03-105266 f r� . aw. •
City of Federal Way
Community Development Services Electrical Permit #:03 - 105266 - 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: BROOKLAKE CHRISTIAN SCHOOL
Project Address: 629 S 356TH 5+ Parcel Number: 292104 9019
Project Description: Low voltage wiring of fire alarm
Owner Applicant Contractor
BROOKLAKE COMMUNITY CHURCH*BRO FIRE PROTECTION,INC FIRE PROTECTION,INC
629 S 356TH ST FIRE PROTECTION,INC FIRE PROTECTION,INC
FEDERAL WAY WA PO BOX 12642 PO BOX 12642
98003-8651 MILL CREEK WA 98082 (253)440-5763
Electrical Fixtures
1 tt tt ()Oa
Low Voltage Fire Alarm-Commercia 1876
PERMIT EXPIRES June 12,2004.
Permit issued on December 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. immi,"
Owner or agent: Date: � �/S -v 3
r o 0 ,a14, 0 t � -
RECE4VCONSTRUCTION PERMIT APPLICATIONL
CITY OF
`� 0 1 2003 Y APPLICATION NUMBER: - �Z��
Federal WayAPPLICATION NUMBER:
CITY OF FEDEDEpT. (APPLICATION NUMBER: - -
BUILDINGEPT.
**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.
In PROPERTY INFORMATION •
SITE ADDRESS: (()I-'1 5 56� 'I' ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
ip.03(Z( l;((z Clik.151-010 50.0OL - COMMECIAL /JEW ovLAO QFfICE
la PROJECT INFORMATION
TYPE OF PROJECT(This application): ,,o,,//BUILDING o PLUMBING o MECHANICAL o DEMOLITION
II�ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
•
PROJECT DESCRIPTION(Provide detailed description):
Lav(/ VOC--P C,t f_1-CE ALhetil a . LIvooi:(.
PROJECT NAME: 6k_00 ,LAjti< ONf1SIVN I4O01-- - COMPIR-C fl L- Na:/ M'QUtOk c (C(`
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
r,too a AK£ rule(5ant) 5(-(- QOL ; (1C3 )
MAILING ADDRESS(STREET ADDRESS;CIT(,STATE,ZIP):
6 3 5 '356 S4, r of waif, WI r90)
3
CONTRACTOR: I NAME: DAYTIME PHONE:
i R-C PDQ lr':TI OW , /)c . ' (7 OC--) Yq - cic3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): i EVENING PHONE:
12t!1(S 154 Ave Alr ctatii 1e. tun 93(Z S'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 1 FAX NUMBER:
� - r 2 4 9 y _ Q o ( _96 ) `PI- - O57
CONTRACTORS REGISTRATION NUMBER: /? j EXPIRATION DATE:
(ropy of card required) 1 1� i L 4 if_""
� " 1 L ; L� /
APPLICANT: NAME: ) ! DAYTIME PHONE:
coy 1. CRTs / i-ie pe e ff ) INC . ( 72( ) yup - 576
MAILING ADDRESS(STREET ADDRESS;&TY,STATE,ZIP): EVENING PHONE:
(2011s 7 I (ke, ,w1 gg i.vr
RELATIONSHIP TO PROJECT: _ cc j FAX NUMBER:
❑ ARCHITECT ❑TENANT OTHER( DESCRIBE): L �I' ' (4 F� (w G ) - &S
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER D APPLICANT ❑ CONTRACTOR
I DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOS • • • - •_■ • • •• •VEMENTS: $
SPRINKLERED BUILDING? ❑YES = • FIRE SUPPRESSION SYSTEM P• ••c • REQUIRED:0 YES ❑ NO
WATER SERVICE PR' ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) •
SEWER S RVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE G PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK /
GARAGE /
HOW MANY FLOORS?
TOTAL: 7' -
Indicat number of each type of fixture
MECHANICAL Value of Mech ical Work: $
AIR HANDLING UNIT(S) /- /APORATIVE 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: ❑ ELECTRIC o GAS
PLUMBING
BATHT (S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DI ASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS
D• NKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
•l DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjurythat 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 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 dty,induding its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application.
NAME/TITLE: Y 1_• c ArrS DATE:
❑ PROPERTY OWNER o APPLICANT ❑CONTRACTOR
.FOR OFFICE.USE ONLY
»..C'"" ':. �3 +4:Yp9��£S :;'s.� -:.f•fi% > +t%,S sa- . �+X!.;
cNEVI/ 'ADDILION. ®.REP.AIR* ,. TENANT IMPROVEMENT_.;:;
...II ALTERATION
CENSUS`CODE.e4— L .. Ts,1�`' LOTSIZE� p^~�
ZONING'DESIGNATION' t rY E
'� _ BUILDING SHELt;�ONL�(,? i❑YES�a NO�'��s��� �'
COMP PLANNDESIGNATION: a ABASIC PLAN?
SECTION TOWNSHIP #RANGE�:? NEW`ADDRESS REQUIRED? a YES ?❑.NO
PLATTED LOT? r#£ YES,❑NO °� ,:CHANGE OF USE? "�_o YES ❑ NO g
•
COMMUNITY DEVELOPMENT SERVICES•33530 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 ft of Thermostats(First-$43.00;add'n-$13.O0ca)
(First 1300 B2-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 7#of Low voltage fire or burglar alarms
Square Feet: _
0 First 2500 fl'-$50. Each add'n 2500 ft'-$13.0(;
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: / 7(.0
(Inspected with service) _ft 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/ _ff of Signs(First sign-543.00;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 morel Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200.. 5 93.00
tap to 200 amp $ 93.00 S 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 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 ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-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 _U 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
(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) I FIXTURE FEE FROM TABLE B(B)- NUMBER OF UNITS(C) TOTAL(D)
I
I
TOTAL COLUMN(D):
Total Column(0)
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 .
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)
1.,
Bulletin #100-December 23, 2002