09-100877 Electiical
Community
Way Permit #: 09-100877-00-EL
Communi Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: INT'L HOUSE OF PRAYER NORTHWEST
Project Address: 32008 32ND AVE S Parcel Number: 215480 0010
Project Description: Wiring for a leased space and installing an electrical panel
Owner Applicant Contractor
GARY WIENS GARY WIENS INT'L HOUSE OF PRAYER NORTHWEST
INT'L HOUSE OF PRAYER NORTHWEST INT'L HOUSE OF PRAYER NORTHWEST 10017 133RD ST N
10017 133RD STN 10017 133RD STN GIG HARBOR WA
GIG HARBOR WA GIG HARBOR WA
�� A , i lona Per tfa tif''',"5:-4-1,N i "4!4 V''..''',.•.,.,� a , aa ? , a .'.S4,-/_ ,„ 4+•''' cate .. ,';',41- O
. �
Service greater than 1000 Amps? No
.a. P_ . . . _ _. yAVel1 � 6Ixt ,i x k I ',,,'„--1,,,d,
;:','4.4;t,..'":1''':.,':-i-,'".: r , ,r,��z�� y,�m � „ yam �7i . ir
.. ��..a .�v �_=�:?:,Y,, yi,,... 4. .-,6 ..., r� r'F ;a!a. ...
Alt. Serv./Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Tuesday, March 9, 2010
Permit Issued on Monday, March 9, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' ` n accordance with the laws, rules and regulations of the State of Washington
�,/' a d the of Federal Way.
Owner or agent: /� Date: ” 7 6,/
4Ik THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100877-00-EL
Owner: GARY WIENS
Address: 32008 32ND AVE S
FEDERAL WAY, WA 98003
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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) �❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
.
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CIT.01.A RECEIVA)
Federal Way 59 - J 'C— RZ2
COAIMUM/YDBVBLOPAfElY1 SERVICES
MAR 0 9 2009 PERMIT SF MF CO ME EL PL DE EN FP
333258ry AVENUE
LWAY,SOUTH 980 397X9„8 I CATI O N
FEDERAL WAY,WA 98063-9718 AA ppj, / /
Y53-B35-Y t FAx�j o9C`ir FE D E FIR Li1C/,A
The following is required bicroi:45tion-an incomplete application will not be accepted. Please print legibly(in Mk or type.
• PROPERTY INFORMATII ON
SITE ADDRESS 3 2-0. C c' 7 1- n A - S- (G- 4 L, SUITE/UNIT a
IASSESSOR'S TAX/PARCEL a - — —— Ck CS I LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot ettachaWana 1 PwUtrr d )
lr IN PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
I0 DEMOLITION ®'iLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
1 PROJECT DESCRIPTIO
y -^ rovide detailed description of wok included on this Hermit onlvl ( I
0 ' Lc3 e. '-1 %4. .1 - _ ?ati-r�1' 4 l I� fin'd
I
S 3`Ll�c-�– C. QL 1 _ � Yt 5 �t c
I
■
PROJECT NAME(Name ofd or Owner N • +r1 sate ' 04 t2 L R
■
III PEOPLE INFORMATION
PROPERTY NAME
�� ' .32002 ' PRIMARY PHONE
OWNER _ (NIe..>t$ _ ► • Ni 63- (2,-3)2l ° -5-, ',
■I'lift'• 1.••”i7 CITY,STATE,ZIP i E&MAILADDRESS
C@, v.,t .6'LYV(41 'Gtr` wI&rts " ;i'l® fir"
1 /
CONTRACTOR COMPANY NAME - APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
cOATB/GCTom,REGISTRATION NUMBER EXPU ATZON DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME�--- APPLICANT NAME OFFICE PHONE
>e4 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME
Per RCW 19.27.095:
— Lender infonnat on Is required if protect value exceeds$5,000 _
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINELERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLDXE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LATtEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
• •
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 ❑
NUMBER OF FLOORS I smeao "awe tour. tors&11201117X0 SP TOTAL TOMS?
•
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECBAMCAL
Value of Mechanical Work$ At COPY OP BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS , EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS Icammady
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS frerusishowr canoe LAVS(Breeoam s&,jo URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS cram
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
{
SIGNATURE
I certify under penalty of perjury that t am the _... owner or authorized a of my
knowledge,the information submitted in support of�t application is true and correct.correct.I� �ha I certify comply that to the a applicable mg
City of Federal Way regulations pertaining to the work authorized by the issuances that t that hoists ance all is permit
does not remove the owner's compliance with local,state,or a P I thaoten environmental of this pirneit
responsibility mP federal laws regulating construction or environneerttal laws.
I further agree to hold harmless the City of Federal Way as to any claim(Including costs,tenses,and attorneys'fees incurred in the
investigation and defense of such h •• which may be made by any person, including the undersigned, and filed against the city,but only
where such claim arises out of the•-°•r-'- of the Inc its officers and employees,upon the accuracy of the information supplied to
the city as apart of this app• -•
SIGNATURE: DATE 2---69e7
Pro• Owner and/or Authorized Agent /
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHE T.ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Pernrit Application
ELECTRICAL PERMIT INFORMATION
*NOTE:an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet_ Service or Feeder Each Add'n
(FLat 1300 112-$121.00:Each addh 500 m-$39.00) ❑ 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
0 Detached outbuilding or garage(w/service) $51.00 ❑ 201 400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately,) $80.00 ❑ 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
❑ Swimming Pool(inspected separately) $120.50 ❑ 801-1000 amp 562.50 235.50
❑ Hot tub/spa/sauna(w/service) $51.00
❑ Hot tub/spa/sauna(inspected separately) $80.00 ❑ Over 1000 amp 613.00 327.00
O Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septa pumping system(inspected separately) $80.00 0 Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
(Does not include circuits.)
Service or Feeders
0 Up to 200 amp $131.50 $39.00 X0 to 200 amp $131.50
❑ 201-400 amp 163.00 80.00 0 201-600 amp 305.50
❑ 401-600 amp 223.00 111.00 ❑ 601- 1000 amp 460.50
❑ 601-800 amp 285.50 152.50 ❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW .
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ 201-600 amp 163.00 ❑ Service- 1,000 amps or greater
❑ over 600 amp 245.50 ❑ Medical/Educational/Institutional Facility
❑ Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
{ ❑ Mast or meter repair $60.50 ,,1• o RARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
0 Service or feeder only $80.00 0 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 0 101-200 amp 103.50 51.00
❑ 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
Cl #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
O Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System U Portable Generator(transfer equipment) $100.50
❑ Security Alarm System 0 Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
❑la 2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ftz-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Pernrit Application