03-102314 r r
City of Federal Way
Community Development Services Electrical Permit #:03 - 102314 - 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
KP►..) 2 0a - 67/D - 4236'
Project Name: CHRIST'S CHURCH
Project Address: 941 S DASH POINT 1� Parcel Number: 052104 9092
Project Description: Install low-voltage fire alarm system and low-voltage burglar alarm sytem.
Owner Applicant Contractor
CHRISTS CHURCH AT FED WAY PRO COMM PRO COMM
941 S DASH POINT RD PRO COMM PRO COMM
FEDERAL WAY WA 19630 40TH AVE SUITE"B" 19630 40TH AVE SUITE"B"
98003-3795 LYNNWOOD WA 98036 (425)774-9099
Electrical Fixtures
Low Voltage Burglar Alarm -Comm 16222 Low Voltage Fire Alarm-Commercia 16222
PERMIT EXPIRES January 18,2004.
Permit issued on July 22,2003
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 agent: Date: L 7 V 3
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• . • �� �ECEtyE CONSTRUCTION PERMIT APPLICATION
• CITY OF /,Z- J ,^231 -CO
Federal Way JUN 0 5 2003 APPLICATION NUMBER: - (�
APPLICATION NUMBER:
e ITY OF FEDERAL WAY kPPLICATION NUMBER: - -
t,�iLDING DEPT.
**The followi required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
. - N PROPERTY INFORMATION
SITE ADDRESS: 7'// S. AJ/1(/,47 9a3 ASSESSOR'S TAX/PARCEL #: 052-L Qty/ Q 72_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,See /14(cj{.
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
(ELECTRICAL 0 ENGIINEERING ❑ FIBRE PREVENTION SYSTEM /
PROJECT DESCRIPTION(Provideydetailed
description): ,44) '"v/,%'��`rip /-ii^e 4.41461 _S ,1IJ'j,/�/
91- / V4 4-1), id ,-k ri�/y d( '-
PROJECT NAME:
N PEOPLE INFORMATION
PROPERTY OWNER: I NAME:chtc,v d i4tei4 ; DAYTIME PHONE'
MAILING ADDRESS(STREET ADDRESS; STATE, IP):
cyy/ ..s: 4-it /a; 4 / 44 71003
CONTRACTOR: NAME: ' DAYTIME PHONE:
Pro'4wc� ('.2s ) -?y - `l0q
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE:
/`1C930 4(3 4. Gu44414/1rart Id/ ao3( (4/2 ) ?7K - y0` 9CITY OF FEDERAL WAY BUSINESS LICENSE NUFAX NUMBER:
/9-99-/0596/- 'O• BL ? 9 - L 0 5 `i Co I - 0 0 (kLS) 774/ - 63/ 7
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) P R 0 TCG L (Q 3 L c i S /3/ /U$
APPLICANT: I NAME: DAYTIME PHONE:
l l
/ .0- (Ci 4 ( 26 ) 774( - 709
MAILING ADDRESS(STREET ADDRESS;are,STATE,ZIP): EVENING PHONE:
/9(030 leo I4J-r. L(/ 4N,,c 44 c Pcb3(:, ; (yzs) 77'( - cZO y
RELATIONSHIP TO PROJECT: / /� j FAX NUMBER:
0 ARCHITECT o TENANT OTHER( DESCRIBE): eiii 4,9 r ( /2,5 ) 77L, - (03/ 7
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT CONTRACTOR /,74 .,/ o .�.s..6(Je,( ,,.�
■ DETAILED BUILDING INFORMATION -
EXISTING USE: CIA.I,,JU(k EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: CL PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ).YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
3 v
FIRST 1U
3 L2 0I 2la
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) r\
off( _8y
DECK
GARAGE
HOW MANY FLOORS? Aft�i A4"�J�Z',"`
TOTAL: j Z q /�a �
O
■ 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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the ci. as a part of this application.
NAME/TITLE: DATE: 6/5/v-3
o PROPERTY • NERi APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY: -
D NEW.fir„ [ ADDITION ,,; O ALTERATION ;.,si!-.„❑;REPAIR • .•..:,,O,TENANT IMPROVEMENT -'
CENSUS`CODEs i• . ' t �" -LOT •
;ZONING.DESIGNATION w , =BUILDING SHELL ONLY?=0YES ::o NO
-COMP PLAN DESIGNATION ._ BASIC PLAN?--=0 YES ❑"NO
SECTION , ;,TOWNSHIP =' 'RANGE NEW ADDRESS REQUIRED? R- . ❑YES U NO
"PLATTED LOT?. ❑YES . o'NO '• •CHANGE OFUSE? ❑YES '`fl NO • -
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dNoffederalway.com
•
U ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft'-$85.50;Each add'n 500(1'-$27.50) _Service and feeder $93.00 y#of Low voltage fire or burglar alarms
Square Feet: First 2500 1t'-$50.00:Each add'n 2500 ft'-$13.00
Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: /C... 22 Z
(Inspected with service) _#of service or feeders 'Per WAC 96-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ #of Signs(First sign-S43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.01)
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units of more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 5 93.00
Up to 200 amp $ 93.00 S 27.50 Feeder _201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 g 93.00 5 57.00 -601 -1000 326.50
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 _#of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ea)
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/Commercial/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
-S of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 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+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEEFROM TABLES(B) NUMBER OF UNITS(C) TOTAL(D)
i
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TOTAL COLUMN(D): 1 l
Total Column(D)
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)
i
Bulletin #100-December 23, 2002