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08-101236City of Federal Way f Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Electrical Permift: 08- 101236 -00 -EL Inspection Request Line: (253) 835 -3050 Project Name: BROOKLAKE COMMUNITY CHURCHr Project Address: 629 S 356TH STS a :1 `" Parcel Number: 292104 9019 Project Description: Low voltage for voice data and communications Owner Applicant Contractor BROOKLAKE COMMUNITY CHURCH PROTI LLC PROTI LLC 629 S 356TH ST 1201 1ST AVE S SUITE 307 PROTIL *957CP (2/17/09) FEDERAL WAY WA 98003 -8651 SEATTLE WA 98134 1201 1STAVES SUITE 307 SEATTLE WA 98134 Additional Permit Information Service greater than 1000 Amps ? .......................... No Electrical Fixtures Low Volge - Other Commercial. 1,250 IT EXPIRES Sunday, March 8, 20( I herebk'be fy that the abov the occupant afld th6 use Owner or agent: a Dat DATE I AND TYPE OF 1 e�� a -.� • THIS CARD IS TyrMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 101236 -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. ❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab /Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ ❑ ❑. Pool Bonding (4195) Temporary Power (4275) Service (4235) Approved Approved Approved By Date By Date By Date ❑ ❑ ❑ Feeders /Sub - panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date ❑ Final - Electrical (4055) Approved By Date For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date at_ o1z3 RECEI _ Federal Way p RM IT SF MF CO M EL PL DE EN FP COMMUNITY DEVELOPMENr SERVICES ' 33325 FEDERAL A SOUTH • 63 BOX 9718 MAR 1 � ($ p LI CATI O N FEDERAL WAY, WA 98063 -BOX P 253 -835 -2607• FAX 253 -835 -2609 wtvw It offedernlwt OF FEDERAL WAY The following is required irjfor(!fy43 - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY I .• j• SITE ADDRESS �Z'� {� V"' T t 9$o� SUITE/UNIT # ASSESSOR'S TAIL /PARCEL # 7- q Z 1 - C LOT SIZE (Sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ��•�U �u N 1�� Attach separate Pa9ef� L-WtJ 1e9a1-- -Oti.W TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on tits hermit onlu) 1>ULL [.oil VaLIAkctE crk$Lg r- � tf5Fti16A1E4- 0 F &-y [!6-t ice, r74C t (=_ Foe- vd (t.� A An m RuN(cM1oA PROJECT NAME (Name of Business or Owner Last Namel 5 �.LA VE CO #`(H V M (Ty Cff- L3 1?- L H PEOPLE i •• • PROPERTY OWNER OR CONTRACT PROJECT CONTACT LENDER EXISTING USE NAME 'lo M E(,L• L G�O'C't B (!v!(� (Dl•(H 1>,U t [ t� GtK t'l (2S3) 335 ?� G MAILING ADDRESS (cZ S 3Slo �i CITY, STATE, ZIP Mme+-- �A_ �bG17` E -MAIL ADDRESS t"Lmckk PC akrctWA COMPANY NAME Y APPLICANT NAME hour w (�� oN I E PHONE 7-2- _ ZE? Lf MAILING ADDRESS I AY ko (:.p 7 C . STATE Ak s eq E LL 0 )N!06 2407 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER P<"uco1 N ht EXPIRATION DATE - ZO-©o- (01 1aZ FAX NUMBER ( ) CONTRACTOR'S REGISTRATION NUMBER Q D E%PHtA'n N DATE � `1 wo 1 E-MAIL ADDRESS COMPANY NAME p�d' APPLICANT x s41`V N(70G) OFFICE 62Z --Z-41y MAILING ADDRESS k-10 l E 430-7 C l 595 �.l W cjlg oy E (Zo(o - + RELATIONSHIP TO PROJECT. ¢� MO X FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent b` Other C NAMEC56 4o H�� PRIMARY PHONE E -MAIL ADDRESS (Zoe) 22 ( - F3 20-7 3G oheZ-e- PkP7*1 NAME Per RCW 19.27.095. Lender 114for nat[on is required (f project value exceeds $5,000 MAILING `ADDRESS I CITY. STATE IP q9 (� h PI-I ) 6a- -V7 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) AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL S . FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES SECOND GAS LOG SETS REFRIG. SYSTEMS THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXIS'RIG PROMSro TOTAL TOTAL MMWOSr 107wLPIWO8rn921 rarusr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fmiure to be installed or relocated as part of this project. Do not include eulsting futures to remain. Value of Mechanical Work $ (A COPY OF BID OR ESIYMATE MUST BE INCLUDED WITH APPLICAIYONJ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or TLb /Shower Combo) LAVS Bathroom Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Totiet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certVy 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 ir(formation submitted in support of this permit application is true and correct. I crrt(fy 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 and defense qfAWch claim,), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises ou o rail e o city, including its officers and employees, upon the accuracy of the igfornation supplied to the city as a part of this I b SIGNATURE: DATE Property Owner and /or Authorized A¢ent ❑ NEW n ADDITION BUILDING SHELL ONLY? ZONING DESIGNATION NEW ADDRESS REQUIRED? PLATTED LOT? ❑ ALTERATION ❑ REPAIR ❑ TENANT IMEPROVEMENT ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO ❑ YES ❑ NO UP /SEPA/SU? ❑ YES ❑ NO ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 - January 1, 2008 Page 2 of 4 k\Handouts\Permit Application RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL /INDUSTRIAL. SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ftz- $115.50; Each add'n 500 ftz - $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 ❑ 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 ❑ 801 - 1000 amp 536.50 224.50 NEW MULTI -FAMMY (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 ❑ 401 - 600 amp 212.50 106.00 ❑ 601 - 800 amp 272.00 145.50 ALTERED COMMERCLAI. /INDUSTRIAL ❑ Over 800 amp 389.50 291.00 Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE /MULTI FAMII Y ❑ 201 - 600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑over 1000 amp 489.00 ❑ 0 to 200 amp $ 96.00 ❑ 201 - 600 amp 155.50 ❑ # 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 COMMERCLWINDUSTRIAL 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 PARR Residential/Multi- Family $67.50 ❑ # of service or feeders (First service /feeder - $76.50; each add'n - $50.00) CommemialAndustrial Service or Feeder Atnpacity ❑ 0 - 100 amps $ 76.50 ❑ 101 - 200 amps 98.00 ❑ 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) 11-Low Voltage (2-5-D ❑ Swimming pool/hot tub ................ $115.00 Square Feet to be served by syste m(s) (Includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $76.50 ❑ Security Alarm System ❑ Additional Plan Review $115.00 /hour }� Voice Cabling (for modified submittals) ItD ata Cabling �{µptiich'CIG� ❑ Automation Fee on all Permits .. $5.50 lat 2500 ft2- $67.50; Each add'n 2500 ftz - $17.50) - Per WAC 296 -46- 9100) @)R a U) Bulletin #100 - January 1, 2008 Page 3 of 4 kWandoutsTermit Application