12-102199s Efectrilcal
City of Federal Way M = L,,'
�{[Community& Econ. Dev. ServicesPermit #. 1 �-102199; VO -EL
33325 8th Ave S
Federal Way, WA 98003 Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection q
Project Name: CALVARY LUTHERAN CHURCH
Project Address: 2415 S 320TH ST Parcel Number: 797820 0525
Project Description: Install fire alarm system
Owner
Al2RIican
Contractor
CALVARY LUTHERAN CHURCH
FIRE ONE INC
FIRE ONE INC
2415 S 320TH ST
107 WASHINGTON BLVD
FIREOI*099KW (5/18/13)
FEDERAL WAY WA 98003
ALGONA WA 98001
107 WASHINGTON BLVD
ALGONA WA 98001
Is Use Educational or Institutional?.......................No
Low Voltage - Fire Alarm (Comm( 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Tuesday, November 13, 2012
Permit Issued on Thursday, May 17, 2012
I hereby certify that the above information i ct an that the construction on the above described property and
the occupancy and the use will b nce t h e laws, rules and regulations of the State of Washington
nd i of Federal Way.
Owner or agent: Date:
THIS CARD IS TOMAIN ON-SITE
CITY OF
Construction In ection Record '
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -102199 -00 -EL Address: 2415 S 320TH ST
Project: 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.
Final - Electrical (4055)
Approved
By Date f i
EJ
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date f i
EJ
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By C
Date S _a t— v L
By C
Date S—fit—1 2
Final - Electrical (4055)
Approved
By Date f i
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r I I , ` 0
CITY OF
Federal Way ELECTRICAL
4�2_iozraff
RECEIVED
PERMIT APPLICATION MAY 17 2012
"Most electrical ermits may be obtained on-line at www. cityoffeder)PHU RAL WAY
SITE ADDRESS: Zqt <
$. -uw $t revue - vAY u A
9 $003
SUITE/UNIT/SPACE #
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
�9 ?R_Z_0 �
cN�
PROJECT NAME
(Tenant or Homeoumer Last Name)
��/
�-j A %.-ji�i L /'�,�+�s" �%�►i
PROJECT DESCRIPTION
I
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
0'4,+4hYV%( WTAWZAfJ C*V✓ QA
IS15) QW 1- 01152
DRESS
MAUMG ADDRESS
K, 57e
E -MA B.
CITY
STATE
ZIP
FAX
AVVO IAZ vkPW
WA
I
q&o-s
) -
NAME
PRIMARY PHONE
ELECTRICAL
MABAVG ADDRESS
/01 v*V01 t3Llia
E -MAB.
c dy,(IE& -14.6m: •d
CONTRACTOR
CITY
Auar►.o
I STATE
AAIh
ZIP
99001
FAX
t Zs3) 735- qq?6
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
- "Or *r dqq Vol S (g 0C
FEDERAL WAY BUSINESS LICENSE #
74 .64 - (oz'MN •oo - 6 L
NAN[E
6Y/ltj 02&S 3 j &A
PRIMARY PHONE
100 )-190- M LC
APPLICANT
MAIIdNG ADDRESS
E -MAB•
.Q
16-1 Wma 1 '7:rV 1#
4 j ` /�
��/1A� 't -QNB • nF
CITY
AVj&*3A
STATE
ZIP
R(ACb1
FAX
t ; )73f g414
PROJECT CONTACT
NAME
;V 8
PRIMARY PHONE
( 406 ) S? T* - 011 It
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), wh. made by any person, including the undersigned, andJtled against the city,
but only where such claim arises out of the ian of city, including its officers and employees, upon the accuracy of the
irtfonnation supplied to the city as a part of appl do
SIGNATURE:
PRINT NAME:
15 20 (1Z_
33325 8h Avenue South # Federal Way # WA # 98003-6325 # 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
I It Service/Feeder Additional Feeders
(including attached garage):
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp' x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
1st Service/Feeder Additional Feeders
601 -, 800 amp x''>$463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over. 1000 amp x $616.00 x $328.50
401 - 600' amp x, $224..00 x ` $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x ; $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
I,' Service/Feeder
Is' Service/Feeder Additional Feeders
0- 200 amp x $101_00
0 - 200 amp x<$132,50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x '$246.50
601 -`1000 amp x?,$463.00 x $196.00
Over '1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for:
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
KFire Alarm System
1st Service/Feeder Additional Feeders
curity Alarm System
❑ Voice/Data Cabling
0 - 60 amp,' x $°; 71:00 '` x $ 32.00
❑ Other
61 - 100 amp_ x $ 80.50 x $ 39.00
Area to be served by system: v S�� •
101 - 200 ampX $103.50 x $ 51.00
',
1st 2.500 ft2-$71.00; each additional 2,500 ft2 - $18.50
201 - 400 amp x $121.00 - x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x I$ 80.50
First $60.50; each additional $18.50
Over 600 amp x"$184.5Q x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x $ 80.50
Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x $121.00
• 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 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application
CITY OF '
Federal Way
PERMIT NUMBER 1 5
i PERMI'14kPPLTFi'AN
JUL 23 2015
CITY OF FEDERAL WAY
F�
l� t�
_ TARGET DATE CDS
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
%fog—
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
%i 4-
PROJECT
PROJECT DESCRIPTION
LO ✓j J ,�c�
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS ni
E-MAIL
CITY STATE
ZIP
NAME
PHONE
�1i l /"l5 6 C3
MAILING ADDRESS
E-MAIL
CONTRACTOR
-
CITY
STATE
ZIP (/
'I
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
-----------
CITY STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
7� -- 1–( –(s
('rhe individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
- " _ 0/Z[= Sj 5lE7r5 c>CKr Z,
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
E] OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.0951
MAILING ADDRESS, CITY, STATE, ZIP
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 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 of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
j
SIGNATURE: _ DATE
PRINT NAME
Bulletin #100 -January 1, 2013 Page 1 of 3 k:AHandouts\Permit Application