05-101761 r
•
City of Federal Way `
EleFiltrEnit #: 05 - 101761 - 00 - EL
Community Development Services
• P.O.Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax.(253)835-2609 Inspection request line: (253)835-305C
Project Name: BETHEL CHRISTIAN CENTER
Project Address: 414 SW 312TH Si' Parcel Number: 072104 9003
Project Description: Altering(2)circuits for relocation of various switches,outlets,and adding drop lights
Owner Applicant Contractor
BETHEL CHRISTIAN CENTER I LINDSAY ELECTRIC LINDSAY ELECTRIC
414 SW 312TH ST 5528 34TH STREET LP NE 5528 34TH STREET LP NE
FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422
98023-4818 (206)321-4535
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES October 12,2005.
Permit issued on April 15,2005
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 in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: c.t.,.,.) sZo cs:3\t� 1J Date: / l �$ /p,�
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101761-00-EL
Owner:
Address: 414 SW 312TH ST
FEDERAL WAY, WA 98023-4818
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
4,0 Rough Electrical(4225) 0 Ceiling Cover(4020) !IJ Final-Electrical(4055)
Approved Approved Approved
' ,
�'
B ii;`�/ Date (03 By Date B `l,� Date 1
• •,
❑ Under-slab groundwork(4295)
Approved
By Date
A. RECEIVED
t,F . � Q, -__( 0._i _2&1 l
Federal Way APRl
Y 1 5 2005 PERMIT SF MF CO ME 4101'1, DE EN FP
OOM! N YDEVEWPMENT cES
3332FED R L WAY,OUlN 063-92 . FERE ,A 'PLICATION TD
FEDERAL WAY,WA 9do63-97 RAL / /
253-835-2607•FAX 253435.2 !WING DEP
www eituofederoiwau com
The ollowi • is -'wired in ormation-an i co .fete • ••lication will not be acce.ted. Please •rint le.ibl in in or .
[� NI PROPERTY INFORMATION
[-1
SITE ADDRESS -1) 4 S Il 31 (1 ST SUITE/UNIT# '
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf) e""--
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) a
(Attach separate page for lengthy legal descripfonl
111 PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DES,()t,I,PTION(�(ovu�le detailed description of work included on this pe it only) I /1
reAbC2�k.ti.5 UOCC'la tis `�wr � S —4.- cx �SL451 a-1 1.Ih
�J
c - �I�ruL-t 't-St
PROJECT NAME(Name of Business or Owner Las Name) 4)A V ?1 0,`,(\w(C V\
•
NSI PEOPLE INFORMATION
1
PROPERTY NAMEPRIMARY PHONE
oWNER Q_ C_.1/4,k_s.c ( ) -
MAILING ADDRESS CITY,STATE,ZIP
4-1-( SW 3t.P- -c\`1 W R 9Q)0a3
CONTRACTOR COMPANY NAVE • APPLICANT NAME OFFICE PHONE
Lr\�saN/ Eke-CACI_ L L\+ s� (mss ) 304 - 45-35--
MAILING
ADDRESS / CI ,STATE,ZIP CELL PHONE
S Q._ "IV 64- Lov' Ac-arvr p- 4 1494 6) , i - -
CITY OF FEDERAL WAY BUSINESS LICENSE NUM ER EXPIRATION DATE FAX NUMBER
- - -B L / /
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L 1 r, ci.i e_• Ch? a / -2- 4/ /a-ti / 66
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ADR‘o 1.,—, 1A. (
M G ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER :414 '0ner n o NAME
MAILINtomD # .�,
G ADRESS�N CITY,STATE,ZIP
F
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
1 TING ASSES•ED/APPRAISED UE $ V OF PROPOSED WORK $
SP•.I I ERED a MIMING? a YES ❑NO F SUPPRESSION SYS PROPOSED/• I 0 I• D? O YES a NO
i
WAT • SER CE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACO ❑ P• E(WELL)
SEWER •,•VICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL I
SQ.FT. SQ.FT. SQ.FT. JI
BASEMENT '
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIB
DECK(COVERED?)
GARAGE 0 CARPORT 0
=moo PRO • TOTAL TOTAL RDOSTWG Sr=- TOTAL PROPOSED Sr A. TOTAL sr
NUMBER OF FLOORS - _;-:'
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXT URES
Indicate number of each type of fixtu to be installed or relocated as ..rt of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNI : EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commermal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRES=•RS FURNACES GAS WATER HEATERS
DU GAS PIPE OUTLETS
PLUMBIN
BATHTUBS(or Tub/Shower SHOWERS WATER CLOSETS(roues MISC(Describe)
~ DISHWASHERS SINKS _ DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) ,V CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the in •rmation 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 of
this application.
. 3
NAME/TITLE�C n 1 p I, DATE 1-71//53/4..,‘-
(Signature) 1 (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor 0 Architect ❑ Other
Ti-67i ;_= !*AO, , ;.+,ep,ALTERATION : p REPAIR * 'EN ,'; flOVEMENT ,Y, : ;ri''"
..1 i'(.5-H NLY? ��..;;fp.,YES:xo�NO", ,, _ , ;1 BASIC.PLAN?f`�-;:' ;,.i' } '. �'-a YES •,,:i`NO, ,:'- " ` + I'
s7 �1 t' ,• IGr1 ATIOl!i "` . y SE? °'= °_g �• • _:,'ow" ,
0 I ;,i>*:41 '-'.''' CHANGE OF=U Y;acr;._ i Q YES° i#7;1!iO y a
'y„ '�i• IRESS ,QUII2ED?�:` iYES "NOS =',: ., '` • UP/SEPA/SU? V ::::. : �.,=aYES:`.�-:.fl,NO: ,„I: 2
4-44-2:.....P,_• . --:'42.•>-:.,, u,,'- .:YES� O:�'� - '�-.'DEMQPERMIT71'1‘UIREDi, =,'--;=it3 YES IO. XttiaN '
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRI(`•AL PERMIT INFORMATION
if w
y
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 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
CI Up 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
El -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 \14( #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
❑ 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
❑ 41 of Thermostats ❑ 41 of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per❑ Systems) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)(b)(&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application