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03-104657
I. ` - . k. City of Federal Way Cor*.niunity Development Services Electrical Permit #:03 104657 - 00 - EL en 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: CHURCH OF BLESSING Project Address: 1430 S 330TH 5+. Parcel Number: 172104 9045 Project Description: Install low-voltage system to serve fire alarm system Owner Applicant Contractor CHURCH OF BLESSING PARAGON INTERNATIONAL LLC PARAGON INTERNATIONAL LLC 31037 44TH AVE S 5228 20TH AVE NW 5228 20TH AVE NW AUBURN WA SEATTLE WA 98107 SEATTLE WA 98107 98001-2610 (206)789-4020 Electrical Fixtures d ll IM. t 1 rs , l s s,CS `� 1, Low Voltage Fire Alarm-Commercial 8000 PERMIT EXPIRES April 24,2004. Permit issued on October 27,2003 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 ii y. a ( 4 . /c / /.7.-$2-- Owner or agent: VVL Date: FINALED bL) 40Y/ , 0 s 1 0..,,' N. LL.I el •° 1 z © a .ii.,*4 . A ›, ,?..H t o 1 �0 A,1- 3 ti ,w ° S � z Cl) 0 z v 1 o 4 LLJI g4 s.,..) •..1„. sionsi g t U `31 ammo, N \-111\%7UND c% N 4%. oa ...t. \ ,\ . J e CONSTRUC HON PERMIT APPLICATION EL CITY OF �..." APPLICATION NUMBER: (D3 - y q 6 Federal Way RECEIVED APPLICATION NUMBER: _ _ - _ f' OCT 1 0 2003 PPUCAnON NUMBER: - - J **The following is required information—Please print(in ink)or type** Please note: Electrical, Fire Prelo�� i • :ii a a' ngineering permits may require a separate application. T, ?� ./. 'rte •_ PROPERTY INFORMATION:.;; SITE ADDRESS: /4 .6*d�!i ASSESSOR'S TAX/PARCEL #: L /bi ( 01- I 0 96 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PRO]ECTINFORMATION TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o M giANICAL 0 DEMOLITION ELECTRIC. 0 ENGINEERING 4.M1YE PREVENTION SY PROJECT DESCRIPTION(Provide deta-ed desc '- on): //ih/5 // ` 4714/1 t'jr4 e•f-)a T' ei C!C2L!4-A, . r"a% -e?- C.0 _ - C>O L-ri- • PROJECT NAME: (j- (teGtf ' lc--:,• -rNC,� PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: ! NAME: / DAME PHONE: azia k 4,ki-i147/1-retot (xe) ) , -feje MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP): JJJJJJ 'j/ / EVENING PHON • j /I/� 1/C/ K � -j - CITY OF FEDERAL WAY:: ESS LICENSE iMBER: - FAX UMBER: e - e.,,:g i ey 4(_ca,f/z c-,e&y/rfor -‘51z, CONTRACTOR'S REGISTRATION NUMBER: �1 j c—,� I EXPIRATION DATE: (copy of card required) t t g h 6 / L�_ /F— _ 7 p / / 10'J APPLICANT: NAME: ===NMN G I DAYTIME PHONE: 'GIF MAILING ADDRESS(STR(ET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: — ( RELATIONSHIP TO PROJECT: / Z FAX NUMBER: i I o ARCHITECT o TENANT p-OTHER( DESCRIBE): C (C 6' - (T - -7 , ( E-MAIL ADDRESS: .- CONTACT CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR '.."-•• DETAILED-BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ' PROPOSED USE: PROPOSED VALUATION FOR IMPRQVEMENTS: $ o'tf COO SPRINKLERED BUILDING? GA'ES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) 1 SEWER SERVICE PROVIDER: o LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC) r, • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS . FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■'.FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) T— WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) _. SUMP(S) ■ 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 plie to the city s a part application. I NAME TITLE: l '�lv� (La DATE: 7r / ��-y ❑ PROPERTY OW ER ❑ APPLICANT ONTRACTOR :FOR OFFICE USE ONLY: Ant,.LTE.R_ATI _:,❑TENANT IMPROVEMENT ONEW: �,�;❑ADDITION !'..-:':::',-,ii AON ; 1. o.REPAIR CENSUS'CODE:._+., .._ _ -' -LOT SIZE:= . :ZONING DESIGNATION. -;-:;:,..7::::i.1-f" B - i BUILDING SHELL"ONLY?:6'YES':-!1'.:-ICI NO `' ' A COMP PLAN DESIGNATION , - .BASIC PLAN? - 'o YES ❑ NO :SECTION:„'.• _`TOWNSHIP '-` -'RANGE ..r a -NEW ADDRESS REQUIRED? ❑YES •• dNO ' PLATTED%LOT?,'i':❑YES 'LINO :7-.--7,:::,',11,- CHANGE OF USE? ❑YES T`-I) NO A COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,dtyoffederalway.com ■ ELECTRICAL "` TABLE B NEW RESIDENTIAL SERVICES MOBIL:HOMES' P. MISC EQUIPMENT/TEMP SERVICES _Single Familyr r _Service or feeder only $57.00 _ft,f Thermostats(First-$43.00;add'n-$13.00ca) (First 1300 ft -$85.50:Each add'n 500 ft -$27.50) _Service and feeder $93.00 • of Low voltage fire or burglar alarms Square Feer. _ use 2500 01.5�5^00:Ea0. add'n 2500 ft`-$13 oU _Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: U1 (Inspected with service) _ft of service or feeders •Per WA(:296-46-910(5)(6)(1& ii) _Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ _ft of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 each) $20.00 each) _Swimming pool,hot tub,spa 585.50 _Yard Pole meter loops 557-00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more] Altered Service or Feeders Service Feeder Amps Service or Atid'n _0 to 200 i 93.00 _Up to 200 amp S 93.00 $ 27.50 Feeder _201 -600 716.50 201 -400 amp .-... ... . 115.50 57.00 _0 to 100 5 93.00 5 57.00 _601 -1000 126.50 _401-600 amp 158.50 78.50 _101 -200 115.50 72.50 _over 1000 363.00 _601-800 amp 202.50 108.50 _201 -400 216.50 85.50 _ft of circuits _Over 800 amp 289.50 216.50 _401 -600 252.50 101.0G i 1-5 circuits-$72.50;Add'n circuits,56 ear ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial 0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ ,57.00 _201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 _over 600 amp 174.00 _201 -400 85.50 -Mast or meter repair 43.00 _401 -600 115.50 e of circuits _over 600 125.00 (1-4 circuits-557.00;Add'n circuits$b ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps.a plan review is required.Fee is 35%of permit fee+572.50.Add'I plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE:FEE FROM TABLE B(B) . NUMBER OF UNITS(C) TOTAL(D) i • • I I i I I TOTAL COLUMN(D): I Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50+ ( X.35) = (13) ■ DEMOLITION . . .. Estimated Permit Fee: (14) Bond Amount:(15) .:;:. ■ ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) ■ OTHER FEES Mitigation Fee: (18) (20) (22) SBCC Surcharge: (19) (21) (23) Total (Pages one&Two): Line(s) (11)+(12), (13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-December 23, 2002 •