07-106530 w
It it City of Federal Way Electrical Permit #: 0 1 ' 1 -00-E L '
Community Development Services
r P.O.Box 9718
Federal Way,WA 98063-9718.
Ph:(253)835-2607 Fax (253)835-2609 Insp on R q - 53) 835-3050
Project Name: BROOKLAKE COMMUNITY CHURCH
Project Address: 629 S 356TH ST cel N 210 9019
Project Description: Install low-voltage wiring for fire alarm syste •dd 400 a feeder addition.
Owner Ap ant C tractor
BROOKLAKE COMMUNITY CHURC DANARD EL IC INC DANARD ELECTRIC INC
629 S 356TH ST 18819 38T E ANAREI136KG 5/31/08
FEDERAL WAY WA TACOMA WA 98 18819 38TH AVE E
98003-8651 TACOMA WA 98446-1142
Addit :I Permit I- ; - - .n
Service greater than 1000 Amps?
trice! Fixtures
Alt. Serv./Feed 201 ps-600 1 Low Voltage Fire Alarm-Comme 8,000
ERMIT EXPIRES Saturday, November 292,020 008
Permit Issued on Wednesday, December 5, 7
eby fy that the above information is correct and ,.t the construction on the above described property and
ancy and the use will be in acco nce ' ,he laws, rules and regulations of the State of Washington
e City of Fes> : fay.
Owner or a ent: i� i Date:_ d _
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DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106530-00-EL
Owner:
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' ' 7 4=5: , By �/`t/V Date5 7.c521.s. By Date 3";7-ca
❑ UFER Ground (4295) �cxc
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL -Electrical
Approved Approved
By Date B j Date 6 7 y0.
. �ro, R€cIv Q3 L • - . 3 _0
Federal Way RMIT SF MF CO , EL •L DE EN FP
COMMUNITY DEVELOPMENT SERVICES 33325 FEDERAL WA SOUTH PO BOX 9718 DEC E+ °APPLICATION
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
mww.c0yo(iederalwau.corn CITY OF FEDERAL WAY
The following is required�V+complete application will not be accepted. Please print legibly(in ink)or :r • .
■ PROPERTY INFORMATION
SITE ADDRESS 2. o. $56 /�e-cL&4( Wa; 9.0 /UNIT#-
ASSESSOR'S TAX/PARCEL# I.. 9 C)--J 6 y - _o ( 7 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estntvs,Lot 1)
etc-. Para' OW for Ier96h9 kgal d"scrOUord
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION j5CELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT ESCRIPTION(Provide detailed description of work included this permit on1Lp
, , O (i.O( ri vi
N\ '14( Irv( `J
PROJECT NAME(Name of Business or Owner Last Name) ll co . •
II PEOPLE INFORMATION
pROPERTY NAME PRIMARY PHONE
OWNER 8r.rsor� Q,le(e - Q- x ( )
MAILING ADD CRY.STATE.ZIP/ E-MAIL ADDRESS
6Z9 ■ to"a�r �el-eerrtt�✓47 �c�. q
CONTRACTOR COMPANY NAME CANT NAME j OFFICE PHONE
l�.IUrd e/•ec-�,- - 14,c.. p>ay '.c (2s3) f75— - rGs-r,
MAILING ADDRESS cm,STATE, CELL PHONE
/9£?/ 7 Sfi'-'L6g 4r:4414 ci/� 9,�YYG ( ) t 77 - 9709
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DA FAX NUMBER
19- yQ- do 6` 41-OO-13L t2-3i- 7 TE ( )gls--- S6}�2_
co,......REGISTRATION NUMBER EXPIRATION E-MAIL ADDRESS
pa,.i RI(Ez ( $6Icy s'-3/- 8
APPLICANT OFFICE PHONE
1 ,V
VP APPLCANT NAME^ C h1 (2"3) S- T5°
MAILING ADDRESS CRY.STATE.ZIP CELL PHONE
/Wil 3941, Ve E- ..f,••••■• IAA, 911y0 ( ) -
REfATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT t` NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT �i ' i_ _ ' d
LENDER NAME Per RCW.19.27.095:
Lender Information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE _ PROPOSED USE,---- --
EXISTING ASSESSED/APPRAISED VALUE$ VALITEOPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPjLEION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o,ILIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN =�``O-HIGHLINE ❑ PRIVATE(SEPTIC)
0 44 15 ( 78' 7 ?I
,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 fta-$111.00;Each add'n 500 R%-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 1 201-400 amp 80.0 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801- 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 ,4i
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 Z$o
❑ 401 -600 amp 205.00 102.00 V
CI -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ O to 200 amp $92.50
❑ 201-600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service.- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage C ❑ Swimming pool/hot tub $111.00
/�
Square Feet to be served by system(s) 00 v (Includes additional circuit,if required)
▪Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling •% (for modified submittals)
❑❑ Data Cabling 5 IV'L ❑ Automation Fee on all Permits .. $5.00
1al 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(5)(W&tU
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
sasrnao PROPOSED TOTAL TOM.MOSTRO SZe TOTAL PROPOSSOSr TOTALS,
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type ofjixture to be installed or relocated as part of this project. Do not inch trip existing fixtures to remain.
MECHANICAL
ValiP of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MSC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial]
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
-
PLUMBING MSC(Describe)
BATHTUBS(orTLb/shower Combo) IAVS Is%mroom Sinks) URINALS
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 arises out of the reliance .y• r uding its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: ` - DATE I 2/5-14)7
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application