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04-104506 a 4 City of Federal Way Community Development Services Electrical Permit #: 04 - 104506 - 00 - EL P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: FEDERAL WAY LDS CHURCH Project Address: 34815 37TH Ave S Parcel Number: 219060 1500 Project Description: Alter(3)circuits for parking lot lighting. Owner Applicant Contractor Ch Jesus Christ Bishop MCMULLEN ELECTRIC INC MCMULLEN ELECTRIC INC 50 E NORTH TEMPLE 203 W STEWART 203 W STEWART SALT LAKE CITY UT PUYALLUP WA 98371 PUYALLUP WA 98371 84150-0002 (253)845-7593 Electrical Fixtures Description Quantity Description ,' Quantity Description Quantity Circuits- Commercial 3 PERMIT EXPIRES May 3,2005. Permit issued on November 4,2004 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 Owner or a • Date: /7 ©5� ' Y tA THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104506-00-EL Owner: CH JESUS CHRIST BISHOP Address: 34815 37TH AVE S FEDERAL WAY, WA 98001-9048 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. .❑ Slab/Concrete Floor(4255) Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved `1. By Date \By W 7AI Date AS\04 By Date El Temporary Power(4275) #❑ Service(4235) ❑ Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) •[ Final-Electrical(4055) Approved Approved Approved 1 L'l::, By Date By Date 13‘ .1 Date (i`\-1\041, , ❑ Under-slab groundwork(4295) Approved By Date / D� -- � 0� ���P Fedpal Way `7�JRECEIA PERMIT SF MF CO ME(DPL DE EN FP COMMG.'ihy DEVELOPMENT SERVICES 33325,801 AVENUE SOUTH•PO BOX 9718 A P P L I C AT I ON 4 2004 TD / / FEDERAL WAY,WA 98063-97]8 f 253-835-2607•FAX 253-835-2609 wurta.dttto(rederuhuau.cnm CITY OF FEDERAL WAY The ollowin r is re• fired ormation-an inco 'tete • • •licatitoit(I ce• d. Please •rint le,ibl in or -j• . ,J c • PROPERTY INFORMATION • SITE ADDRESS 3 — • I J \,' r -i , '( / 4 %. T''.-, j� /� TE/UNIT ASSESSOR'S TAX/PARCEL 9 2 � 0`n ( 2 Ck-- (Attach - I 0 v LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) COO-l u 7 (, k (Attach separate page for lengthy legal descnpion) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION IELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECDESCRIPTION (Provide detailed descriptio of work included on this permit only)_, PROJECT NAME(Name of Business or Owner Last Name) eV AI Ll (,�"I , V \ `C C hvs` �1 L v tit^�j QnkritS • PEOPLE INFORMATION 1 PROPERTY NAME c PRIMARY PHONE OWNER LtJ VA* UvVn n �e (1,63) 6, 1 I -0i---5 D MAILING ADDRESS yCITY, ZIP t 7/ UI5 & J1IwS1, vat, VA q(l 5 I CONTRACTOR COMPANY NAME APPLICANT NAME 1��f OFFICE PHONE •/1 t IsitlAt&I t le(. V C( l h.C.. - evvo". 1,4 L 1-4,�u(tar' (2S3) Li S --E-J13 MAILING ADDRESS YCITY,STATE,ZIP CELL PHONE SV et'i u,Jl/t��avo` pVpot. 6(01( (133 ) _v-_v-i(02_IY CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (� _ 1 -_ 0-1 o IA (,,1- B L IZ / i / C(;- (-2.6 )&i4-6 - b2-1 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE V C (k1 LI 1E 1 6 '2t $ r bZ / Zi / 0-5 APPLICANT COMPANY NAMEPLICANT NAME OFFICE PHONE j\t VIAAA v 6CA-V\-c, \WC • YC,rnl& Cod (I 3)84-S - -r-A3 MAILING AD PHONE SS Y ?V.-�Al\ika. �J Qt � ✓6X3:3-1 (i��) "T05 -�ta tt RELATIONSHIP TO PROJECT /�,� ��/ FAX NUMBER �j 0 Architect 0 Tenant 0 Agent *ther(Describe) COYC�'U' (15 2�)'31-1'6 - 52 ` CONTACT NAME MLe ILPA1 PRIMARY PHONE (73) it)3I °F-3115 E-MAIL ADDRESS LENDERPer RCW 19.27.095: Lender information is NAME required ifproject value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL ° SQ. FT. SQ.FT. SQ. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS sssrDIo PROPOSZD TOTAL TOTAL envo s 87 TOTAL PROPOSED sr TOTAL 8r **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS)Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS 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 authorised 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 W W . as tlany claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim),which may be •; by any • •n,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of ' ci _ • its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. ��\\ NAME/TITglitlitirOPALIA401, Au"�IC% RIF DATE ,` I Vy ( ignature) „....._. (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent /contractor ❑ Architect 0 Other FOR OFFICE USE ONLY, o NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE U Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00 U Detached outbuilding or garage U 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 U 201-400 amp 220.50 87.00 U Detached outbuilding or garage U 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 U 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) U 801 - 1000 amp 405.50 169.50 Service Feeder U Over 1000 amp 442.00 236.00 U Up to 200 amp $ 94.50 $ 28.00 U 201 -400 amp 117.50 58.00 U Over 600 volts surcharge $74.00 U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00 U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL U Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50 U 201 -600 amp 220.50 Service or Feeder U 601 - 1000 amp 332.00 U 0 to 200 amp $ 72.50 U over 1000 amp 369.50 ❑ 201 -600 amp 117.50 U over 600 amp 177.00 #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered (1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $74.00 plus 35%of Permit Fee U Mast or meter repair $43.50 U Service- 1,000 amps or greater U Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW U Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES U Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00 ❑ #of service or feeders U 101 -200 74.00 51.00 (First service/feeder-$58.00;each add'n-$37.50) U 201 -400 87.00 n/a U 401 -600 117.50 n/a U over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) U Low Voltage U Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $58.00 ❑ Security Alarm System U Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) Per WAC 296-4&910(5)(b)(i&ii) Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application