08-100375-City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Electrical Permit#: 08 -100375 -00 -EL
Ph: (253) 835-2607 Fax: (253) 835-2609 -- Inspection Request Line: (253) 8355-3050
Project Name: BETHEL CHRISTIAN CHURCH UNIT 115
Project Address: 115 MIRROR LAKE PARK L�I 4 S' 3 IZ. Parcel Number: 072104 9003
Project Description: Upgrade service from 100amp to a 200amp.
Owner
Applicant
Contractor
BE'rHEL CHAPEL
UNICCO SERVICE COMPANY
UNICCO SERVICE COMPANY
414 SW 312TH PL
840 S 333RD ST
UNICCSCOOORM 12/19/08
FEDERAL WAY WA 98023
FEDERAL WAY WA
840 S 333RD ST
FEDERAL WAY WA
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps- I 1
PERMIT EXPIRES Monday, January 19, 2009
Permit Issued on Friday, January 25, 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
and the City of Federal Way.
Owner or agent: vim- Date: 112 Y 16 S
w,`.DJQ 3 --14 - o VQ c \4'v
THIS CARD IS TYSEMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -100375 -00 -EL
Owner: BETHEL CHAPEL
Address: 115 MIRROR LAKE PARK
FEDERAL WAY, WA 98023
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)
Approved
By
Date
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date 3 „
For inspector reference only __
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cmrorARECE'VW.
N
C°KAN,D8VBLOPAf w;RvmaAN 2 5 2063 PERMIT SF MF CO ME E L DE EN FP
3332S 8n AVBNUB SOM • PO BOX 9718
253;::::::97- WWAY, 98063.271$ F FEDERAPPLI CATI O N °
vii CDS
The following is required information -an incomplete application will not be accepted. Please print legibly (in inkj or type.
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desc"ptlon of upork included on this permit onful
CA Y-2 �Q (db -- 2oC]
PROJECT NAME (Name of Business or Owner Last Namel c1/ , sk� C� "t' V J 1(j�
PEOPLr, INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
e 1 0\ 2�., C� v.rc�
PRIMARY PHONE
( ) S 3 - Z
MAILING ADDR 33
SW
CITY, STATE, ZIP
j,�
E-MAIL ADDRESS
--
COMPANY NAME
cSof Cr
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS0 S�
1
Gqy gTAT
Orad 965
CELL PHONE
2oG 2(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S MWISTRATION N01B&R
MWIRATION DAT&
EMAIL ADDRESS
U- V% k C -.L 5L '
l2 1111 o Q
COMPANY
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
NAME PRIMARY PHON& EMAIL ADDRESS
co,r� A c, of - 1 :1
NAME
. - -
Per RCW 19.27.095.
header ormatton-is-r __ -ired -
eq� - (%proJeat ire exceeds;5oo0
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIbER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
a YES ONO
BASIC PLAN?
a YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
a NO
NEW ADDRESS REQUIRED?
a YES o NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
a YES
a NO
DECK (0 COVERED OR ❑ UNCOVERED
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
suseBra
raorwm
ror�r
ror�c sarrrs o sr
tura. nw"ass sr
tures sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing factures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
PLUJIBM
BATHTUBS (erTtb/showsrco®6o)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
LAVS (Baftoem si,4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
PV TTTD
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (cemm�rdaq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ro&4
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I aert* ruuter Ponal4l of PMurII that I ant the propsrti► owner or authorised agent of the propertg owner. I sort(fy that to the best of my
knowledge, the N{/ornmtion submitted in roBPort of this permit application is true and correct. I cer ft that I will compk 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 flied 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 apart of this application.
SIGNATURE: —aDQ 0 DATE Z
PropeW Owner and/or Authorized Agent
a NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES ONO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT?
o YES ONO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 WiandoutsTermit Application
0 -0 1
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add In
(First 1300 ft2- $115.50; Each addh 500 ft2- $37.00)
❑ 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
❑ 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
❑ '601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
kfl0
❑ over 1000 amp 489.00
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; Addh circuits, $7.50/ea)
❑ # of circuits to be added/altered
COMMERCIALfINDUSTRIAL 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
Residentia V�u1tl-Family $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each addh -$50.00)
CommereiaWndusMai Service or )feeder Ampacity
❑ 0 -100 amps $ 76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First -$57.50; add'n-$17.50/ea)
(First sign -$57.50; add"n sign $27.00/ea)
❑ Low voltage
❑ Swimming pool/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
E3 Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
13 security Alarm system
❑ Additional Plan Review $115.00/hour
0 Voice Cabling
13 Data Cabling
(for modified submittals)
13
❑ Automation Fee on all Permits .. $5.50
lot 2500 "7.50;
Each addh 2500 ft2 - $17.50) *Per WAC 29&46910(5)(b# & if)
Bulletin #100 -January 1, 2008 Page 3 of 4 k\Handouts\Permit Application