03-100196 City of Federal Way
Connnunity Development Services Electrical Permit #:03 - 100196 - 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: BETHEL CHRISTIAN CHURCH
Project Address: 414 SW 312TH St Parcel Number: 072104 9003
Project Description: Alteration of(3)circuits for outlets and for deck lighting located at"Dorm Building".
Owner Applicant Contractor
BETHEL CHRISTIAN CENTER OF FEDERAL LINDSAY ELECTRIC LINDSAY ELECTRIC
414 SW 312TH ST LINDSAY ELECTRIC LINDSAY ELECTRIC
FEDERAL WAY WA 98023-4818 406 SW 312TH ST 406 SW 312TH ST
FEDERAL WAY WA 98023
Electrical Fixtures
Tit:. r
a%n;, 91 a �d •'® r; a S option C2U-
Circuits- Commercial 3
PERMIT EXPIRES July 14,2003,IF NO WORK IS STARTED.
Permit issued on January 15,2003
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:1 C Date: if/ry03
ço4 ZQ € &
i
____ � ,E'vE® CONSTRUCTION PERMIT APPLICATION
1111 .14+,.....'"
CITY OF
REC APPLICATION NUMBER: 23 - L o o/ f/ -cc E
Federal Way APPLICATION NUMBER: - -
JAN 1 5 2003 APPLICATION NUMBER: - -
**The�pllgtyjlrgFiEINEdrmation—Please print(in ink)or type**
Please note: Electrical, Fire{{ I VV ilV,,gyp ms and Engineering permits may require a separate application.
• PROPERTY INFORMATION • '
SITE ADDRESS: .k't SW 'JI - % ASSESSOR'S TAX/PARCEL #: 0 7 Z (z) 7 - TDO 3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Berr*Aft, C VaVS'S,AN Ax P...M gul`o%c llr
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): AT Oep.'l fl(rZb,,q C. 3 (i.1,...) 0.440-77
2 Fol otA7-1.4.75 ` cdccr 1.,44.1..s, / Ak D LIG,fn,JG
PROJECT NAME: 15.4:04V--,— Giht65 27
• PEOPLE INFORMATION
PROPERTY OWNER: NAMEQ DAYTIME PHONE:
0ETA 4L,_ CkNks-s,A0 ; (2-5" ) -3°\ - 2-43
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
14 11 •S4 -51e. SI' eV4 V4 AY WIN 98 O P--
CONTRACTOR: NAME: DAYTIME PHONE:
LLt4,05A'' �1�EC RL` (1-0G) 32-1 - 45.5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
140G S1.k,' 312+h moi. ' 1,j WA wPS 616`o2_3 I ( 2. 3)
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: ys 0rTI
EXPIRATIONRDATE �
(copyL .4
of card required) - N ID S E 1` v
2, 1 S C2 ` / 0v7 / e7 4
APPLICANT: NAME: I DAYTIME PHONE:
DCANla L1(Os ct ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEVENING PHONE:
` )
RELATIONSHIP TO PROJECT:
' o ARCHITECT o TENANT // FAX NUMBER:
i OTHER(DESCRIBE): rrcti'1� rfp� fid( ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT FAICONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVE(fENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 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:
■ 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: 0 ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a 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 claim(including 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 daim arises out of the reliance of the city ,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. /
NAME/TITLE: ,... 9 p e DATE: 0/ /e1 / 4 3
❑ PROPERTY OWNER ❑APPLICANT >e CONTRACTOR
„,FOROFFICE;USE ONLY I
NEWY 'ADDITIONTERATION� REPAIR .. :. TENANT„ MPROVEMENTa,:
CENSUSOCODE £1� ?� =
G
G
ZONINDESINATION
--, -��-- BUILDING SHELI_�ONLY7��
aCOMPPLAN DESIGNATION �r
- x � ��*��� :� BASIC"PLAN? :
SECTIQN TOWNSHIP � RANGE VNEW ADDRESS REQUIRED? '",44, ❑YES [3 NO
'(PLATTED LOl?` ❑YES.,; ❑ NO ��° CHANGE OF USE? s...` I7 YES ��❑ NO
COMMUNITY DEVELOPMENT SERVICFS•33590 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft2-585 50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$50.00;Each add'n 2500 ft`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders • Per WAC 296-46-910(5)(b)(i R 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-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
{Includes three units or Altered Service or Feeders
mores)rvice Feeder Amps Service or Add'n _0 to 200 lea
93.00
{_includes
to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 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 eai
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.)Feeder
801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Muni-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
#of circuits _over 600 125.00
i (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 FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1
[
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)
I ENGI.NEERING -
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)+(131+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002