09-104396 • • ElLctricaI
City of Federal Way Permit #• 09-104396-00-E L
• Community Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718 " Inspection tion Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: ST VINCENT DE PAUL CHURCH
Project Address: 30525 8TH AVE S Parcel Number: 082104 9005
Project Description: Install(3)emergency generator transfer switches for City of Federal Way portable
emergency generator
Owner Applicant Contractor
CORP CATHOLIC ARCHBISHOP RAY GROSS SOUTHGATE ELECTRIC INC
910 MARION ST CITY OF FEDERAL WAY SOUTHEI366P1(8/30/11)
SEATTLE WA PO BOX 9718 23444 30TH AVE S
98104-1274 FEDERAL WAY WA 98063-9718 KENT WA 98032
ac
• •
►dI , Ictlrratki�lr>la ,
Is Use Educational or Institutional? No Service greater than 1000 Amps9 No
Circuits-Commercial 3
PERMIT EXPIRES Wednesday, November 10, 2010
Permit Issued on Tuesday, November 10, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and tS ril g A the laws, rules and regulations of the State of Washington
l bJCtlty of Federal Way.
Owner or agent: NOV 1 0 2009 Date:
ED INA
%( r3 cn
411/4.
' : • THIS CARD IS TOOMAIN ON-SITE ` -
"TY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 09-104396-00-EL Address: 30525 8TH AVE S
Owner: CORP CATHOLIC ARCHBISHOP FEDERAL WAY, WA 98003
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) - El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0Service (4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By ' Date j/. -o7
•
0 Rough ElectricalCI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way • PERMIT q l0 - -
COMMUNITY DEVELOPMENT SERVICES MF CO ME 11/3 PI, DE EN .FP
33325 ETH AVENUE SOUTH•PO SOX 9718
• FEDERAL WAY,WA 98063.9718 A P P L I C A ION TD / /
253-835-2607•FAX 253-835-2609
www.oti,o(fedemh.nnti.corn ..../'.
The following is required information-a omplete a p1 ca on will not be accepted. Please print legibly(in ink)or type.
/�U PROPERTY INFORMATION
SITE ADDRESS .3[55-,-- ...S— p /L 6- � t SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - __ __ ii LOT SIZE(sJ)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) S ),. V 1►'(C .t i D (F l -(.•ti1 -t-t
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION *ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onli1)
.(' k '04\--L- ) EYtrtC'r2C4> lC., C�E�v L.i4 I "7244w E?2�
Lk).-t- A & C1. OF r. 1-- ,T C ,49Ve-
PROJECT NAME(Name of Business or Owner Last Name) S i. V I N c€ 4T PC-F14.4. ( CII-Lti2CN
II PEOPLE INFORMATION
PROPERTY NAME 'S } I 04-1-462c1-1
/'�, PRIMARY PHONE
, If
OWNER 5 )(/r-�+.?'I� 1lQl i l ' (4 SS') eg, $.?v
MAILING ADDRESS CITY,STATE,ZIP, E-MAIL ADDRESS
. 5 S STN A)*-- S, P / � 1 /4/1 ireo3
I, TRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
'
Ydr
uT1-4C=M cam--ic_, ( ) �'? -,Moto
"3y11y ADDRESS ING
I Y,ST.3�'t /40C'
S; 44/D( ,Z 9e0-302 (ELL PH)NE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER / EXPI TIONATE FAX NUMBER
19- 1
100000O- oo '` 3L., i, 3 /1D 9 (at ) 8'''8' - ?c)
COPY o!'card regnlred CONTRACTOR'S REGISTRATION NUMBER EXy Ib DATE E-MAIL ADDRESS
wdth each sppliestlon �/ $o_ ' 3� P ) EV--g°
OW di 411.'6- l
di
APPLICANT COMPANY NAME APPLICANT NA - • OFFICE/PHONE( Q^ (/ (y/
MAILING ADDRESS e.z=qa �1►:�• ®s. as b) X 1 CJ r 2d(9 to
� r I ,STATE,ZIP CELL PHONE
,`tl a3p14 o 980�a � ) 7C3 &��s
RE • •PROJECTt. �'�� FAX NUMBER
0 Architect 0 Tenant • ;C, I,Other CN%e aI bw� ) - ��"d
PROJECT NAME / PRIMARY PH- (O
PHONE / p�
E-MAIL ADDRESS
�}
CONTACT k/1.-1 S �5 e--ick S (CC( ) C/3 - !
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) i
AREA DESION EXIST PROPOSED TOTAL
SQ.
SQ. SQ. FT. SQ. FT.
BASEMENT .
FIRST _
SECOND
THIRD
•
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS Emma PROPOSED TOTAL TOTAL sown+°sr TOTAL PROPOSED Sl TOTAL el
•
•
**NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL •
Value 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 MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerdai)
COMPRESSORS FURNACES RANGES •
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) _ URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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,inclu ng 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 ficers and employees, upon the accuracy of the information supplied to the city as a part of
this application. /- 7- 0?
NAME/TITLE DATE /[
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASI.0 PLAN? . ' o YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO ' DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application
•
`.ELECTRICAL-PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE • NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-'$111.00;Each add'n 500 ft2-$35:50) ❑ 0 to 100 amp $120.50 $74.00
O Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00
❑ 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 •
I NEW MULTI-FAMILY(three units-or more) 0 Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
O 401.-600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
I ❑ 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
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 r') 3 #of circuits to be added/altered
I ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
i
❑ # 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
• 0 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
•
❑ 4 of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
O Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System
0 Additional Plan Review
$111.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.2500 ft2-$65.00;
Each add'n•2500 ft2-17.00) "Per WAC 296-46-910/5)(b)li&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application