12-100012r
+s r Electrical
City of Federal Way •
Permit #: 12-10001 -0 -
0 E L
Corhmunity&Econ.Dev.Services g ram
33325 8th Ave S
Federal Way,WA 98003 x a t �. Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 ns p Q
Project Name: CHRIST'S CHURCH
Project Address: 941 S DASH POINT RD Parcel Number: 052104 9092
Project Description: Adding/altering(5)circuits for associated tenant improvement work
Owner Anolicant Contractor
CHRIST'S CHURCH AT FED WAY CHRIST'S CHURCH AT FED WAY CHRIST'S CHURCH AT FED WAY
941 S DASH POINT RD 941 S DASH POINT RD 941 S DASH POINT RD
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003 98003 98003
Mfr
Is Use Educational or Institutional7 No Service greater than 999 Amps? No
Circuits-Commercial 5
PERMIT EXPIRES Wednesday, January 2, 2013
Permit Issued on Tuesday, January 3, 2012
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 Way.
Owner or agent: Date: 3/cle r�
4f1Sf1&
. . - • THIS CARD IS TO MAIN ON-SITE -r • .
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12-100012-00-EL Address: 941 S DASH POINT RD
Project: CHRIST'S CHURCH AT FED WAY FEDERAL WAY, WA 98003-3795,..
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
•
By Date Bye Date 1 -k O—` By Date
E Final-Electrical(4055)
Approved
By Date 4, t % 1 .
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. . ,
411‘. (‘ V
CITY OF
Federal Way ELECTRICAL BTU'
PERMIT APPLICATION JAN' 0 3 2012
**Most electrical permits may be obtained on-line at www.cit jeaera�iwaFEDF� AL WAY
SITE ADDRESS: G,G; S ! 120,`,„
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S; s
PROJECT NAME . .
(Tenant or Homeowner Last Name) C /e (' c a w C
f 5 `macvk.`
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME ,- P ,PHONE,c PROPERTY OWNER /, G tr4 : l4/�/ % 7
//
MAILING ADDRESS
E-MAIL
CITY STATE ZIP FAX
-
NAME F� PRIMA�RY PHONE
rry `^ / :e (L Z
6c;2.
MAILING ADDRESS
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME � PRIMARYPHONE
APPLICANT U
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
NAME PRIMARY PHONE
PROJECT CONTACT r u - �� (dc3 ) 2 7(0 7?
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 and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim aris •u o reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the - application.
SIGNATURE: - DATE
PRINT NAME: "...M I VII 7
33325 8th 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
RESIDEN1411L )MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
PI Service/Feeder Additional Feeders
(including attached garage): ,� .M
FEES: First 1300 ft2-$122.00; 101,.. X00 axYC ;. $1640 =x,$103.50
Each additional 500 ft2-$39.00 , 1
NEW MULTIFAMILY (3 units or more) 441 3 i8 0a �c>$143:5
1st
Service/Feeder Additional Feeders ;a: i ,_, 01401 t � �0
801 1000 � � � x65 00 x'$23x6 50
201 400rg x $i64 Of 3e $ S0.50
6(1 800 si nor x' 2$ 00£ x $153 56 gc
Over ,k1!0 volts urelk F-x$lfl3.5ti)
°t sir,4 � m �0
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
It Service/Feeder w,,. 1st Service/Feeder Additional Feeders
0ve.° 10bt1' t tK ,
Added or Altered Circuits..
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
80.50 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
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
2,500 ft2$71.00;each additional 2,500 ft2-$18.50 ;!i` n® �' ;iW - �' x.'r''°, '"� '1;00
201 40 gyp. ?i $11 00 i� $:;60.50
.#of Thermostats ..
T as r •� �.�z ��m 8 i 4ffeltE:..
First$60.50;each additional$18.50
92100
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8°i 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:\Handouts\Electrical Permit Application