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12-101529City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 0 Project Name: CALVARY LUTHERAN CHURCH Project Address: 2415 S 320TH ST Project Description: Install (2) T -Stats Electrical Permit #: 12 -101529 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 797820 0525 Owner Applican Contractor CALVARY LUTHERAN CHURCH NARROWS HEATING & AIR CONDITIONING NARROWS HEATING & AIR 2415 S 320TH ST (GENERAL) CONDITIONING (ELECTRICAL) FEDERAL WAY WA 5121 S BURLINGTON WAY NARROHCO06DA (3/1/14) 98003 TACOMA WA 98409 5121 S BURLINGTON WAY TACOMA WA 98409 Is Use Educational or Institutional? ....................... No Thermostat ..................................... 2 Service greater than 999 Amps? .............................No PERMIT EXPIRES Tuesday, October 2, 2012 Permit Issued on Thursday, April 5, 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 d the City of Federal Way. LL Owner or agent: Date: J 1 a CITY OF Federal Allay PERMIT #: Project: THIS CARD IS TO MAIN ON-SITE Construction I ection Record INSPECTION REQUE TS: (253) 835-3050 12 -101529 -00 -EL Address: 2415 S 320TH ST CALVARY LUTHERAN CHURCH FEDERAL WAY, WA 98003-5442 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) Ditch cover (4030) Temporary Power (4275) Slab/Concrete Floor (4255) E] Approved By Approved Approved to place concrete By Date By Date By Date E Pool Bonding (4195) E] Temporary Power (4275) E] Service (4235) By Approved By Approved By Approved By Date By Date By Date 0 Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date ,5 _ Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Way —� By Date By Date By Date CITY OF, - Federal Way ELECTRICAL PERMIT APPLICATION RECEIVED "Most electrical permits maybe obtained on-line at www.cityoffedeA?&9 A1 PV SITE ADDRESS: (A { S _ - C D S SUITE/UNIT/SPACE M ASSESSOR'S TAX/PARCEL N CURRENT/PROPOSED USE 5 PROJECT NAME (Tenant or Homeoumer Last Name) ' G.. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRI 4RY PHONE PROPERTY OWNER 60AVo- ��/o� c�o.� L „`� e r -c — (a 63) 83 - 63 y y MAMMG ADD E-MAIL CITY S1T.A'TE ZIP FAX NAM[, f PRIMARY PHONE MAHJNG ADDRESS F-MMAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX i 'l Z 1 1 09 ( ) - WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N N h\'Z< �► C,©o A ,� NAME PRDNARY PHONE - APPLICANT MAII.IPiG ADDRESS E-MAIL CITY Tom• c o jbTATE vV ISS ZIP 9 li- `i o FAX ( ) - PROJECT CONTACT NAM PRDNARY PHONE 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 irlformation submittal 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, andfiled 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 -plliieedd to the city as a part of this application. SIGNATURE: l/ /_�DATE PRINT NAME: 33325 8`' Avenue South ♦ Federal Way 1 WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 -January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application I RESIDENTIAL I COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet7:1 1st Service/Feeder Additional Feeders (including attached garage): 0 - 0' � P',:"i'$112.6t1 ' 130,513 FEES: First 1300 ft2 - $122.00; 101 - 200 amp x $164.00 x $103.50 Each additional 500 ftz - $39.00 2111 400'aza', .. x$30700-'" NEW MULTIFAMILY (3 units or more) 401- 600 amp' x $358.00 x $14.3,50 ist Service/Feeder Additional Feeders 601- 800,ar p=, x $463.00, , --, x $196,00 0 ="• 200 a�x $1,32" 50 801 lOfiQ amp x $565.00 x $236.50 201 -400 amp.... x $164>00 x $ 80.50 ovee03.PX328.50 ALTERED SINGLE or MULTI FAMILY 1st Service/Feeder 0- 203p.. x%$101t 201 - 600 amp x $164.00 over w6i" ���x"4240,01 Added or Altered Circuits 1-4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Service or feeder only x $ 80,5O Over 600 volts surcharge x $103,500 ALTERED COMMERCIAL 1st Service/Feeder Additional Feeders �OQamp: x.$:132;50 ' $103.50 201 - 600 amp'', x $307.00 x $121.00 F+ l P 0 00'. ." , x4196,00 over 1000 amp x $515.56 " x $328.51 Added or Altered Circuits 1-5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 PLAN REVIEW FEES Plan Review required only for: • New, or alteration to, service of 1,000 amps or greater • Medical/Educational/Institutional Facility MISCELLANEOUS LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice/Data Cabling ❑ Other Area to be served by system: 1st 2,500 W-$71.00; each additional 2,500 ftz - $18.50 _,;1, # of Thermostats First $60.50; each additional $18.50 Yard Pole/meter loops/pedestal x $ 80.50 Portable Generator (transfer equipment)_x $101.00 Ditch cover/inspection only x$121.00 $103.50 plus 35% of Permit Fee (Permit Fee x 35% = + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50/hour TEMPORARY SERVICE 1st Service/Feeder Additional Feeders r x 61 - 100 amp x $ 80.50 $ 39,00 $3S 201 - 400 amp' 2L_x $121.00 x $ 60.50 Over 600, amp x $184.50 ` $ 92.00 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A $6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the application form, contact the Permit Center at 253-835-2607 33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 4 fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 -January 1, 2011 Page 2 of 2 k:\I-Iandouts\Electrical Permit Application