04-105121 f I
r ' S ,
City of Federal Way Electrical Permit #: 04 - 105121 - 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) 835-3050
Project Name: CALVARY LUTHERAN CHURCH
Project Address: 2415 S 320TH Si Pa 1 u her: 797820 0525
Project Description: Install low-voltage fire alarm per plans for Phase II,rem el o n ' ting church building to upgradt
toilet facilities and improve accessibility.
Owner Applicant Contractor
CITY OF FEDERAL WAY FIRE PROTECTION INC FIRE PROTECTION INC
33530 1ST WAY S PO BOX 12642 PO BOX 12642
FEDERAL WAY WA MILL CREEK WA 98082 MILL CREEK WA 98082
98003-6200 (425)290-9600
Electri Fixtur-
Description 11Quantity Descri•do "Quanti - Description Quantity
• Low Voltage Fire Alarm-Commercia 22500 1
I `
RMIT EXPIRES June 15,2005.
ermit issued on December 17,2004
I hereby certify that the ahoy- u o..•:ti• , is correct and that the construction on the above described property and
the occupancy and th:*. will; a, . dance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa 11,0
Owner or agent: Mit
'�� v Date: /7717
.. THIS CARD IS TO REMAIN ON-SITE
YOF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105121-00-EL
Owner:
Address: 2415 S 320TH ST
FEDERAL WAY, WA 98003-5442
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.
❑ Slab/Concrete Floor(4255) ❑ 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) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
� ' RECEIVED • O yL - ( (7 l f
Federal Way DElZMIfi
2 SF MF CO M EL PL DE EN FP
COMMUNDY DEVELOPMENT SERV/CES DE C 1 7
33530 FIRST WAY SOUTH•PO BOX 9718 'p LI C AT I O N TD
FEDERAL WAY,WA 98063-9718 / /
253unnv.dt trol15•TFedeAXraltuau253-661m4m1CITYOF FEDERAL WAY
ttww.d
BUILDING DEPT.
The ollowin. is ret uired in ormation-an inco .tete a.•lication will not be acce.ted. Please •rint le.ibl (in ink)or . •
- PROPERTY INFORMATION -
SITE ADDRESS 2�1(5 (J 32041 54 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiption)
- - - . - - - PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION peELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
LOW voLTRC,c fie; Au k0 TT. Prk PcAW ft2 PNA cE-7T.
PROJECT NAME(Name of Business or Owner Last Name) CAt-VAKY IW1( "RAn) CoaCIl — Pi-f1
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE Ct
OWNER CALVFIN (Ltri4CV'�•) lUW♦ (1C3 ) a3 -o3 '/,
MAILING ADDRESS 211 s . 3W �1 5-1, Ftde�'
CITY,STATE, Ip `'V I aui /W i 1Fno3
CONTRACTOR COMPANY NAME _ W APPLICANT NAME �/ OFFICE PHONE
j-II?3.P2o EC i 1 o J,I N c .Saw oofu..tjr ti /f o y Ca:1 r ( 'ZS ) 290 - g600
MAILING ADDRESS CI.U.STATE,ZIP CELL PHONE
17 61-6504! (Pd t\,(2-rttff ,.wA 3'82a9 ( YZS' )290 -96 00
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
il
"Q 0 - 0 0- I. U 2 [� g 4 —Bo_l L / / ( zs ) ?SJ - ttS�1(
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
f( k C F ( 4 6 Z ( 11/44 L 03/ (3 / o6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
F(RE' P(LoicT(,01.4)n/e . leoy C . L',x'fs (YZs ) 790 - 'J600
MAILING ADDRESS CJ Y,STATE,ZIP CELL PHONE
;330 Gilosoil 2d -cue,rtzl-(, wf1 qY ('Zs )Z90 - g‘cr?
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant &1!Agent rt-Other(Describe) (O4ipP_RCT'2 ( cZS )73 - yrij6
CONTACT NAMEPRIMARY PHONE E-MAIL ADDRESS
2Q CA(S ( yes ) IA o �60Q -I1reeid e(4O 0 611Atpr,,°;j-(n ,h
LENDER Per RCW 19.27.095: Lender information IS NAME
required if protect value exceeds$5,000 '
MAILING ADDRESS CITY,STATE,ZIP
s.
jj DETAILED BUILDING INFORMATION .
EXISTING USE A - AssLI l(a (ChtUreh) PROPOSED USE / — r,1►SS< b(y ( AtCh
Ul
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 13,Ste-`1-9-
SPRINKLERED BUILDING? OYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? '<YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ci LAKEHAVEN ❑ HIGHLINE 0 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 EXISTDIG AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS • ESTIMATED SELLING PRICE $
FIXTURES
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(commcrdaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
-
PLUMBING
BATHTUBS(or Tub/Shower Comb.) SHOWERS WATER CLOSETS rroie) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom 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, includin ' s fficers a employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 1��4 , � pro-fed a
7„r DATE 11 117(617
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ wner ❑ Agent XContractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION 'ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES (XNO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES iii'NO
NEW ADDRESS REQUIRED? a YES pX NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES ❑ NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Ilandouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
/
Service or Feeder Each Add'n
LI Single Family Square Feet
(First 1300 ft2-$87.00; Each add'n 500 ft"2-$28.00) LI 0 to 100 amp $ 94.50 $i 58.00
LI Detached outbuilding or garage / LI 101 -200 amp 117.50 /
74.00
(Inspected with service) /$36.50 LI 201 -400 amp 220.50 / 87.00
LI Detached outbuilding or garage/ ❑ 401 -600 amp 256.50 ,' 103.00
(Inspected separately) / $58.00 LI 601 -800 amp 332.00 / 140.50
/
0 801 - 1000 amp 405.50,/ 169.50
NEW MULTI-FAMILY(three!4nits or more)
SgYuice Feeder ❑ Over 1000 amp 442.00 236.00
LI Up to 200 amp $ ?4.50 $ 28.00 ;•
❑ 201 -400 amp 07.50 58.00 LI Over 600 volts surcharge $74.00
LI 401 600 amp A61.00 80.00 LI Mast or meter repaiV $80.00
/
LI 601 - 800 amp /' 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
LI Over 800 amp 294.50 220.50 /
Service or Feeders
ALTERED SINGLE/MULTI FAMILY LI 0 to 200 amyl" $ 94.50
LI 201 -600 :amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 LI over 1000 amp 369.50
❑ 201 - 600 amp;' 117.50 /
LI over 600 amp; 177.00 LI # of circuits to be added/altered
A1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
LI # of circuits to be added/altered COMIIZERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
LI Mast or meter repair $43.50 0/Service over 200 amps
Q, Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
LI Service Over 400 amps
74.00 plus 35%of Permit Fee
MOBILE HOMES
LI Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK LI 0- 100 $58.00 $51.00
❑ # of service or feeders ❑ 101 - 200 74.00 /7 51.00
(First service/feeder-$58.00;each add'n-$37.50)
LI 201 -400 87. or n/a
❑ 401 -600 .50 n/a
I LI over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sigrf$20 .50/ea)
(Low Voltage LI Swimming pool/hot...14h $87.00
S are Feet to be served by system(s) 50 D (Includes additior,efrcuit,if required)
Fire Alarm System ❑ Yard Pole er loops $58.00
❑ Security Alarm System LIAdditio Plan Review $87.00/hour
❑ Voice Cabling
(76dified submittals)
O Data Cabling
❑ ,
(Per System(s) 1s'2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAG 296-46-910(5/(6)(1&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application