12-100906Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 12 -100906 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
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Project Name: ST LUKE'S CHURCH
Project Address: 515 S 312TH ST Parcel Number: 082104 9038
Project Description: Upgrade low -voltage audio/visual and voice/data systems.
Additional Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
'Electrical Fixtures
Low Voltage - Other (Commercial 1
PERMIT EXPIRES Saturday, August 25, 2012
Permit Issued on Monday, February 27, 2012
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
and the City of Federal Way.
Owner or agent: Date:
Owner
ARRIlcan
Contractor
ST LUKES LUTHERAN CHURCH
ST LUKES LUTHERAN CHURCH
OWNER IS CONTRACTOR
515 S 312TH ST
515 S 312TH ST
EMMERDR905DU
FEDERAL WAY WA 98003-4033
FEDERAL WAY WA 98003-4033
CERTIFIED ELECTRICIAN - DAVID EMMER
Additional Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
'Electrical Fixtures
Low Voltage - Other (Commercial 1
PERMIT EXPIRES Saturday, August 25, 2012
Permit Issued on Monday, February 27, 2012
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
and the City of Federal Way.
Owner or agent: Date:
. THIS CARD IS TO MAIN ON-SITE ,. s
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100906 -00 -EL Address: 515 S 312TH ST
Project: ST LUKES LUTHERAN CHURCH FEDERAL WAY, WA 98003-4033
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.
Final - Electrical (4055)
Approved
By (, Date
❑
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (, Date
❑
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (, Date
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the irlformation 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. 1 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 f led 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: �}7� DATE
"Q�1'2--
PRINT NAME: I j�'- Z : `J
33325 8`' Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 1 of 2 k:\l-landouts\Electrical Permit Application
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CITY of -
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�F electrical permits may be obtained on-line at www.ci o ederalway.com**
SITE ADDRESS: S(�� ( -mo- S'i; j ��(CO2._
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SUITE/UNIT/SPACE #
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME`
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PRIMARY PHONE
(ZS3) 5 -(1- 3 .'I %.
MAILING ADDRESS
E-MAIL
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CITY
STATE
ZIP
FAX
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NAME
PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
ELECTRICAL
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CONTRACTOR
CITY
STATE
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FAX
WA BTJTE ^^'T' –'– – ELAEt G—ZYT EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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NAME
PRIbIARY PHONE
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APPLICANT
MAILING ADDRESS
E-MAIL
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ZIP
FAX
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PROJECT CONTACT
NAME
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PRIMARY PHONE
41141- 7--f x)
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I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the irlformation 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. 1 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 f led 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: �}7� DATE
"Q�1'2--
PRINT NAME: I j�'- Z : `J
33325 8`' Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 1 of 2 k:\l-landouts\Electrical Permit Application
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RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
Is' Service/Feeder Additional Feeders
(including attached garage):
0 - 100 amp x$132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $358.00 x $143.50
1,1 Service/Feeder Additional Feeders
601 - 800 amp x;$463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
lat Service/Feeder
lat Service/Feeder Additional Feeders
0 - 200, amp x $101.00
w 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
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 $132.50
• 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)
Pian review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
Is' Service/Feeder Additional Feeders
CYVoice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
19" Other A QD+A V iS%J pn-I r Z
"10
61 - 100 amp ` x $ 80.50 x $ 39.00
Area to be served by system:
101 - 2EiU amp x $103,50 x $ 51.00
lat 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
401 - 600 amp " x $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 8" Avenue South 4 Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application