07-105141City of Fedbral Way
Community Devebpment Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: 1253) 835-2607 Fax: (253) 835-2609
Electrical Permit #: 07 -105141 -00 -EL
Project Name: FEDERAL WAY CHURCH OF CHRIST
Project Address: 30012 MILITARY RD S
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9188
Project Description: Add circuit for storage shed. Light, switch and receptacle. Up to (5) circuits.
Owner
Applicant
Contractor
CHURCH OF CHRIST AT FEDERAL WAY
RANDALL CALVERT
RANDALL CALVERT
CHURCH OF CHRIST AT FEDERAL WAY
3115 86TH AVE E
3115 86TH AVE E
30012 MILITARY RD S
EDGEWOOD WA 98371
EDGEWOOD WA 98371
FEDERAL WAY WA 98003-4230
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical fixtures
Circuits. r;; ,:,Commercial ................... 5
Owner or agent:
day, September 7, 2008
flay, September 13, 2007
I that the construction on the above described property and
the laws, rules and regulations of the State of Washington
of Federal Way.
Date:
VW a
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 -
PERMIT #: 07 -105141 -00 -EL
Owner: CHURCH OF CHRIST AT FEDERAL WAY
Address: 30012 MILITARY RD S
FEDERAL WAY, WA 98003-4230
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
❑
Service (4235)
❑
Temporary Power (4275)
By
Approved
By
Date
Approved
❑
Rough Electrical (4225)
Approved
By
Date • % �'d
❑
UFER Ground (4295)
Approved
By
Date
❑
Ditch cover (4030)
Approved
B c
Date
❑
Service (4235)
❑
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
For inspector
❑ Rough Electrical
Approved
By Date
❑
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
/approved
By
Date
❑
Final - Electrical (4055)
Approved
By
Date f� /
reference only
❑ FINAL - Electrical
Approved
By Date D • 1-7
�,•e RECEIVED '7—
R M I T SF MF CO ME nE PL DE EN FP
ODINWN71'YDEVELOPABM'SEI?V10E§ E P 1 3 2o�7P P L I C AT I O N
39 8, AVENUE SOUTH • PO BOX 97
FEDERAL WAY, WA 98069-9718
ss9-e9ss6o ' Y OF FEDERAL Vi(ki�
BUILDING DEPT,
The following is required Wormation — an incomplete application will not be accepted. Please print.legibiy (in ink) or type.
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
�eor, •�e.F�w./e.lewrw � adv
PROJECT•
TYPE OF PERMIT ❑ BUILDING O PLUMBING. . o MECHANICAL
SUITE/UNIT 9
LOT SIZE (sn
o DEMOLITION tjf ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide tailed desg7ption of work included
PROJECT. NAME (Name of Business or Owner Last Namel
l
PROPERTY
OWNER
O CTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMEt
C.fa
�
��� f vV \�
��
(RI PRIMARY ONE
-
MAILING ADDRESS
CELL PHONE -
ATE, ZI
CELL PHONE . -
E-MAIL ADDRESS
ANY NAMS /�
I/
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE -
U O ADD //
C� t -k F
CELL PHONE -
CITY, STATE, ZIP
CELL PHONE . -
CITY RAL WAY BUST LIC SE NUMBER
EXPIRATION DATE
FAX NUMBER
bQ ,
3 7 (
-
CON7 i —1 Own R ZVMATION HUNDSK
r"IRATION DATE
E-MAIL ADDRESS
CO ANY N U_
APPLICANT NAME
OFFICE PHONE -
WNO
l!
ATE, ZIP (��
CELL PHONE -
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant o Agent o Other
( _
E j U — " ' PRIMARY PHOT P53)- �?32 jAA1l/ I I. \Sl ✓� CO �C �j
NAME
Per RCW 19.97.095:
Lender information is required {/project value exceeds $6,000
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
VATER SERVICE PROVIDER (3 LAKEHAVEN 11 HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE o PRIVATE (SEPTIC)
PROJECT •.•
AREA DESCRIPTION
BASEMENT
AREAS
o REPAIR a TENANT IMPROVEMENT
-EXISTING
SQ : FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
—FIRST-----
o NO
ZONING DESIGNATION
Y
SECOND
o YES
o NO
NEW ADDRESS REQUIRED?
THIRD
UP/SEPA/SU?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
DEMO PERMIT REQUIRED?
o YES
DECK (O COVERED OR O UNCOVERED?)
G GE•O O
5f8 f_NUMBER
-7
6F FLOORS
p°°T°fO
r°OiO°m
1Or'°
rcr"causra"ssr
rmsu,rsaPassosr
ronicsr
•'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.
Value of Mechanical Work $ (A COPY OF BID OR ES?7MATE MUST BE INCLUDED WITH APPEICA770NJ
AIR HANDLING UNITS
BBQ3
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Sho Cembq
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bethmm stoke(
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commercM
RANGES
REFRIO. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS tnwq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eertVy under penalty of POdurg that I am the property owner or authorized agent of the property owner I cer ft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(* that! 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 /inetuding 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 flied agdinst the city, but only
where such claim aria@ out of the reliance of the city, eluding its officers and employees, upon the accuracy of the information supplied to
the city as apart of t�applicatio9c-) _ .,, // / e
SIGNATURE:
o NEW o ADDITION
o. ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 =August 16, 2007 Page 2 of 4. MandoutsTennit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL, SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add'n 500 ft2- $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)
❑ 0 to 200 amp
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 SINGLE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add'n 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 SERVICI;
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 801-1000 amp
E3 over 1000 amp
Service or Feeder Each Add n
$120.50. $ 74.00
149.50 94.56
280.00
Service or Feeder
❑ 0 to 200 amp
$92.50-
92.50❑
L3 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add'n 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 SERVICI;
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 801-1000 amp
E3 over 1000 amp
Service or Feeder Each Add n
$120.50. $ 74.00
149.50 94.56
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
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
!-L-im of circuits to be added/altered
(1-5 circuits - $94.50; Add% circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 351/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
Residenflaj/JWhUi Family $65.00
JJ of service or feeders
(First service/feeder-$74.00; each add'h 448.00)
CommeretaWndustriai Service or Feeder Ampacity
❑ 0 -100 amps $ 74,00
❑ 1,01- 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401-•600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ if of Signs
(First -$55.00; add'h-$17.00/ea) (First sign -$55.00; add'h sign $26.00/ea)
❑ Low Voltage ❑.Swimming pool/hot tub. ................ $111.00
Square Feet to be served by aystem(s) piwludes additional circuit, if required)
❑ Fire Ahum'system (3 Yard Pole meter loops ....... :............. $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00
❑ Voice Cabling /hour
❑ Data Cabling (for modified submittals)
❑ Automation Fee on all Permits .. $5.00
10 2500 ft2-$65.00;
Each add"n 2500 ft2-17.00) *Per WAC 296-/6970(5)(6X( & it)
Bulletin 11100 -August 16, 2007 Page 3 of 4 klHandoutsTermit Application