08-105228 EElect>F°ical
City of Federal Way +
Community Development Services
Permit #: 08-105228-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SLAVIC GOSPEL CHURCH
Project Address: 3405 S 336TH ST Parcel Number: 726120 0105
Project Description: Installation of a 100amp panel due to addition. **Adding Low Voltage sound system and 1
t-stat 4/22/09**
Owner Applicant Contractor
VASILIY POLIVODA YURI MANCHIK SLAVIC GOSPEL CHURCH
SLAVIC GOSPEL CHURCH 33130 42ND PL SW 3405 S 336TH ST
3405 S 336TH ST FEDERAL WAY WA 98023 FEDERAL WAY WA 98001-9630
FEDERAL WAY WA 98001-9630
c4,-
\ Additional Permi formation
Service greater than 1000 Amps? No
Electrical Fixturest.
Alt. Srvc/Feeder 0 to 200 amps(C 1 Low Voltage-Other(Commercial 1 Thermostat 1
PERMIT EXPIRES Tuesday, November 3, 2009
Permit Issued on Monday, November 3, 2008
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
6e,and the Ci y of Federal Way.
Owner or agent: Date: 4/— Z Z (�
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iectliical
City of Federal Way Q w
Community Development Services Permit #: 08-105228-00-EL
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: SLAVIC GOSPEL CHURCH ,
Project Address: 3405 S 336TH ST 4..., i„,,' . Parcel Number: 726120 0105
64117--
Project Description: Installation of a 100amp panel due to addition.
•
Owner Applicant Contractor
VASILIY POLIVODA YURI MANCHIK SLAVIC GOSPEL CHURCH
SLAVIC GOSPEL CHURCH 33130 42ND PL SW 3405 S 336TH ST
3405 S 336TH ST FEDERAL WAY WA 98023 FEDERAL WAY WA 98001-9630
FEDERAL WAY WA 98001-9630
,. Additional Permit Information 1. ,
Service greater than 1000 Amps° No
A � _' , Elec ca � .. 0 ...x k :oto o . ...,
Alt. Serv./Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Tuesday, November 3, 2009
Permit Issued on Monday, November 3, 2008
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
or
Cz" nd the C. y of Federal Way.
Owner or agen Date: //—£73 -ZC9C�2-
ti
THIS CARD IS TO WAIN ON-SITE -
CITY OF PommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105228-00-EL
Owner: VASILIY POLIVODA
Address: 3405 S 336TH ST
FEDERAL WAY, WA 98001-9630
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.
0 LIFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding (4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date Date -e.2— By Date
•❑ Final-Electrical(4055)
Approved
By Q,�-_ Date cNpv _k•
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
i c'-_ I o 5 ez--...e_ se-
CITY OF Areaeraiw CEI\,•fERMIT
COMMUM7YDEVELOPMENfSERVICES MF CO MLE PL DE EN FP
3332FE8TH ERALWAVENUE Y,WA H9•
063-9718 PO BOX AP PLI CATI O N
FEDERAL WAY,FAX
98087-97]8 J 0 V 0 `3 1, TO / , /
253-835-2607.FAX 253 835-2609
www.tatuofedemlwau.cum ^��Q ��J/�
The following is regi d Fi oWaltb�it'-Lail ititcompiete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3 eYd S S� •s3 6-IG ST k'v 1 ------- SUITE/UNIT#
�j
ASSESSOR'S TAX/PARCEL# `y rZ , - 0( (_) a LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
a PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION %ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPT.ON(Provide de •tat
d descriptioq of work included/ on this permit onh{)
/00 / -' ( i4-D d I (O AJA-L__-
PROJECT NAME(Name of Business or Owner Last Name) 141 Vf. 6Ct V'` C-r/(�+r--aA
• PEOPLE INFORMATION
PROPERTY NAME // /� PRIMARY PHONE
OWNER (/4 000 S/ >. r C z-liz G'/ (2S-3) z7--S- -,S€/2z
MAILING ADDRESS ff CITY,STATE,Z{? E-MAIL ADDRESS
3 4-(o s Si 3 3 6-1-1-I 54-R f `}.i Al U' IA- C602-3
CONTRACTOR CO PANY / APP CANT NAME OFFICE PHONE
s(_ _ r, S - . `yu2/
MAILING ADD•.,• r /tCITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS GCEN „c„..----
EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME ,,/ APPLICANT NAME OFFICE PHONE
Yiflz/ l�{i¢-AiGtttl - ( Zs3) Z7--5- -$`-/2Z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME {// PRIMARY PHONE E-MAIL ADDRESS
CONTACT ta/0/ /4A-' h// . (2S5 ) 27S - Z 4/Z Z / J r1.1 elf �/N-tiw•e0u--,
LENDER NAME Per RCW 19.27.095: / /
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 'ROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE = , -. - ON SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL E ESTI NO sr TOTAL PROPOSED sr 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(commends])
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTnb/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS gone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 a part of this application.
SIGNATURE: Com' DATE 7/-U 3-Z2OJ
Property Owner and/or Authorized Agent
❑NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
,__,ECTRICAL PERMIT INFORMA. JN
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
I Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) 0 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 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
U 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
❑ 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
❑ Over 800 amp 389.50 291.00 Service or.federsA1� �
.❑, 0 to 200 amp $125.50 Q1"E
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 2900 (
O 601 - 1000 amp 439.00 1
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 ❑ #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
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
U over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats U #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
U 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 .0 . `
1•'2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) •Per WAC 29646-91 o(5/(b)'i 8s ii)
Bulletin#100-January I,2008 Page 3 of 4 k\Handouts\Permit Application