07-105711T a
City of Federal Way
Community Development Services
P.O. Boa 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
• 5
Electrical Permit #: 07 -105711 -00 -EL
Project Name: CALVARY LUTHERAN CHURCH;
Project Address: 2415 S 320TH ST
Project Description: Extend circuit from existing light pole and ind
Inspection Request Line: (253) 835-3050
R Number: 797820 0525
(2) 400 watt fixtures.
Owner A licant Contractor
CALVARY EVANGELICAL LUTHE JONES LIGHT INTENAN E IN J E �GHTING MAINTENANCE INC
CALVARY EVANGELICAL LUTHERAN 164069 AVE N , JONESLM179CH 12/7/2008
CHURCH OF FEDERAL WAY FEDERAL W A 16406 90TH AVE NE
2415 S 320TH ST FEDERAL WAY WA 98028
FEDERAL WAY WA 98003-5442 A
Additiaer 't I
Service greater than 1000 Amps? .............
Elec i tures
Circuits. Commercial............ 1
1
above
a use v
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105711 -00 -EL
Owner: CALVARY EVANGELICAL LUTHERAN CHURCH OF FEDERAL WAY .
Address: 2415 S 320TH ST
FEDERAL WAY, WA 98003-5442
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)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
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 O . Z _
By
Date
By
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date 5 • 4 .�
RECEIVED r
Fray OCT. PERMI
COMMUMTYDEVELOPMWSERV►CIS 1 6 2007
39926At•AYEW, wA .Pp.y"" ,f �'LI CATI O N
FEDERALWAYWA 9d069-9M�'Y Op
PAER A
���
253-assseo7•x253.835.2669 BUILDING DEPT,
SF MF CO MEQ. J PL DE EN FP
D /
The following is required information - an incomplete application will not be accepted Please print.legibiy (in ink) or type.
SITE ADDRESS _ iC < -C
ASSESSOR'S TAR/PARCEL 9 7 U 2-
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
-p-a•pW f-I-Vft M➢W del
PROJECT• •
SUITEm= #
LOT SIZE (sn
TYPE OF PERMIT O BUILDING O PLumlNG - O MECHANICAL
O DEMOLITION ELECTRICAL O ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this nermit nrnly)
PROJECT. NAME (Name of Business or Owner Last Namel G u X
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
NlAPPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
HAMS ' - PRIMARY PHONE /—
—MUANQ ADDREss CrrY, STATE, ZIP E A 11 -r 9 -DDRESS
-24 r3 � '• M-- 5-40�2—
ANY NAME
APPLICANT NAME
Omcs PHONE
CITY. STATE, ZIP
PHONE
ADDRESSCrrY,
STATE, ZIP
CELL PHONE
[RFIATI
ONSHIP TO PROJECT
FAX NUMBER
chitect 0 Tenant 0 Agent o Other
( _
NAMEPRIMARY PHONE E-MAR.ADDRESS
6 a_ _
AME
Yc d
Per RCW 19.27.095t
Lender information is required if project value exceeds X56,000
AW NOADDRESS
CITY. STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? 0 YES O NO FIRE
USE
OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? 17 YES o NO
R/ATER SERVICE PROVIDER ❑ LAKEHAVEN ❑}HLINE O T MA ❑ PRIVATE (WE'LL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN HIGHLINE 0 PRIVA (SEPTIC)
PROJECT ••-
AREAS
o REPAIR o TENANT IMPROVEMENT
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
o NO
S : FT.
SQ. FT.
00. FT.
BASEMENT
o NO
NEW ADDRESS REQUIRED?
a YES a NO
FIRST
a YES
a NO
PLATTED LOT?
SECOND
DEMO PERMIT REQUIRED?
. , ,
a NO.
THIRD •
/ "
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVEREDOR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
i
NUMBER OF FLOORS
mmto
rsora+es
TorA&
mrscsmsrswsr
ronu,rawoesser
MUM
"NEW HONES ONLY". NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be
Value of Mechanical Work $ (A
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
or relocated as part of this project. Do not include existing furfures to remain.
OF BID OIi.EsmmTE MUSr•BE INCLUDED WITH APPLICATioig
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
BATHTUBS (or Tub/Show.rcomb4 LAVS (BdtuoomSwW
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS pom e.ci.q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ro&q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eer ft that to the best of my
knowledge, the iNformation submitted in support of this permit application is true and correct. I eertVy that I will comply with all applicable
City of Federal ,Way regulations pertaining to the work authorised 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
when such claim arises out of the reliance of the ci
the city as apart of this applie49 a ing its officers and emp/oysea, upon the accuracy of the igjormati supplied to
SIGNATURE: DATE
Property Owner and/or Authorized Agent
o NEW a ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUII.DING SHELL ONLY?
o YES, o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP/SEPA/SU?
a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO.
Bulletin 11100 - August 16, 2007 Page 2 of 4. k\HandoutsTermit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add% 500 ftz- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (three units or more)
Service or Feeder
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
❑ 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINO;LE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 80I - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$120.50. $ 74.00
149.50
Service or Feeder
❑ 0 to 200 amp
$ 92.50
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 80I - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$120.50. $ 74.00
149.50
94.50
280.00
111.00
327.00
131.00
423.00
179.00
516.50
216.06
563.00
300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Sendch or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
/ # of circuits to be hdded/altered
(1-5 circuits - $94.50; Add% circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARR Residential/Multi Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add% -$48.00) CommerciaWndustrial 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
(First -$55:00; add)a-$17.00/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm' System
❑ ' Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑
In 2500 ft2-$65.00;
Each add% 2500 ftr-17.00) •Fer WAC296469J0(5A)fl b ii)
❑ # of Signs
(First sign -$55.00; add% sign $26.00/ea)
Q., Swimming pool/hot tub ................. $111.00
Acludes additional circuit, if required)
❑ Yard Pole meter loops ....... :............. $74.00
❑ Additional Plan Review $1 ur
(for modified submittals)
❑ Automation Fee on all Permits
Bulletin it100-August 16, 2007 Page 3 of klHandoutsTetmit Application