03-100941 City of Federal Way Electrical Permit#:03 - 100941 - 00 - EL
Cormnunity Development Services
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 VINCENT DE PAUL PARISH ADDITIONS
Project Address: 30525 8TH 31, A Ve 5 Parcel Number: 082104 9005
Project Description: 200-amp service and addition of(31)circuits.
Owner Applicant Contractor
CORP CATHOLIC ARCHBISHOP CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC
910 MARION ST 1413 CENTER ST 1413 CENTER ST
SEATTLE WA 98104-1274 TACOMA WA 98409 TACOMA WA 98409
(253)627-6648
ElectricaltFixtures Marti
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Circuits- Commercial 31 Service/Feeder:101-200 amps-Comm 1
PERMIT EXPIRES September 15,2003.
Permit issued on March 19,2003
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: 5 Date: y/
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CITY OF CONSTRUCTION PERMIT"�PPL�ICATION
Federal Way APPLICATION NUMBER: 03 - 1 (TO ? Y /
APPLICATION NUMBER: _ _ - f
'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.
- ■ PROPERTY INFORMATION
SITE ADDRESS: 3tf3-2-S 9i.4 Ave • S. fes. W Y. ASSESSOR'S TAX/PARCEL #: 0 ci Z (0 5,- lo ate.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
A ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): SC/V-40-404- if PI)/r/Oti "e/e,
4 77-4GA t=!o Ail-it's
PROJECT NAME: Sr V/A-)CJ/v1 Pelt'/-uL PAW/els/0c sc./64,04.s ii-Av/)/t7"-I
■ PEOPLE INFORMATION.
PROPERTY OWNER: I NAME:
DAYTIME PHONE
Coeloosc.*I-7 i", Of i/ScL CAI-OVAL/ AReilelsAAPP o'csen7Zet (tea. ) 3 r2..-Zm6¢-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
:
CONTRACTOR: I NAME:
S ; DAYTIME PHONE:
_ t•-t- 4 * Lt�T1 ( - _
-- -- �MAILING ADDktSS(S I REETADDRESS- • A 1_I- -` - - --- --- - - i ---
! HONE:
EVENING P
12 z s Z )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 1
FAX NUMBER:
- _ ( _
CONTRLe......cACTOR'S REGISTRATION NUMBER: - - I )
`
(copy of card required) ] i EXPIRATION DATE:
J / /
APPLICANT: NAME:
ehe`Cz/L C C`=`zir tL �, �,. // DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): / 1cLt€- �ZJ✓ ) 6t7-‘64-ie
EVENING PHONE:
/#43 C d, reg._ sr r,oco"00-) ifr. fide t'9 ; ( ) -
RELATIONSHIP TO PROJECT: L CFC 7-721C 41-4.-
o ARCHITECT 0 TENANT FAX NUMBER: -i
OTHER(DESCRIBE): C�NT/2/IILC J�o/Z
E-MAIL ADDRESS: s
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT CONTRACTOR I I
-■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) }
CONSTRUCTION PERMIT APPLICATION
CITY OF
APPLICATION NUMBER: -
Federal Way APPLICATION NUMBER: -
kPPLICATION NUMBER: - -
*"The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention stems and Engineering permits may require a separate application.
;1 PROPERTY INFORMATION •
SITE ADDRESS: ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
M PROTECT INFORMATION
TYPE OF PROJECT(This application): BUI DING o PLUMBING o MECHANICAL o DEMOLITION
LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
PROJECT NAME:
PEOPLE INFORMATION
PROPERTY OWNER: i NAME: ; DAYTIME PHONE'
It )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
)
MATUNG ADDR€SS(STREET ADDRESS;f1TY,STATE.ZIP): --- -- - _ EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
) 1CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required)
APPLICANT: I NAME: DAYTIME PHONE:
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
PI DETAILED BUILDING INFORMATION
ISTING USE: EXI G BUILDING ASSESSED/APPRAIS ' VALUA ON $
•''OPOSED USE: •ROPOSED VALUATION FO• PROVEMENT : $
SQ•INKLERED BUILDING o YES ❑ NO FIRE SUPPRE - ON SYSTEM PROPOS D/REQUIRED:❑ YES O
WA ER SERVICE PR• 'IDER: o LAKEHAVEN o H -HLINE ■ TACOMA o PRIVATE(WEL
SEW • SERVI PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL.CONSTRUCTION ONLY** S 1
I.
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLO • EXISTING SQ.FT. J PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: AL'
■ FIXTURES
I : cate number of each type of fi b
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG( REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.L
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ EL RIC ❑GAS
PLUMBING
BATHTU: S) LAVATORY(S) URINAL(S) WATER EATER(S)
DIS ASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o
D
D . KING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
AS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of • e 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),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,induding Its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 7� DATE: /i7c9
❑ PROPERTY OWNER o APPLICANT eft,
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•FOR•OFFICE:USE:ONIY ;'
rtiEW • ®"ADDITION t7 ALTERATION; � REPAIR '0 TENAN IMPROVEMENT . r
409tV0a
1ZONING DESIGNATION .¢ Atit. BUILDING SF ELL ONLY? 0 YES ❑NO
CC P PLAN DESIGNATIONSA • v,tBASIC,PLAN? YES ;'-
SECTION,; € '
�TOWNS.HIP,,,,�,„ RANGE, �� -NEW ADDRESSREQUIRED?�;, o YES ts:.
PLATTED LOT? r, o YES ;a NO s :K ,:CHANGE OF USE?; - , ;I7 YES "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
e
• ELECTRICAL f
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 111-$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 112450.00;Each add'n 2500 ft2-513.00
_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&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
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 $ 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 4 101 -200 115.50 72.50 over 1000 363.00
601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 ,' ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 t I- circuits-$72.50;Add'n circuits,S6 ear 9)e'`
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE 1714.CM
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai7lndustrial
_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 i 15.50
-#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) FIXTUREFEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1
t
I I
'TOTAL COLUMN(D):
Total Colum ii
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.Jiit
iii• 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: •) (21) (23)
TotaI (Pa.,, One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-December 23, 2002