05-102199 City of Federal Way
Community Development Services ,. Electrical Permit #: 05 — 102199 — 00— EL
P.O.Box 9718
Fedaral Way,WA 98063-9718
Ph:(253j 835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: CHRIST'S CHURCH(CHILD CARE)
Project Address: 941 S DASH POINT Act, Parcel Number: 052104 9092
Project Description: Alteration of(5)circuits for install of disconnects,outlet receptacles,and outdoor condensing units
Owner Applicant Contractor
CHRIST'S CHURCH AT FED WA AIR SYSTEM ENGINEERING INC AIR SYSTEM ENGINEERING INC
941 S DASH POINT RD 3602 S PINE ST 3602 S PINE ST
FEDERAL WAY WA 98003 TACOMA WA 98409 TACOMA WA 98409
(253)572-9484
Electrical Fixtures
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Description Quantity Description Quantity Description Quantity
Circuits- Commercial 5 —�
PERMIT EXPIRES November 6,2005.
Permit issued on May 10,2005
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 '' .ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. /
Owner or agent: � / .12e
Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102199-00-EL
Owner:
•
Address: 941 S DASH POINT RD
FEDERAL WAY, WA 98003-3795
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ 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 Bj3 Date 8/-
❑ Under-slab groundwork(4295)
Approved
By Date
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Federal Way --1
COMMUMTYDEVEIAPMENPSERVICES
PERMIT REcENESF MF CO MEOL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718
FEDERAL 2or
07Y.FAX
98063-9718 APPLICATION,1.I �,
L80AY,WA 253-835-2609
WWII)aluoffederalwat.com
The oUowin! is re• fired ormation-an ince •lete a• •Lica •', ,I s_. •-• r = - -W/Please •rint lee •I_ (in in or -
• PROPERTY INFORM r 1,'�
SITE ADDRESS °14 l 5 DA 5H i' 1 K.O A ? SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 5 Z I 0 4 - 'I 0 ci 2 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SEC A T 1 A CH E D
(Attach separate page for lengthy legal descrl,da)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR ESC ON vide tinged de tion work included on this ermit o
kirriGe
/� #1 t �� � �� ��i Gly.
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PROJECT NAME(Name of Business or Owner Last Name) &IUD ((MU 71
• PEOPLE INFORMATION
PROPERTY OWNER NAME PRIMARY PHONE
CllKI 5 7 ' S CNUV LH (TVS) ICCoI - Z!')9
MAILING ADDRESS CITY,STATE,ZIP
9 41 S WISH FT FEDERAL idfiN I.4.JA 9'6003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
11R 5`1S-TEMS ENGIAIL .RING I�ETT c_omuCU ( 2X3) STZ- (14 04
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
-5(47_ S. FiklE ST TACOMA WA 98409 ( ) NA -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19 - Z 3 - o 0 0 0 0 Co -B L IZ / I / 0S ( ZS3 ) 30i3 - 6337
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Z. /Z SS r .. 1 "9eI �s / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5CE COf li7RIACTOR �- ( ) -
MAI.ING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect D Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E 1V•,p i S e QSP(.W 5
'6 R CTT R U EP)U CK (LS la) S17_- °14 4 4
LENDER 01s F i t r"rr ".' 4; ' NAME
$
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
_ PROJECT FLOOR AREAS
r
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sq.FT. SA.FT. Sq.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISIING PROPOSED
NUMBER OF FLOORSTOTAL •401L1r014.41 ,:-, ::ft-i':*tt'Vr!r:'IPAIA*Mr-A=?
"NEWHOMES OIVLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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(cominerdo WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUC1 b GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ot-Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sothroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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 filed against the City of Federal Way,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 a part qf
this application.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner 0 Agent o Contractor o Architect 0 Other
El AleTligtAtON nti 11144111
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4000 14 Oltir? -"- 13 TEO, El NO ,! : ' : -.„,-$,Aste-- :'-: 4 '' : '' ii:*ES''' il
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Bulletin#100—January 7,2005 Page 2 of 4 k\flandouts\Permit Application .
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201-400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601-800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50
❑ 601- 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
U Oto 200 amp $87.00
❑ 201 -600 amp 141.00 #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑
#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U it of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ U Automation Fee on all Permits .. $5.00
(Per System(s)1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-91015)lbdi&W
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application