�, ..,. .
Owner
Applicant
Contractor
BROOKLAKE COMMUNITY CHURCH
SUNSET AIR INC (ELECTRICAL)
SUNSET AIR INC (ELECTRICAL)
629 S 356TH ST
5210 LACEY BLVD SE
SUNSEA1005C5 2125/2010
FEDERAL WAY WA 98003 -8651
LACEY WA 98503
5210 LACEY BLVD SE
LACEY WA 98503
Additooai Permit tnformatiow, ,
Service greater than 1000 Amps ? ...........................No
Electrl�al Fixtures
. ............................... 3
FEB 2 5 2008
FEB 2 5 2008
THIS CARD IS TVVMAIN ON -SITE f
CITY OF Community Development Inspection Record
'Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100963 -00 -EL
Owner: BROOKLAKE COMMUNITY CHURCH
Address: 629 S 356TH ST
FEDERAL WAY, WA 98003 -8651
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
Date
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only .......
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date '% a
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTM� - � / 2
CITY OF COMMUNITY DEVELOARTYDEPARTMENT 8 2
Federal Way FFR�dsERMI'c� O — — — — — —
COMMUNITY DEVELOPMENT SERVICES ME. EL L DE EN FP
33325 FEDEIMENUE SOUTH 98063 9718 8 APPLICATION 1- EB fW Zoos
FEDERAL WAY, WA 98063 -9718
253- 835 -2607• FAX 253- 835 -2609
www.cittloffederalLvati.com
The ollowin n. is re uired in ormation - an incomplete a lication will nGJ"g a R, a nt le i6l (in ink) or py e.
PROPERTY • •
SITE ADDRESS �. ✓ q SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 2- 27 ® _ - O % LOT SIZE (sffl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBIRG ❑ MECHANICAL
❑ DEMOLITIO ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name)��� -�✓
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPANY E
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, ATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSIN S LICENSE NUMBER
22d/ - -1 �2-Z Fb —B
IRATION DATE
/2/ 3 / /OF
FAX NUMBER
(
-0C- (1
L
I
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
S E14 �aaoc�_vt_
EXPIRATION DATE
2/ 3 /7014
CO:MPT NAME
APPLICANT NAME
OFFICE PHONE
`Y) G
MAILING ADDRESS
(3�C)
MAILING ADDRESS
CITY, STATE,
CELL PHONE
5'?1 E
3
( -
RELATIONSHIP TO PROJECT �
Tenant Agent ther (Describe)
FAX NUMBER
( ) -
❑ Architect ❑ ❑ W(!
NAME PRIMARY PHONE E -MAIL ADDRESS
(360) - 4/,F,5 Q sun a t r.
r_
.Pe RCW 19 2 .095: Lender,iriforma #ion is: '•
NAME
required • project'value exceeds $5,000
`Y) G
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING I PROPOSED I TOTAL
SO. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
E %[STING PROPOSED TOTAL TOTAL. EX18T4V0 sr TOTAL PROP09BQ 8F TOTAL 8F
NUMBER OF FLOORS
"`NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
BATHTUBS (orTub/Sh —r Combo) SHOWERS WATER CLOSETS (Touet) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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.
NAME /TITLE r /` -�.(�t DATE
(Signature (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $107.50; Each add'n 500 ft2 - $34.50)
❑ Detached outbuilding or garage
(Inspected with service) $45.50
❑ Detached outbuilding or garage
(Inspected separately) $71.50
NEW MULTI- FAMILY (three units or more)
Each Add'n
Service
Feeder
❑ Up to 200 amp
$117.00
$ 34.50
❑ 201 - 400 amp
145.00
71.50
❑ 401 - 600 amp
198.50
99.00
❑ 601 - 800 amp
254.00
136.00
❑ Over 800 amp
364.00
272.00
ALTERED SINGLE /MULTI FAMILY
Service or Feeder
❑ 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ over 600 amp 218.50
❑ # of circuits to be added /altered
(1 -4 circuits - $71.50; Add'n circuits $7.00 /ea)
❑ Mast or meter repair $53.50
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder
Each Add'n
$117.00
$ 71.50
145.00
91.50
272.00
107.50
317.00
127.00
410.00
173.50
500.50
209.50
546.00
291.00
❑ Over 600 volts surcharge $91.50
❑ Mast or meter repair $99.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ # of circuits to be added /altered
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
COMMERCIAL /INDUSTRIAL PLAN REVIEW
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Service or Feeders
❑ 0 to 200 amp
$117.00
❑ 201 - 600 amp
272.00
❑ 601 - 1000 amp
410.00
❑ over 1000 amp
456.50
❑ # of circuits to be added /altered
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
COMMERCIAL /INDUSTRIAL PLAN REVIEW
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/Multi- Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each add'n - $46.50)
Commercial/Industrial Service or Feeder Ampacity
Square,Feet to be served by system(s)
❑ 0 -100 amps $ 71.50
❑ Fire Alarm System
❑ 101 - 200 amps 91.50
❑ Security Alarm System
❑ 201 - 400 amps 107.50
❑ Voice Cabling
❑ 401 - 600 amps 145.00
❑ Data Cabling
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE /EQUIPMENT
)(J o[ # of Thermostats 91?"Oo
fe V
\ (First - $53.50; add'n - $117.50 /ea)
❑ Low Voltage
d� 1
Square,Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
(Per System(s) 1St 2500 ft2- $63.00;
Each add'n 2500 ft2- 16.50) "Per WAC 296- 46- 910(5)(b)(i & ii)
❑ # of Signs
(First sign - $53.50; add'n sign $25.00 /ea)
❑ Swimming pool /hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$107.50
$71.50
$107.50 /hour
$5.60
Bulletin #100 - January 1, 2006 Page 3 of 4 k\Handouts\Permit Application