03-101416 City of Federal Way
Community Development Services Electrical Permit #:03 - 101416 - 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 VINCENT DE PAUL PARISH ADDITIONS
Project Address: 30525 8TH fp A Vt. S Parcel Number: 082104 9005
Project Description: Install low-voltage fire alarm
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
Electrical Fixtures
A = *, l�iC111 icrJp„* 1:41;'1 fl,Qualir4
Low Voltage Fire Alarm-Commercia 8549
PERMIT EXPIRES December 27,2003.;
Permit issued on June 30,2003
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.rG
Owner or agent: L/ Date: G/,3 ye, 3
�i - ► 0 3 -e,1,tom{ cr,1,,,.r- 00 Rem-T e/.,7d t-:-1- appi-a„,),,l75
gp ./ rev-0 (---) a.
(-7° if icif
4s,
` RECEIVED CONSTRUC l ION PERMIT APPLICATION
CITY OF �+�/ APPLICATION NUMBER: '
APR 1 12003 CIS- 1 Q 1 j-Ci _- 00 F✓lam
Federal Way 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 Systems and Engineering permits may require a separate application.
1111 PROPERTY INFORMATION -
SITE ADDRESS:565 /7 '/fr We* 5 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): J/,Lt 11.6--i'1 5y5/G.' /`b/4-
5T l//,‘ cct yr P''/ 40 - /%e/s/►L ,4 vjJ/iso w
PROJECT NAME:
■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME: ; DAYTIME PHONE
Coe, C/li& /C /be Cbti 3/5//`off' ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i )
CONTRACTOR: I NAME: DAYTIME PHONE:
cG,ot ' /L C./2z-C1/rd LzLECi7 iC_ L/Lc__ (2.1-3 ) fo Z7- CG 44
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): _. _ EVENING-RHONE'- - - - --
I{ /f1,3 c Z.w7 275A- ,5'i 7-71f.6-6 1174 f V 9-6, ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) C Lo VLCCC` Z.j 3 L..tt- / /
APPLICANT: ( NAME: DAYTIME PHONE:
C. co✓L /'6 CANT e I A,CT O1X/C ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
(
' i RELATIONSHIP TO PROJECT: FAX NUMBER.
L❑ ARCHITECT o TENANT o OTHER ( DESCRIBE):
i E-MAIL ADDRESS: ,
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR 91
■ DETAILED BUILDING INFORMATION . -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 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:
• 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: o ELECTRIC o 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),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,including its officers and employees,upon the accuracy
of the information
supplied to the city as a part of this application.
NAME/TITLE: DATE: 7///0
❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
.FOR.OFFICE USE ONLY: --
-o'INEW ..r .❑ADDITION , : ;❑ALTERATION o REPAIR .. :, =❑:TENANT IMPROVEMENT ,F.,,
CENSUS`CODE s •LOT
;ZONING DESIGNATION BUILDING SHELL ONLY? '❑YES, -o NO
=COMP PLAN DESIGNATION = :BASIC PLAN? p YES =r1:1'NO
SECTION,;, , ;^TOWNSHIP I "`RANGE NEW ADDRESS REQUIRED? :. ❑YES ❑ NO
PLATTED LOT?- "'❑YES n NO CHANGE OF USE?- • ❑YES' a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalwav,com
1
IN ELECTRICAL
'rAf3LE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 N of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-555.50;Each add'n 500 ft'-$27-50) Service and feeder 593.00 L#of Low voltage fire Or burglar alarms
'square FeeL _ First 2500 ft'-$50.00 yLalt add'n 2500 ft'-S I3 00
Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: �1��
(Inspected with service) d of service or feeders ' Per W6-46-910(5)(b)(i& ii)
Each outbuilding or garage 557.00 (First service/feeder-$57.00:Add'n service/ _II of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
Swimming pool,hot tub,spa $85-50
I1 Yard Pole meter loops S57-00
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 i
I _ Up to 200 amp S 93.00 S 27.50 Feeder 201 -600 . . - 216.50
201 -400 ampeeder201 -600 2 57.00 0 to 100 5 93.00 S 57.00 601 - 1000 126.50
=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 k of circuits
_Over 800 amp. 289.50 216.50 401 -600 252.50 101.00 (I-5 circuits-$72.50:Add'n circuits,$6 ear
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-Fancily/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 1 l 5-50
a of circuits I over 600 125.00
(1-4 circuits-$)7.00;Add'n circuits Sb 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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B)-j NUMBER OF UNITS(C) TOTAL(D)
� I
I r
I
i ( I
l 1 j I
TOTAL COLUMN(D): .
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee horn 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