03-100061 City of Federal Way
Community Development Services Electrical Permit #:03 - 100061 - 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: ST THRESA'S CATHOLIC CHURCH
Project Address: 3939 SW 331ST SI+ P. Number: 142 9031
Project Description: ELE-Adding parking lot lighting to existing c'
Owner Applicant ,actor
CORP CATHOLIC ARCHBISHOP PARAMOUNT EL C. PARAMOUNT '\,‘RIC t
910 MARION ST 225 S TACO 225 S TACOMA
SEATTLE WA 98104-1274 TACOMA 98402 TACOMA W 98402
253 2
Electrical ures
Circuits- Commercial —_I_ 2
PERMIT EXP I'a' u y 5,2003,IF NO WORK IS STARTED.
Permit i• ed on Janu 2003
I hereby c- • that the above info is correc the sl 'q n n t above described property and
the oc d the e will be in ac. ce aws,rule 11% atio of the State of Washington and
the . Federal W. .
O or agent: L AV* i•�� Date: l (cet(o •
I ' tv3 Prrc . c9 Peozov
Cily of Federal way
Community Development Services Electrical Permit #:03 - 100061 - 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: ST THRESA'S CATHOLIC CHURCH
Project Address: 3939 SW 331ST Parcel Number: 142103 9031
Project Description: ELE-Adding parking lot lighting to existing circuits.
Owner Applicant Contractor
CORP CATHOLIC ARCHBISHOP PARAMOUNT ELECTRIC INC. PARAMOUNT ELECTRIC INC.
910 MARION ST 225 S TACOMA WAY 225 S TACOMA WAY
SEATTLE WA 98104-1274 TACOMA WA 98402 TACOMA WA 98402
(253)272-4285
Electrical Fixtures
Descr t l 7' .. ... s :'pti n Quant ty zt fir!?t rt%.,. .t a:Qu,4ri i x
Circuits Commercial 2
PERMIT EXPIRES July 5,2003,IF NO WORK IS STARTED.
Permit issued on January 6,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the :ase will be in accord. ce with the laws,rules and regulations of the State of Washington and
the City of Federal IN,y.
Owner or agent: /�� Date:. L
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RECEIVED CONSTRUCTION PERMIT APPLICATION_
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CITY OF APPLICATION NUMBER: 0. - L D O Q �Q L - 6r°
Federal Way JAN 0 6 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY 'APPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention ystems and Engineering permits may require a separate application.
LI PROPERTY INFORMATION
SITE ADDRESS: a�3_9W 5. . 331 \ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUIL•I`G 0 PLUMBING o MECHANICAL a DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Aso 01,...,LT p V,I4 . Iv--)(:T Lo--s— I t t itAJ(T '`A-z
6-64 Sen P-1(_.-- 0_1✓ _ri-m•
y po i,e---S -- – Z Sb ) , 0 L -G -Z — ( -- i 5 w . t_�N}c.�
/L_
t•PAS Vt . 15vw, PO— 3 k ):D L",,,--(9 S ,
PROJECT NAME: (� P-L J!(5 (141171404-1C- (flu.
• Ih PEOPLE INFORMATION
PROPERTY OWNER: NAME: ( v , .S \ ; DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3C;t3CA S .w , 33k= I
CONTRACTOR: NAME:Q��`/-'[�' `/'�j`'�l'/�`' ; DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;` CITY,STATE.ZIP (2-';-EVENI ' PHONE'77 i `"`?i
22' S S. -- ;(1) wn'A vim-\ ( ) ` - 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER: '
(Z5 ) 34"3 - O Stc,
CONTRACTORS REGISTRATION NUMBER: EXPIRAT1ION DATE:
(aPA
(copy of card required) I �) nd t, _ S - y�/ — — — `l / / 0 ')
APPLICANT: ( NAME: DAYTIME PHONE:
W I a k 1/11 _ Yki- C� i (253) ]Z= zScS�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2 25 S jkk 0 \ ; (253)9(Z - Sc
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT THER(DESCRIBE): CANI0(ZA�'DA (2 3)33.3 -VUS(o 1
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR lti`.5 e.. L pkd LI,
■ D . : . k INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ •
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES a NO • UPPR . "I M PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: -ofTAKEHAVEN o HIGHLINE o TACOMA a PRIVATE(WEL
SEWER SERVI Rb DER: o LAKEHAVEN ❑ 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
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: AIL
■ FIXTURES
dicate number of each type of i • re
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LO 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: ❑ EL- RIC o GAS
PLUMBING
BAT UB(S) LAVATORY(S) URINAL(S) WATER HEA ER(S)
D HWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑GAS
RINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
1'/ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th• • e 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 upplied to the city;a part of this application.
411
/
NAME/TITLE: DATE: / (( ,l
a-PROPERTY OWNER ❑APPLICANT �4 ONTRACTOR
FOR OFFICE USE ONLY:
13,NEW. ❑ADDITION ? ;.r-❑ALTERATION 45'0-TENANT IMPROVEMENT.' •
CENSUS`CODE. �-, :s-' i s , - ;LOT SIZE: .. ., ,,44,7:, ,. ....,• �..
;ZONING DESIGNATION 3 ,} BUILDING SHELL ONLY?.:._p YES ,` =❑ NO
COMP PLAN DESIGNATION :BASIC PLAN? ❑YES a'NO
SECTION TOWNSHIP : :"RANGE , NEW ADDRESS REQUIRED? • . ❑YES y o;NO
•PLATTED LOT?. .'a YES =o`NO ' CHANGE OF USE? ❑YES -fl"NO-•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
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 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _it of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
I
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 5 93.00
_
Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 1 93.00 1 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 2.-4fr-of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 eat
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
_a of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i I
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 FEE FROM TABLE B(B) 44 NUMBER OF UNITS(C) TOTAL(D)
i j i I
i
l �
TOTAL COLUMN(D): !
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 • _
I Estimated Permit Fee:(16)
i
�" 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