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03-104751 t City of Federal Way Community Development Services Electrical Permit #:03 - 104751 - 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: BROOKLAKE COMMUNITY CHURCH Project Address: 629 S 356TH St Parcel Number: 292104 9019 Project Description: Installing new 200 amp service to new modular unit. Owner Applicant Contractor BROOKLAKE COMMUNITY CHURCH*BRO BILLINGS ELECTRIC *GREGG BILLI BILLINGS ELECTRIC *GREGG BILLI 629 S 356TH ST PO BOX 681 PO BOX 681 FEDERAL WAY WA SUMNER WA 98390 SUMNER WA 98390 98003-8651 (253)863-6080 Electrical Fixtures Service/Feeder:101-200 amps-Comm 1 PERMIT EXPIRES April 14,2004. Permit issued on October 17,2003 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 Way. Owner or agen • /��` Date: w /7 �� 119 — Z l-O - � c lJ�t..� A pr'1•/,r--- 5 1N ED t r« G CONSTRUCTION PERMIT P LICATIONL'- �� may 7 ?_Q0 APPLICATION NUMBER: -1� I-5 j - APPLICATION NUMBER. OF FEDERAL WAY GO = OUILDING DEPT• APPLICATION NUMBER' — _ — — _ **The following is required information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ =PROPERTYINFORMATION SITE ADDRESS: 429 — S Ste. ASSESSOR'S TAX/PARCEL#: ( e 2 Ufj/- .2"e2 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): T r r =_I PROTECT INFORMATION - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION )(ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): C sO (FI/ie?rn 5 fey ice. PROJECT NAME: g ��1�� C p/11 , ( GI,44--2-4/ 'PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: � v ) - ' �4 . C1`P I( ( Z?)83$- 2? MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 629- 5 , .Rs--a St . CONTRACTOR: NAME' DAYTIME PHONE: �/L 5 ��eT�dc � )F��3 -,©8e) MAILING ADDRESS ET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: PD, �8'� S K eh ki '' 9e3, ) ( ) - QTY OF FEDERAL WAY BUSINESS LICEvv' NSE UMBER:%G' OQ�1 2.1:3` `a ) F�3)8-63 -9i� CONTRACTOR'S REGISTRATION NUMBER: ( ( ( (_ EXPIRATION DATE: (03PY��re: S 2 L z / s� *� 6 - ) ! /s 1 / per/ APPLICANT: NAME: DAYTIME PHONE: ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING NING ONE: ` ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT )(CONTRACTOR =: 1 r:DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) I **NEW RESIDENTIAL CONSTRUCTION ONLY** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT 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 D 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) 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 daim(inducting costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,inducting 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. • r NAME/TITL i/i . '1 •-"'"?4 DATE: ❑ PROP •TY • • ER II APPLICANT (CONTRACTOR - FOR OFFICE USE ONLY: 0 NEW -D ADDITION ❑ ALTERATION ❑REPAIRI ❑ TENANT=IMPROVEMENT. CENSUS'xCODE = LOT SIZE {,,.. ZONING DESIGNATION, BUILDING SHELL ONLY? ❑ YES ❑ NO :COMP iAN DES ,"wkstcPLAN.7.012-UIVEShinatIO SECTION TOWNSHIP oRANGE NEWADDRESS REQUIRED? ❑• ;YES, ❑NO PLATTED.LOT? ❑ YES: =❑'NO CHANGE';OF,USE? ❑YES. .` ❑ NO _ '; COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 - _ • ■ ELECTRICAL TABLE B • NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _ft of Thermostats(First-$36.00;add'n-$11.00ca) (First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _if of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00 i _Each outbuilding orgarage $30.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _t of service or feeders 4'Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $48.00 (First service/feeder-548.00;Add'n service/ _fl of Signs(First sign-$36.00;add'n sign (Inspected separately) _ feeder-$3 I each) _S$17.00 each)chol,hot tub,spa 72.00 Yard Pole meter loops 48.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 0 to 100 ,_ ' i I- ....$ 48.00 _601-1000 274.00 _ _ 600 amp 133.00 66.00 ,_101-200 97.00... ...61.00 _over 1000 305.00 _601-800 amP 170.00 91.00 _201-400 1: .00 72.00 _if of circuits _Ova 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ' ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600.- 97.00 _If of circuits _over 600 105.00 ° (1-4 circuits-$48.00;Add'n circuits$5 ea) - If service Is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr. litlifOXTUREIDESCRUY,TION TA),if,IXTURE SEE}FROM TABLE 11(13)1" rAKINUMBERbFUNITS,(C) ;` ,(D):'•! j Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from kne 12 Estimated Plan Review Fee: $56.25+ 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-August 20,2001