04-103808 t
r,
1C'ty of Federal Way Electrical Permit #:04 - 103808 - 00 - EL ‘
Community 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: BETHEL CHRISTIAN CHURCH
Project Address: MiRR L{14 ,SV./ 31 a+h Si- Parcel Number: 072104 9003
Project Description: Lower existing meter and reconnect to residence.
Owner Applicant Contractor
BETHEL CHRISTIAN CENTER LINDSAY ELECTRIC LINDSAY ELECTRIC
414 SW 312TH ST 5528 34TH STREET LP NE 5528 34TH STREET LP NE
TACOMA WA 98422 TACOMA WA 98422
\FEDERAL WAY WA 98023 (206)321-4535
Electrical Fixtures
Description Quantity Description Quantity ( Description Quantity
1 Mast or Meter Repair-Resider-1E7-11M 1
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
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 Way.
Owner or agent. ...for Date: 7/at /ey
CI d-1 (o4 C1 , % ':., At....J
q( I
THIS'CARD IS TO REMAIN ON-SITE
coy OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103808-00-EL
Owner: BETHEL CHRISTIAN CENTER
Address: 121 MIRROR LAKE PARK
Federal Way, WA
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) .❑ Final-Electrical(4055)
Approved Approved Approved
lap7
By Date By Date , B C., ate
O Under-slab groundwork(4295)
Approved
By Date
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09/21/2004 11:24 2538391031 BETHEL CHRISTIAN CE PAGE 01/01
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Federal WayRECEIVED PERM I•T
SF MF CO M CEL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUE •Po BOX 9718
EEDERAL 7Y,WA 930635778 S E r 2
1
P P LI C AT I O N
_TO
753-835-2607•FAX 753-835-2609
unuw.at ttoffederol wa u.com
The oilowing is gait rQihi ,1 :NANA*incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
' ` ■ PROPERTY INFORMATION
SITE ADDRESS 1419 5w k) (dt-1 �1' - SUITE/UNIT# i#>N.)
ASSESSOR'S TAX/PARCEL# '.tiQ V-1° ______- LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpdon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D CRIPTION(Provide detailed description of work included r this permit only) /
NaP rt� -ta recnA / older aw.�p1 /i /- � /owe) -
n`�.I- reg(A,,-0zs nei 4f 1 09 nlsz./ Al t- p .
PROJECT NAME(Name of Business or Owner Last Name) -tt-44-4-'( C JA.-V.
C S.+-1 2.A
,: ` El PEOPLE INFORMATION
PROPERTY NAME 1 l PRIMARY PHONE
OWNER L1` -'- C`\r sk-k2t^ r
( ck (z 3 ) Sr) 2,..10(p
MAILING ADDRESSCITY,STATE,ZIP
illy sw 311.tA 51- Fel ua w4- 904 2-3
CONTRACTOR COMPANY NAME APPLICANT NAM OFFICE PHONE
Li,js 27 E(ecif re c Diwc D (204. ) 32- 45-35"."
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5529 34 Simi- 11 Tri 'ah►- LuA 9642-4- ( ) a - "
CITY OF FEDERAL WAY BUSINESS LICEN NUMBER EXPIRATION DATE FAX NUMBER
- -.Dal-10 3G-- ? /- B L la, 13/ 1O ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
LL aets e + 0 Q._ 1xG• Ott "Dy /07
APPLICANT COMPANY NAME /� 1 APPLICANT NAME OFFICE PHONE
j�nat. Q4
5 4.4r2e.A.' ( ) -
MAI ING ADDRESS - CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAM�`,l I / PRIMARY PHONE ce... ;E--MAIL ADDR
v�(�+ Li�dfay (� ) 31i -t/c3f �1a(csr 1 -OCdtg�/�LENDER Per RCW 19. 7 095'Lender information is 7
required Aif project,value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
, In DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER CI LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL=STOIC TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? =STOIC
'''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 $
GAS LOGS REFRIG.SYSTEMS
MR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
BBQS FANS HOODS(commercial)
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES
BOILERSGAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS Roa
eq MISC(Describe)DISHWASHERS
B
ATHTUSS iort�1/snow<Icomeol DRINKING FOUNTAINS
SINKS
GAS PIPE OUTLETS
SUMPS RAINWATER SYST
HOSE BIBBS
WASHING MACHINES URINALS
I,AVS(Bathroom Sulks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
:DISCLAIMER/SIGNATIIRE BLOCK -,. • -
d
her, that I
I certify under penalty of perjury that the information ft the work hed by me
is
true and correct to which the permit applicationthe be is my knowledge,
l an further
gee to hold
am authorized by the aof the above premisesperform
harmless the City of Federal Way as to arty claim(incIuding 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. y
DATE / �� �0 /
NAME/TITLE • Com___ q(Title)
(Signature) -"1111111.111.
I RELATIONSHIP TO PROJECT 0 Owner o Agent 0 Contractor ❑ Architect 0 Other
1 FOR OFFICE USE ONLY I
-
( o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
) BUILDING SHELL ONLY? o YES ❑NO
BASIC PLAN? - o YES o NO
1 _ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 _ Page 2 of 4 k\Handouts—Revised\Permit Application
•
ELECTRICAL PERMIT INFORMATION
I
RESIDENTIAL COMMERCIAL
-
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet amp $ 94.50 $ 58.00
(First 130011.2- ❑ 0 to 100 a
2-$87.00;Each add'n 500 ft2-$28.00) ❑ 101 1 20a0 amp 1 .50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Inspected with service) $36.50
.- 0 401-600 amp 256.50 103.00
❑ Detached outbuilding or garage 332.00 140.50
(Inspected separately) $58.00 ❑ 601-800 amp
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
- 294.50 220.50❑ Over 800 amp Service or Feeders
V "er
V 200 amp $ 94.50 ti
ALTERED SINGLE MULTI FAMILY V�
❑ 201 -600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
0 to 200 amp $ 72.50
❑ over 1000 amp 369.50 .
❑ 201 -600 amp 117.50 ❑
#of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ G # of circuits •- -e--e -' COMMERCIAL/INDUSTRIAL PLAN REVIEW
(I- • i s-..58.00;Add'n circuits$6.00 -) $74.00 plus 35%of Permit Fee
❑ Service over 200 amps
ast or meter repair $43.50 Q Medical/Educational/Institutional Facility
SINGZ ' $ TI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
❑ # of service or feeders
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First $43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ Low Voltage (Includes additional circuit,if required)
❑ Fire Square Alarm to m System served by system(s) ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
(Per❑ System(s) 1.2500 ft2-$51.00; ..
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)( I
P.
Page 3 of 4
k\i lndouts-Revised\Permit Application
f Bulletin#100-March 30,2004