07-1047431
City of Federal Way
Community Development Services Electrical Permit #: 07 -104743 -00 -EL
P.O. Box 9718
Federal Way, WA 98063-9718
M Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BROOKLAKE COMMUNITY CHURCH
Project Address: 629 S 356TH ST L G - -"parcel Number: 292104 9019
Project Description: Relocate existing 800A service feeder around future addition
Owner
Applicant
Contractor
BROOKLAKE COMMUNITY CHURCH
DANARD ELECTRIC INC
DANARD ELECTRIC INC
629 S 356TH ST
18819 38TH AVE E
DANAREI136KG 5/31/08
Federal Way, WA 98003-8651
TACOMA WA 98446-1142
18819 38TH AVE E
ATTN: Pastor Mike Axton
TACOMA WA 98446-1142
Additional Permit Information
Service greater than 1000 Amps?...........................NO
Electrical Fixtures
Alt. Serv./Feed 601 amps- 1000 an 1
PERMIT EXPIRES Friday, August 22, 2008
Permit Issued on Tuesday, August 28, 2007
1 hereby certify that the above informa ` is correct and that the construction on the above described property and
the occupancy and the use will be' a r nce with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date:
Aol��
F, tip,
THIS CARD IS TO REMAIN ON-SITE {'
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104743 -00 -EL
Owner: BROOKLAKE COMMUNITY CHURCH
Address: 629 S 356TH ST
FEDERAL WAY, WA 98003-8651
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.
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved ,
By �D Date `z / O
❑ Pool Bonding (4195)
Approved
By Date
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Final -,Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference only _ _ _
❑ FINAL - Electrical
Approved
By Date
RECEIVED
OFFICE PHONE
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Federal WayAUG 8 2 007 PERMIT
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SF MF CO ME (OPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
CITY, STATE, ZIP
��11.!/A 980,03
33325 8n' AVENUE
VENUE SoA
, WT 40ERAL w
253-835-2607• FAX 2,138apPLICATION
TDFEDE
wirw.dWoffederalwau.comIpEP7,
❑ Architect ❑ Tenant ❑ Agent Other C�fY
( ) '��
The following is required information - an incomplete application will not
be accepted. Please print legibly (in ink) or type.
•. •
APPLICANT AME
OFFICE PHONE
MAILI D S
qPROPERTY
SITE ADDRESS 15.
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ _ _ -
— LOT SIZE (s,))
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) NE y2 j —4,— Z i� %✓SYt, v Z! /�_ /1A s/co� Y (i✓JYJ
(Attach separate page for lengthy legal deseriptioni
'PROJECT• •
EXPIRATION DATE
E-MAIL ADDRESS
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING
❑ MECHANICAL
❑ DEMOLITION ;(ELECTRICAL
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu)
C � . �t J °��y /� SPYt/ E D i,ZC�
j /�
C•� Qi/a �/• t d •3aJ L", Z_
ff
PROJECT NAME (Name of Business or Owner Last Namel d r -O k�
(�lInn vn i� 44 y:- e �
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAEPRIMARY
OFFICE PHONE
( ;67) "r
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PHONE
( Z ) fir - 75 -42 -
MAILING ADDRESS
GL G) • 35� "`
s1.
CITY, STATE, ZIP
��11.!/A 980,03
E-MAIL ADDRESS
RELATIONSHIP TO PROJECT /J
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other C�fY
( ) '��
COMPA,NNY,,NAME
_
APPLICANT AME
OFFICE PHONE
MAILI D S
CITY, ATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBEREXPIRATION DATE
6-{o(� �3*
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
P ( ,44f
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME) APPLI NAME /
G n-.— i C &tG_-_7
OFFICE PHONE
( ;67) "r
-
MAILING ADDRESS C , STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT /J
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other C�fY
( ) '��
- O e y
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE 12 1, V,C- 1, PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 11 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION.
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
WATER CLOSETS rrouet)
SINKS
WASHING MACHINES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
THIRD
❑ YES
❑ NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
e71bT'MG
PROPOS®
TOTAL
TOTAL F70STTNO SF
TOTAL PROP .,1
TOTAL Sr
"NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
AIR HANDLING UNITS
BBSS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Showcr Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (Commercial)
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rrouet)
SINKS
WASHING MACHINES
SUMPS
ZONING DESIGNATION
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 irtjbrmation submitted in support of this permit application is true and correct. I cert(fy 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, orfederal 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 made by any person, including the undersigned, and filed against the city, but only
where such claim arises ou f the reliance of a ci including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this plication. /%
SIGNATURE:
and/or Authorized
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 -August 16, 2007 Page 2 of 4 k\Handouts\Pernut Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
%601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
LJ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101-200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits $5.00
❑
..
I -S 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) ' Per WAC 296-46-910(5)(b)(i & iQ
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application