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02-101171 t { ' City of Federal Way Community Development Services Electrical Permit #:02 - 101171 - 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: NORTHWEST CHURCH Project Address: 34830 21ST SW Parcel Number: 542350 0630 Project Description: ELE-Installing 18 new t-stats in church addition Owner Applicant Contractor NORTHWEST CHURCH*NORTHWEST CHI. EVERGREEN REFRIGERATION INC EVERGREEN REFRIGERATION INC PO BOX 25110 727 S KENYON 727 S KENYON FEDERAL WAY WA 98093-2110 SEATTLE WA 98108 SEATTLE WA 98108 (206)763-1744 Electrical Fixtures Descrl"kion Quart hDescri tlan':r ,w ,tity �� p "At":; Quantity ��� :�>.:':Description . . . Quantity_ Thermostat 18 PERMIT EXPIRES September 15,2002,IF NO WORK IS STARTED. Permit issued on March 19,2002 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: Date: 4 411/C1 r''/G„ (p 1! 1-178 5,7-E 1 E W Y S E/!`+' y , weq,frl Gam, v -61---01-- Fi R-pptovj � Fvo . RECENED MAR 1 9 2002 CONSTRUCTION PERMIT APPLICATION uV EI L PLICATION NUMBER: Q6). - I 0 L -Q p EL • CITY OFD,N EpEPTVPLCnON NUMBER: - BUIL APPLICATION NUMBER: - - **The following is required information=Please print(ih ink)or type** • -- Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. - - -- - . - ,--1=PROPERTY INFORMATION - : . . -..,.- • : . -• • -- - - SITE ADDRESS: `31 LX at A-Ve- sw ASSESSOR'S TAX/PARCEL #: - L GAL CRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): i ,=�:=fit .. -= - --;'1. PRO3ECTINFORMATION . . . : TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description) +-VIS4e,1(CD.]'[v p1 0 c_ /T 4- - s- i ct43- PROJECT NAME: /14)(41 U/GST C-11c.A rt,JA Rude-10T , -;.t,. - - - - - - - .. Sri PEOPLE INFORMATION -. _ -. . . PROPERTY OWNER: NAME: DAYTIME PHONE: i-1 N'w ., i ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP) O - 2 110 Petenal t c,j I vw.4( O 3- ltd CONTRACTOR: NAME: `�'` .��,�,,, RCT,, ,.[�, DAYTIME PHONE: MAILIN DR' ESS(STREETADDR rat.�I'I'e Iien (�6 )��3 -174/4 7 ``f /�^/� S ',�/ Q,STATE,ZIP): EVENING PHONE: CITY 27 FEDERALkekt9cL�ICENSE NUMBER: �e 1 w4 ifiae ( ) - - FAX NUMBER: ( ) - CONTRACTOR'S REGISTRATION NUMBER: � EXPIRATION DATE: (copy of card required) c V 1�i R 6 R I o 0 5 e- 5 C / 3" /oy APPLICANT: NAME DAYTIME PHONE: i'ea I �, ( )777s -6lr MAILING ADDRESS(STR ADDRESS;CITY,STATE,ZIP) EVENING PHONE. 7 E ken c'„- 5-Hlf e 4civ� ( ) - RELATIONSHIP TO PROJECT: fAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): l ( ) - E-MAIL ADDRESS CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ! CONTRACTOR - ' ` - - ' - -- * • - —••1111 "DETAILED BUILDING INFORMATION '---- `'"n'' -:-.'.'• -'• - - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ' • - • - -- ■ PROSECT FLOOR AREAS ' -• - FLOOR • • .EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL • • ,..-. BASEMENT' -- - . , . . • • FIRST SECOND • • THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • ■ FIXTURES • 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: 0 ELECTRIC 0 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.( ) INTERCEPTORS) 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 wh •• s = •al 1• arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information s/.�' o .• • as a part of this application. `� /�j- /� NAME/TITLE: �c�1�j10cGS r DATE: i /''�/l(.e R ❑ PROPER. 0 E• XAPPLICANT El CONTRACTOR FOR OFFICE USE ONLY: =D 4EW 3 t =ADDITION • 0-ALTERATION='_r_0 REPAIR--==F - ©_TENANT IMPROVEMENT= _=:- 'CENSUS_CODE :__:__ -s, _ --- _= =LOT SIZE:' -_= 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$100.00 or 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 51,000.00 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.0,000.000r 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$8.00 for each additional$L000.00 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 16.00 for each additional 51.000.00 or fraction therepf,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 15.50 for each additional$1.000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,undefined number Is the fee per additional specified 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 Factures $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~one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11) r • ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES - MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family 2 _Service or feeder only • $50.00 l�K of Thermostats(First-$37.50;add'n-S 11.50ca) (First 1300 ft-$75.00;Each add'n 500 ft -$24.00) Service•and feeder $81.00 - II of Low voltage fire or burglar alarms . -'--- ; Square Feet: -" --- - First 2500 ft2-543.50;Each add'n 2500 ft2-S 11.50 . Each outbuilding or garage _ • $31-00 " MOBILE HOME/RV PARK • Square Feet: • (Inspected with service) _if of service or feeders - *Per\VAC,296-46-910(5)(b)(i&ii) _Each outbuildingor garage .. $50 00 (I irst service/feeder-$50 00,Add'n service/ _l of Signs(First sign-537 50,add"n sign (Inspected separately) feeder-$32 each) $17 50 each) _Swimming pool,hot tub,spa - . 575 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 . . . ..5 81 00 . . 5 50 00 601 - 1000 - .. - ..... 284.50 _401-600 amp 138 00.... ......68 50 _101 -200............ . 101.00 ........63.50 _over 1000 . . 31700 _ (1 601-800 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 -5 circuits-$63.50;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 Service 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 _201-600 amp........................ ............ 101.00 _Mast or meter repair 68 50 _101-200 63.50 _over 600 amp 15 I.50 201-400- 75.00 _Mast or meter repair.... : . ... . ... .37 50 _401-600. ... ...................... 101.00 _#of circuits _over 600 . . ... ..... 109 00 (1-4 circuits-550.00,Add'n circuits$5 ea) If service is greater than 200 amp.a plan review is req'd.Fee is 35%of permit fee+$63 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(D) 1, TOTAL COLUMN(D): Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 +( X.35) = (13) . -- - - - - . -- ■ DEMOLITION . • . .• - Estimated Permit Fee: (14) Bond Amount:(15) •■ ENGINEERING -'- " - - ' - - - - - , " . " . Estimated Permit Fee:(16) Bond Amount: (17) - ' . - ' . -- . - - a OTHER FEES -- - - . -. . . .. , . Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) • Total(Pages one&Taro): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-January 18, 2002