04-101828 City of Federal Way
Community Development Services Electrical Permit #:04 - 101828 - 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: CHRIST'S CHURCH
Project Address: 941 S DASH POINT Parcel Number: 052104 9092
Project Description: Installation of low-voltage audio,video,lighting control systems
Owner Applicant Contractor
CHRISTS CHURCH AT FED WAY CAPITAL COMMUNICATIONS IND INC. CAPITAL COMMUNICATIONS IND INC.
941 S DASH POINT RD CAPITAL COMMUNICATIONS IND INC. CAPITAL COMMUNICATIONS IND INC.
FEDERAL WAY WA PO BOX 481 PO BOX 481
98003-3795 OLYMPIA WA 98507 (360)786-9123
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial 12000
PERMIT EXPIRES November 8,2004.
Permit issued on May 12,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an e use will be in accordance with the aws,rules and regulations of the State of Washington and
the City of Federa W . '/
Owner or agent: Date: ' / 2.
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, RECEIVED
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.A. MAY 1 2004 COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
AY,WA 98063-9718
PERMIT APPLIC R �ERAL WAY
DEPT. 25316 FEDI��too5•tFAXedem253-lwaq 661-4129cam w c
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The o liowin! is re• ired in carnation-an Inco •fete • • •lication will not be acce•ted. Please •rint le!ibi in in or j• .
I ■ PROPERTY INFORMATION
SITE ADDRESS: 9 H l T)0.SI PO I V t I SUITE/APT 0
ASSESSOR'S TAX/PARCEL 0: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work includ d on this permit only):
- � a
S -�� -"f70v of /4V41/0 (V/06/0 Lr:71d n) Coatis/s Sys-ft-fr...S .
PROJECT NAME(Name of Business/Owner Last Name): CIS(1'5-1-'5 C ku('C-k
• PEOPLE INFORMATION
PROPERTY NAME: -, I PRIMARY PHONE:
OWNER: r15ts C LUrC/' (253 ) 9`( - 27 (
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
94 1 1)&-sl,- Po I ± Rid Feck it,l v.10-1 i WA q8 003
CONTRACTOR: NAME COMPANY OFFICE PHONE:
Tete fir vabe CCI. So1vf'ov‘5 (360) 786 - 9123
MAILING ADDRESS(STRE ADDRESS;): CITY,STATE,ZIP CELL PHONE:
12)+7 85 Ave. SE Ott/0A p i a, WA 98561 (3 Go) 870 - 69 36
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - - I / (360)786 - 9 /97
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application)C A PITCT 0 p 1 K L 051 ( 3 / zoo c
LENDER: NAME: DAYTIME PHONE:
(If Proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
($a,,4,.,z 0,5 CO1Cfracly r/ ( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
P LATIONSHIPArchitect TO PROJECT: ,( ) Co ` ► &t✓+b FAX NUMBER:
?Architect ? Tenant ? • Describe: r ) -
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?( ntracto I E-MAIL ADDRESS:
36rgr,rberg@ CCG solutions.corn 1
• DETAILED BUILDING INFORMATION
EXISTING USE: N COn5frvc)f I v-✓\ PROPOSED USE: Chv rC
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ $2.0r)I 0z5t)•6b
(iv.cLv.i". C.ivipv►�n-wt)
SPRINKLERED BUILDING? NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: Y NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?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? ..; 10TALPROPOWD4'.- itrms?atirmva AND Psicipteso
- • '" ' ", 114.>",;',../., r,
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FIXTURES
Indicate number of each type of fixture that is 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(c....r.4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smk VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAINIEWSIGNATURE BLUCI,
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 lam 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.
NAME/TITLE:
?rje-ct 00-A^fir/DATE: H 0 LI
laalgitz
(Signature) (Title)
RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant •illeria," ? Architect ?
.=-4/"Onleg=111111118011
NEW. ' , ?ADDITION ?ALTERATION ?REPAIR . ' ,?TENANT IMPROVEMENT
BUILDING SKELL'ONLY7 -?YES ?NO • 'BASIC PLAN? , - ?YES-, ?NO '
ZONING DESIGNATION: CHANGE OF USE? , ?YES ?NO
NEW ADDRESS REQUIRED? , ?:YES ?NO - 'U1P/SEPA/817? YES.= ?NO
PLATTED LOT? ?YES -?NO DEMO PERMIT REQUIRED?- ?YES' ?NO
Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application
• 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-$87.00;Each add'n 500 ft2-$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
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 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)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK U 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) ❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
yi Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): ,2/ 1) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System A \°c U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling. Go1, +_
(Per System(s): 1t 25(0 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5)(b)/i h i)
f
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application