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04-105260
City of Federal Way Electrical Permit #: 04 - 105260 - 00 - EL Community Development Services P.O.Box 9718 Federle Way,WA 48063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: CHURCH OF BLESSING Project Address: 1430 S 330TH Parcel Number: 172104 9045 Project Description: Install low-voltage wiring for sound system. Owner Applicant Contractor CHURCH OF BLESSING CHURCH OF BLESSING CHURCH OF BLESSING 31037 44TH AVE S CHURCH OF BLESSING CHURCH OF BLESSING AUBURN WA 1430 S 330TH ST 1430 S 330TH ST 98001-2610 FEDERAL WAY WA 98003 Electrical Fixtures Description Quantity Description Quantity Description 'Quantity Low Voltage-Other Commercial 4500 PERMIT EXPIRES June 27,2005. Permit issued on December 29,2004 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 accord.r - . # • s,rules and regulations of the State of Washington and the City of Federal Way..Ci" � Owner or agent: ! / � Date: I°2 ��/�67 g l FINALED �o�� G THIS CARD IS TO REMAIN ON-SITE - , CITY OF Community Development Inspection Record_, Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-105260-00-EL Owner: Address: 1430 S 330TH ST FEDERAL WAY, WA 98003-6302 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. O Slab/Concrete Floor(4255) 0 Ditch cover(4030) .❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved By Date By Date By (, , Date 3r---'3—t'}S"--- ❑ Under-slab groundwork(4295) Approved By Date C m Of` ��Yid ° - / OS . 6 O Federal Way REG PERMIT 6PL COMMUNITY DEVELOPMENT SERVICESSF MF CO ME DE EN FP 3?32253 8�W Y,WA AX 298 9 18 X 718 _ • 2 9APPLICATION TD unou,atuofederalu,au corn 0T4 O#-FEDERAL WAY The following is require reguiretoomievERTEn.incomplete ap.lication will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS /430 S. 330 57( • SUITE/UNIT# ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desmpnon) ■ PROJECT INFORMATION - _ TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Prgvide detailed description of work included on this permit onlg) 5Geu.nG✓ 5',(540144 PROJECT NAME(Name of Business or Owner Last Name) OkiA 0 y' 8je gr, 'H.4______ - • PEOPLE INFORMATION - . PROPERTY '^ /�I q PRIMARY PHONE 7q y OWNER NAME Ci/tik re YI o ^ �`//� C75i6` (!!2(/6) 73 -ll; / MAILING ADDRESS c 1,4 (Q( 30 5 3 0 S l`. r-e r� 7 ceicy 4V/71 -Ca9 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE / / APPLICANT CO MPAN4 NAME APPLICANT NAME // OFFICE PHONE CC t,rc lit 0 . gle55/yei ( 1 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT - FAX NUMBER ❑ Architect ❑ Tenant a Agent a Other(Describe) ( ) - CONTACT NAME, PRIMARY PHONE E-MAIL ADDRESS Vc*Ckr 7701.-0 L1-40. ( 6) 73c7 '7S- 7 LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP .- -,.. , . - - .■ DETAILED BUILDING INFORMATION - - • - EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ IIIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS :.---- — • AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL BASEMENT -FIRST SECOND ^THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) — GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • --s:-..:;1-.:1''.:-.7.3.;2;i.:'; _:_ , ._ . _ ' -FIXTURES •_. • =_- • = - . - ::::-.21-_-_•.:. -•-2.,-,::,...:-.;_--.:::-. .- . Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tob/Show<rCombo) SHOWERS WATER CLOSETS croaeq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS _._' .r.._: :" :1r-:•,:-..-::::;----_---;' : - - >DISCLAIMER/SIGNATIIREBLOCK - :.'__--i•- _ - 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 claim(including c.. , expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the , dersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the ci including its offic>i• • employees, upon the accuracy of the information supplied to the city as a part of this application. OD. `�s NAME/TITLE v L` DATE /-;/4/e (Signature) (Title) RELATIONSHIP TO PROJECT 0 OR e ■ Agent 0 Contractor 0 Architect 0 Other ( FOR OFFICE USE ONLY - o NEW o ADDITION u ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100–March 30,2004 – Page 2 of 4 k\I landouts–Rcvised\Pcrmit Application - • •- ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL • NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft,-$87.00, Each add'n 500 ft,-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117 50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442 00 236.00 ❑ Up to 200 amp $ 94.50 $ 28 00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ # of circuits to be added/altered (1-5 circuits-$74.00,Add'n circuits,$6.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58 00,Add'n circuits$6 00/ea) $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 ❑ Service over 200 amps ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94,50 Commercial Residential MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 ❑ # of service or feeders ❑ 101 -200 74.00 51.00 (First service/feeder-$58.00,each add'n-$37.50) ❑ 201 -400 87 00 n/a U 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs XFirst-$43.50;add'n-$13.50/ca) (First sign-$43.50;add'n sign$20.50/ca) Low Voltage /,5-©,r1 CI Swimming pool/hot tub $87.00 Square Feet to be served by system(s) Y l/ includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling (Per• System(s) 1•,2500 ft2-$51.00, Each add'n 2500 ft,-13 50) 'Per WAC 296-46-91 o(5)(D)(X&n) Bulletin#100-March 30,2004 Page 3 of 4 k\I handouts-Revised\Penult Application