02-102633 , r I(
City of Federal Way
Community Development Services Electrical Permit #:02 - 102633 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661 4129 Inspection request line: 253.835.3050
Project Name: B THEL CHRISTIAN CENTER
Project Address: 03 IRROR LAKE PARK Parcel Number: 072104 9003
Project Description: ELE-New 200 amp panel and rewire for house on church property(103 Mirror Lake Park is the house
address-the church address is 414 SW 312th St)
Owner Applicant Contractor
BETHEL CHRISTIAN CENTER OF FEDERAL LINDSAY ELECTRIC LINDSAY ELECTRIC
414 SW 312TH ST 5528 34TH ST LP NE 5528 34TH ST LP NE
FEDERAL WAY WA 98023-4818 TACOMA WA 98422 TACOMA WA 98422
(206)977-3462
Electrical Fixtures
,, i'::,',',,'_ "Description ;;4=- 'f Qganti y i w scrilitiori, , '[Quantity "`.' ` `-%Description 'Quantity
Alt.Serv./Feeder:0 to 200 amps-Res.1 I
PERMIT EXPIRES December 21,2002,IF NO WORK IS STARTED.
Permit issued on June 24,2002
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: el07 Date: lilZL/G
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;°� G CONSTRUCTION PERMIT APPLICATION
uV L RECEIVED APPLICATION NUMBER: 04 - 102 ,33 - EL.,
APPLICATION NUMBER: - -
JUN 2 4 2002 APPLICATION NUMBER: - -
** ipJixrin is required information—Please print(in ink)or type**
Please note: Electrical,Fgeltr �D0,9EV s and Engineering permits may require a separate application.
■ PROPERTY
�IINFFO�RMATION i p,�L
SITE ADDRESS: 103 H((/rv/' Lee- Par/.... /`` " ASSESSOR'�TAX/P RCEL#: C4. 1.4 oil -et_c_3
LEGAL DESCRCN Of SUBJECT PROPERTY(ATTACH SEPARATE DESC' -TION IF LENGTHY):
(de c, Cl.,-rd., I'S(•At Dt�4( Cke-
- ' ■ PROJECT INFORMATION - " , .
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /20v-SIA. ^4 Ike.-schap,5c `51-i4)
C aGi 939 -3(16/ ie ..,ff. .
PROJECT NAME: $ C1 ` u ok C 1`' V r
■ PEOPLE INFORMATION r
PROPERTY OWNER: NAME: /�.lG(
�� DAYTIME PHONE:
/2 b /� 7 ,� am
(P17 ) 2. /06-
MAILING ADDRESS EET ADDRES
5;CITY, ZIP):1-7l .(`J3'2TL
'.-
CONTRACTOR: NAME: r DAYTIME PHONE:
L , O0 54? �"_ ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): H
EVENING PONE:
iioe j,.? 3'Z �c, s! ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
.(.--) - - ( )
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy ofcara ,fired) L L tA 1 i & 2 2 L ' 6. V ' y/ v e l i°y
APPLICANT: NAME:
DAYTIME PHONE:
))f/, L(4./54 ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):/ EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT R(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT {a1 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
M PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
,...,...._ . ,.. _ ._ .._ z .. . . a ..,r,-,.. :a.,., n...t a FIXTURES .. . ..� • _..,. _�.�, >. . �._ ._.,,,.,.�.>,r.
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) _ MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- ■ -DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied t the city as a part of this application.
NAME/TITLE: l JA DATE: 6/2-5-75Z
❑ PROPERTY OW 0 APPLICANT 0 CONTRACTOR
_ - -.0-„01050,1.CE-USE-ONLY: 4
!1E4 � O�ADDIIION �c❑ALTERATION= = REP IIR a•ENANT IMPROVEMENTa i _
• SUSZODE: '
NATYVN„ B�UXL.DINnitetiVNLY? C7WESf,->.13�TIO
. :p- ESIGIVAIION �' _ fBA5ZC P • ?k> -`G ES O°_
"ECTION =TOWNS IPn - GRANGE `? msµ~- .EQ '` NO
�D LOT?:7-OYES—.<: X10... ` .: t1AIVGE OF I1SE?_ _ .`:❑,YES `fl1V0:.` `_. ,•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
■ ELECTRICAL
TABLE B
~
RESIDENTIAL SERVICES MOBILE HOMESMISC EQUIPMENT/TEMP SERVICES
.Single Family -• _Service or feeder only $50.00 _II of Thermostats(First-$37.50;add'n-$l 1.50ea)
(First 1300112-$75.00•Each add'n 500 ft2-$24.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: 1? First 2500112-S43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 S 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-563.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
XLrvice or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial ,
0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
20I-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
_H of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+563.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B'(B) .NUMBER OF UNITS(C) TOTAL(0)
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit fee from hoe 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
f
Estimated Permit Fee:(16)
l Bond Amount: (17)
• OTHER FEES
f Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
t
Total(Pages One&Two): Lines 11 + 12 + 13 + 14 +(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
Bulletin#100-February 19,2002
t
Construction Permit.Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$26.00
(2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.02or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1,000.00 or fraction thereof,to and
including$50,000.00.
(5)$50,001.00 to$100,000.00
(5)$710.00 for the first$50,000.00 plus$8.00 for each additional$1,000.00 or fraction thereof,to and
including$100,000.00.
(6)$100,001.00 to$500,000.00
(6)$1,110.00 for the first$100,000.00 plus$6.00 for each additional$1,000.00or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1,000.00 or fraction thereof,to and
induding$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional S1.000.00 or fraction thereof.
Bold number is the base fee for the specified Increment
i jtarcized underlined number Is the fee Der additional sneci5ed Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District*39 surcharge,commercial only.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
-- _ - - - - ■ BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
•■ PLUMBING
Base Fee Number of Futures
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee •
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)