10-105242 •
City of Federal Way Ehctr . al
Community Development Services Permit #: 10-105242-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 .' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: CALVARY LUTHERAN CHURCH
Project Address: 2415 S 320TH ST Parcel Number: 797820 0525
Project Description: Adding/altering(6)circuits for associated remodel
Owner Applicant Contractor
CALVARY LUTHERAN CHURCH LAKES ELECTRIC INC LAKES ELECTRIC INC
2415 S 320TH ST 19754 SE 128TH WAY LAKESEI101MC (07/03/12)
FEDERAL WAY WA 98003 ISSAQUAH WA 98027 19754 SE 128TH WAY
ISSAQUAH WA 98027
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Is Use Educational or Institutional No Service greater than 999 Amps? No
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Circuits-Commercial 6
PERMIT EXPIRES Friday, December 16, 2011
Permit Issued on Thursday, December 16, 2010
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 wit a laws, rules and regulations of the State of Washington
and the ity of Federal Way.
Owner or agent: Date: /V"/ —�
t/4//
. THIS CARD IS TO RE IN ON-SITE
CITY CiF ,r • Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-105242-00-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.
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
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 'ough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By0Date /7 °13/v By Date
o Final-Electrical(4055)
Approved
By 0 rvsltsAl Date a ,,, ` 1
I Rough Electrical CI Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF •, 0
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Federal Way �� �
ELECTRICAL
PERMIT APPLICATION DEC 1 b
CITY OF FEDERAL WAY
**Most electrical ,ermits in, be obtained on-line at www cl orfederalw'
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SITE ADDRESS: V/5 S �� ;
SUITE/UNIT/SPACE• ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME 1 ���G/��/ �/7
Tenant or Homeowner Last Name ,e,41
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PROJECT DESCRIPTION �— ' � � //°e'.4 - --' /"re /.'
Detailed description of work to /� �--
be included on this permit only .0/ A/‘ f �7 , / it
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NAME PRIMARY PHONE
PROPERTY OWNER / .',,f/ 7 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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L � PRIMARY
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PRIMARY PHONE
APPLICANT NAIL/ 114 -
MAILING
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CITY STATE ZIP FAX
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PROJECT CONTACT NAME A4 0 /Z )O')yPRIMARY- /2J?
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 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 a part of this plication.
SIGNATURE: ! DATE -/O 1 a
PRINT NAME: 17 LJ b/6/
33325 8'h Avenue South♦PO Box 9718•Federal Way•WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL' CO IERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
Q1C10 amp x.$13250 :> x$:;80;50
FEES: First 1300 ft2-$122.00; 101--- 200:amp x$164.00 .x:$103:..50
Each additional 500 ft2-$39.00 2(Y1 40(3 amp x$317 00 x$221.00
NEW MULTIFAMILY (3 units or more) 401-•600 amp x$358;00 x$143:50
1st Service/Feeder Additional Feeders 6t11 8f10 ainp x$L 63 00 x$1:96.00
0.: 200 amg x:$I32 50 x $ 39. 801-1000::amp x:$565.00 x$236.:50
201-.400 am /t.4164.00 x
p80:50 E3ver.10100 amp. ;: x$61:6 00 x$ 28:50
401 Gov arip x $224 00 > $ 11 sa
601 800:amp x:$287.00 x $153:50 Over 600:volts surcharge x:$103::50
Over amg x $410:50.> x $3C17.�fi
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Ism Service/Feeder Additional Feeders
0.- 200 amp x $101.00 0 200 amp x$132.50 x:$103.50
201.-6T30:agp x $164;00 201 •600:amp x:$307.00 x$:121:00
Over600 aiup x. $246..5(3
6(31 ...1000 a r x$463 00 x$:196.00
Over: 1000 amp x$515.50 r$328,.:50
Added or Altered Circuits...
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits C�
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 $132,5a
• 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
❑ Fire Alarm System
❑ Security Alarm System 1st Service/Feeder Additional Feeders
❑ Voice/Data Cabling Q 60 autg x $ 7Of} :x $ .32:00
❑ Other 61 100.amp 1C $ 80:50 x $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101: 200 amp x $Y433 ri4 X $ 51:Ofj
201 400:amp x 121::00. x 60.50
#of Thermostats 40l 6011 amp $164 00 x $ 80 50
First$60.50;each additional$18.50
Over:600:::amp -: x $184.50. ..::::::: 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 8th Avenue South♦PO Box 9718•Federal Way•WA♦98063-9718•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application