08-102835 City of Federal Way Electrical Permits: 08-102835-00-EL
Community 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: EVERGREEN PERION DENTAL CLINICy
Project Address: 33838 PACIFIC HWY S ' Parcel Number: 212104 9068
Project Description: Alt-Alt/add up to(4)circuits for Ti.
•
Owner Applicant Contractor
CHRISTIAN FAITH CENTER SENECA ELECTRIC CO SENECA ELECTRIC CO
KENT WA 10010 99TH AVE SW SENECEC956CC 2/2/09
98035-0902 LAKEWOOD WA 98498 10010 99TH AVE SW
LAKEWOOD WA 98498
Additional Permit Information
Service greater than 1000 Amps? No
let:trical Fixtures
Circuits-Commercial 4
PERMIT EXPIRES Tuesday, December 9, 2008
Permit Issued.on Thursday, June 12, 2008
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: O Date: CJ
y f
FL" '! ' 0
,` • THIS CARD IS T MAIN ON-SITE-
CITY OF Community Develo ent Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102835-00-EL
Owner: CHRISTIAN FAITH CENTER
Address: 33838 PACIFIC HWY S
FEDERAL WAY, WA 98003-6891
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.
O UFER Ground (4295) ❑ 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
O Final-Electrical(4055)
Approved
deetty -CS
Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Ast.
. _s--
4 yi. 4 ......, z a ..:.,.,
Fe7ierai Way RMIT3s
SF MF CO ME-(1 PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258*•AVENUE SOUTH•PO BOX 9718 JUN 1 Pit i�►,P L I C AT I O N TD '
FEDERAL WAY,WA 98063.97]8
253435-2607•PAX 253.835-2609
www.dtuofedemlwau.com
CITY �E FEDERAL WAY
The following is equired nfo t . -an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION n
SITE ADDRESS- 33 83$ Pa-Gat C HI S. g (D 1 Fede ri i/y ()1J1' SUITE/UNIT#5-i 0
ASSESSOR'S TAX/PARCEL# ___- __ __ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aepmate Page for Je^9thY legal ddaiP l
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /
(Provide detailed desc,ption of work included on this permit only)
/
PROJECT NAME(Name of Business or Owner Last Name) /2'Yc,,/Yec1 - h e o ell—cri CAI 1
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER A1Cr Cu rare a. (- - ( ) -
MAILIN ADDRESS JJJJJJ CITY,STATE ZIP E-MAIL ADDRESS
PO g,'ox 7 O 2 J— o f J4 7424 3r
CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE E
eveea 1�v;c,& _;Eutnyci ' (74'3 ) Z2
8 -[2c93
MAI�NOr SSCIY,STT ,ZI CELL PHONE
scJ 30 t.54' 54- CJoy
&A (zs3) us -(z.-
or CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATI DATE FAX NUMBER
I, s, '
' ' _ £J o /'2 ,
3 /70,✓ ( ) -
/'CONTRACTOR'S REGISTRATION NUMBER ERP RATION DATE E-MAIL ADDRESS
evl cec 7'v-i-6 cc i/2, [/207
APPLICANT COMPANY ME APPLICANT NAME OFFICE PHONE
a - ( )
MAILING A DRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other ( ) -
PROJECT NAME /11 C F-0-\ -- PRIMARY PHONE E-MAIL ADDRESS
CONTACT \C./- t Ct ( ) -
LENDER NAME Per RCW 19.27.095:
Len. - •# • •n is required if project value ex- -ds$ ,'''
MAILING ADDRESS ,STATE,ZIP PHO,=
)
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ V • PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE S I ;_ SION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN : I GHLINE ■ ACOMA ❑ PRIVATE(WELL) ,
SEWER SERVICE PROVIDER 0 LAKEHA ' 0 HIGHLINE a P- TE 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 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STOW PROPOSED TOTAL TOTAL RRWSTDIO sr TOTAL PROPOSED SF TOTAL Sr
•
•
**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(commerdaq
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shover Combo) LAVS(sethreom su URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(raket) •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 of the city,including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this applica, .
SIGNATURE: DATE
— 1.3— D o
• .perty Owner,"./or Au .„.,Agent
-
a NEW a ADDITION a ALTERATION a REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? • a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a 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 1,2008 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.500 201-400 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-FAMILY(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
O 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 '601 -800 amp 272.00 145.50
O Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
0 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 ❑ Lf. #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 COMMERCIAL/INDUSTRIAL 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
U Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
1/b?uit{-Fam{Iy $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercia1/Industr{ai Service or Feeder Ampacity
❑ 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)
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(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)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
1■c 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)"Per WAC 296.46-910(W&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Pennit Application