09-104147City of Federal Way Electrical
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Community Development Services Permit lei'. 09 -104147 -00 -EL
P.O. Box 9718
Federal Way. WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BETHEL CHURCH I� ���,
Project Address: AKE K Parcel Number: 072104 9003
Project Description: Service upgrade from 100 - 200 amp, including a circuit for a new furnace.
Owne
Applicant
Contractor
BETHEL CHRISTIAN CENTER
LINDSAY ELECTRIC
LINDSAY ELECTRIC
414 SW 312TH ST
163 MIRROR LAKE PARK
LINDSE*021JG (3/31/11)
FEDERAL WAY WA
FEDERAL WAY WA 98023
163 MIRROR LAKE PARK
98023-4818
FEDERAL WAY WA 98023
,E Additionalt lltlE?irlllttotil
Is Use Educational or Institutional? ....................... No
THIS CARD IS TEMAIN ON-SITE {
MYQF 40Construction I ection Record
Feerai Way INSPECTION RE
TS: (253) 835-3050
PERMIT #: 09 -104147 -00 -EL Address: 138 SW MIRROR LAKE PARK
Owner: BETHEL CHRISTIAN CENTER FEDERAL WAY, WA 98023
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.
E] Service (4235) Final - Electrical (4055)
Approved Approved
By Date B'�-K Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved Approved
By Date By Date By Date
D
Feder MEI PERMIT
COMMUVEL SERVICES
253-835.2607• FX 253-835-2609 PLICATION
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SMTE/UNIT # ZONING ASSESSOR'S TAR/PARCEL #
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION t�OELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
s,ervt cc
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit onlyIA-)rLC��..,.1 C.A C
PROPERTYOWNER
8�" CV"
PRIMARY PHONE
� ��.�3► $39- 1Y$4o
MULING ADDRESS, CITY, STATE, ZIP E-MAII.
441q S ur CN Zi 0 ---
OWNER IS ALSO:
CONTRACTOR
APPLICANT PROJECT CONTACT
NAME
it A'47
PRIMARY PHONE
�o�
CONTRACTOR
MAH.DIG ADDRESS, bITY, STATE, ZD'
/& 3 1-4i�/ar - L
i1cJ//
FAR
-
WA STATE CONTRACTOR'S LICENSE #
L,'„ d s c 82-1 IT Cr-
ERPIRATION DATE
iaaa
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME `
1
PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
FAX
a'"^
-
PROJECT CONTACTNAME
(The individual to receive and
respond to all correspondence
concerning this application)
t i �•-� /� j
PR]XARY PHONE
ZOG 2( -
MAEUNG ADDRESS, cITY, STATE, ZIP
FAX
ALTERNATE CONTACT NAME.
PRIMARY PHONE
EMAIL
PROJECT FINANCING
NAME
Required for projects with
OWNER -FINANCED
value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certqy that to the
best of my knowledge, the irtformation 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. 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 qfflcers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 100 — 4/17/2009
/b 12- f
I of 4 k-\Handnut-\Permit Annlirntinn
FJ
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9 ELECTRICAL .
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $121.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1s1 Service/Feeder
0 - 200 amp
x $131.50
201 - 400 amp
x $163.00
401 - 600 amp
x $223.00
601 - 800 amp
x $285.50
Over 800 amp
x $408..50
Additional Feeders
x $ 39.00
x $ 80.00
X $111.00
x $152.50
x $305.50
ALTERED SINGLE or MULTI FAMILY
Service/Feeder''" Additional Feeders
0 - 200; amp-,Xx $100.50 x $ 39.00
`291)`600 amp x $163.00 x $ 80.00
Over 600 a***+-- x_$245.50 x $111.00
Added or Altered Circuits
-1-4 circuits $80.00; each additional $8.000
Mast or meter
Service or feeder only x $ 80.00
Service and feeder x $131.50
0 - 100 amp
101 - 200 amp
201 - 400 amp
401 - 600 amp
601 - 800 amp,
801 - 1000 amp
Over 1000 amp
1 at Service/Feeder
_ x $131.50
x $163.00-
_ x $305.50
x $356.00
x $460.50
x $562.50
_ x $613.00
Over 600 volts surcharge
Additional Feeders
x $ 80.00
x $103.00
x $120.50
x $142.50
x $195.00
x $235.50
x $327.00
x $103.00
ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders
0 - 200 amp
x $131.50
x $103.00
201- 600 amp
x $305.50
x $142.50
601 - 1000 amp
x $460.50
x $235.50
Over 1000 amp
x $513.00
x $327.00
Added or Altered Circuits
1-5 circuits $103.00; each additional $8.00
Mast or meter repair $111.00
PLAN REVIEW FEES
$103.00 plus 351% of Permit Fee; Plan Review required for:
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE I TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/ Data Cabling
❑ Other
Area to be served by system:
Pt 2,500 ft2-$71.00; each additional 2,500 W- $18.50
# of Thermostats
First $60.50; each additional $18.50
# of Signs
First $60.50; each additional $28.50
Yard Pole/meter loops/pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
Ditch cover/inspection only x $120.50
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\I-landouts\Permit Application
la' Service/Feeder
Additional Feeders
0- 60 amp
x $ 71.00
x $ 32.00
61 - 100 amp
- x $ 80.00
x $ 39.00
101 - 200 amp
x $103.50 '
x $ 51.00
201 - 400 amp
x $120.00
x $ 60.50
401-600'amp
x $163.50
x $ 80.00
Over 600 amp
x $183.00
x $ 92.00
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\I-landouts\Permit Application