03-100841 City of Federal Way
Community Development Services Electrical Permit #:03 - 100841 - 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: GETHSEMANE CEMETARY =- _ ,», _
Project Address: 37600 PACIFIC S - - Parcel Number: 322104 9025
Project Description: Circuit alteration for conduits and-wilefothiew pressure transducer and install new 15-hp variable.-
speed drive.
Owner Applicant Contractor
ARCHDIOCESE OF SEATTLE*ARCHBISHO CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC •
910 MARION ST 1413 CENTER ST 1413 CENTER ST
SEATTLE WA 98104 TACOMA WA 98409 TACOMA WA 98409
(253)627-6648
Electrical Fixtures
..ki ®- a I, 'r .,a. -e4ch. . ILMINH Criptior> Quantity
Circuits- Commercial 2
PERMIT EXPIRES August 27,2003.
Permit issued on February 28,2003
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: —%, Date:
;T6 ( C.o, U �- �,� vow �-
RECEIVED x
ti.-YO, CONSTRUCTION PERMIT APPLICATION
• FT)-r- Z23EB 2 8 2003 APPLICATION NUMBER: � �� D L j _ ( tom,
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.
■ PROPERTY INFORMATION
vw.44c_SITE ADDRESS: SkiL , �� ASSESSOR'S TAX/PARCEL#: -'.- 22/67. / - 9� C�
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
T:..• • ■ PROJECT INFORMATION •
TYPE OF PROJECT(This application): ❑5.IJILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
L7 ELECTRICAL El ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): C k°.` 3,N_ 4- l pj
` �A.7:N 1j A 4. A f1 A la 'fin 1� �x >\A �--� /�►, QoX../ �o I. o > ,
k5 \ P
PROJECT NAME: v65-774.‘'0/14,47(4,-...% & 7Z1 e -
■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: • DAYTIME PHONE:
C-D �I MAL C�,,I�---cway ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
- l
CONTRACTOR: NAME: DAYTIME PHONE:
C.kr — CSsa,) kc_, e C.A, 2S3)G2-7) 4c.
MAIUNG
GA L ADDRESS ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
ILs -,1:-_ ,`�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
fL FAX NUMBER: •
I at -CAaj LOQ->�510 - OX ,Zc3 (0757 - (oC:Fi l
CONTRACTOR'S REGISTRATION NUMBER: tt -221„_- _(._.
EXPIRATION DATE:
X (copy of card required) CIL � Q�'2,, L 4 W / Ct.
APPLICANT: NAME:
�� V� ( y'vl DAYTIME PHONE:
MAILING ADDRESS`Sl EADDRESS;r��� �Ip ( )
EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: 1:1PROPERTY OWNER ❑ APPLICANT CONTRACTOR
- - - • DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 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:
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 claim),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,including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 411011� A I' DATE: CV(
[i] PROPERTY OWNER % PPL VA"-CO/�NTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
rn.,ry nir,v,-.nrt-inn,.u-1iT,IL\fl. rc. zlti-ln 1-11,,r l'IAY m l iTi I.P n Pi)171,1.r1-Illi-lAl WAY WA 9RO61-9/Ui• 751 h(1-401111•IAY 7C1-161-4179
X
IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 ft11-$67.00;Each add'n 500 ft'-$21.50) Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: first 2500 le-$38.75;Each add'n 2500 1t'-$10.50
_Each outbuildingor garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage $44.25 (First service/fecdcr-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately)
feeder-S28 each) $16.00 each)
_Progress inspection per'/2 hr $33.50
_Swimming.pool.hot tub,spa 67.00
_Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMME
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder 201 -600 169.00
-201 -400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 601- 1000 254.50
40l-600 amp 123.25 61.50 _ 101-200 89.75 56.25 over 1000... \ 282.75
60l-800 amp 158.00 84.25 201 -400 169.00 67.00 _#of circuits
_
(I
-Over 800 amp 225.25 169.00 _401 -600 197.00 78.75 -5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(When inspected separately from the services.) _801 - 1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61 - 100 44.25
_201 -600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201 -400 67.00
-Mast or meter repair 33.50 _401-600 89.75
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
liscrvice is greater than 200 amp,a plan review is req'd.Fee is 35%of permit tee 1156.25.Add'I plan review Ior other submissions is$67.00/hr.
FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B (B) NUMBER OF UNITS(C) TOTAL(D)
•
TOTAL COLUMN (0):
Total Column(D)
Estimated Permit Fee: (12)
-,
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + 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)
Bulletin #100-January 3, 2001