08-101800City of Federal Way Community Development Services Electrical Permit #. 08-101800-00-EL
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SISTERS OF SAINT JOSEPH OF PEACE
Project Address: 32867 38TH AVE S .. 1,
- r
Project Description: Hook up grinder pump for sewer system. Adding (1) circuit
Owner Applicant
SISTERS OF SAINT JOSEPH OF PEACE GREG'S ELECTRIC INC
PO BOX 248 12834 LK KATHLEEN RD SE
BELLEVUE WA 98009-0248 RENTON WA 98059
Service greater than 1000 Amps?..........
Circuits - Residential... ...................
PI
I here o
that the abov
th Opanc nd the use w
Owner o ent:
Additi
No
it
6143M 0090
EG' {:-f'RiC' INC
12G5KA (9/.3/08)
12 K KATHLEEN RD SE
ENTON WA 98059
rical res
T L%E46 Saturda pril 11, 2009
n ssued on Wednesday, April 16, 2008 �1�4
lati is correct and that the construction on the above described property and
in accordance with the laws, rules and regulations of the State of Washington
,Z
d the City of Federal Way.
- Date:Z,/ e/'- -- — —
THIS CARD IS TO REMAIN ON -SITE
.a'S�_ CITY OF Community Developritent Inspection Record
Fede-r•��
ral Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101800-00-EL
Owner: SISTERS OF SAINT JOSEPH OF PEACE
Address: 32867 38TH AVE S
FEDERAL WAY, WA 98001-9665
This card is part of your required inspection documents. Scheduled inspections maybe 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.
❑
UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
❑
Temporary Power (4275)
❑
Service (4235)
Pool Bonding (4195)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only — - - - - -
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date l 7
rmo.
Flederal Way ?vt� pE -11 IT - � �-
COMMUNITYDEVELOPMENTSERVICES AP SF MF CO ME EL PL DE EN FP
3337E BT++AVENU& SOU77i . PO BOX 9718 �� � AT I O N
FEDERALfVAY. WA 98063.47I8 Tn
2s3•B35-2607� FAIL 453135 %i•1
WiL{i� C7IINIi•CIiERilflR'13's-k✓ CO
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS _2, - -? ;2Rt-�- % /L 7 _ SUITE/UNIT IF
ASSESSOR'S TAX/PARCEL k _ _ _ _ - _ _ _ _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengfhy legal descripf(oa)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ffELEcTRicAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
• f
PROJECT NAME (Name of Business or Owner Last Name) 7
PROPERTY
OWNER
CONTRACTOR
APPLICANT V
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
NAME Se PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS
C �vIPANY NAME
APPLICANT NAME
OFFICE PHONE
'*••
MAILING 4DDRM
f SF
CITY, STATE, ZIP
Ike`
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
)J
EXPIRATION DATE
FAX NUMBER
[ /
CONTRACTOR'S REGISTRATIION NTJhMEP
.S 5 E
>E:X.PIRATION DATE
^'
E-MAILADDRESS
COMPANY NAME
APPLICANT NAME,
OFFICE PHONE
L � —
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required {f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
i 1 _
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE, PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
-- PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S FT.
BASEMENT
.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
merixa
FnoFOesa
TOTAL
TOTAL A V7WOeF
TOTAL FROFoetweF
rarunr
"NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
E FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/shower combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS
FANS GAS WATER HEATERS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Shies)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
HOODS pommmdaq
RANGES '
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrasaq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
f certify under penalty of perjury that I am the property owner, or authorized agent of the property owner. I certify that to the bast of my
knowledge, the (►(formation submitted in support of this permit application Is true and correct. I certify that I wilt comply with all applicable
City of Federal Way regulations pertaining to the work aethorized by the issuance of a permit. I understand that tho issuance of this permit
does not remove the owner's respanaiblltty for compliance with Iocal, state, or federal laws regulating construction or environmental Iaws.
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 he mado by any person, Including the underalgned, and filed against the city, but only
where such claim arises out of the reliance of the city, Including Its officers and employees, upon tlto accuracy of the information supplied to
the city as a part of thta/applicatign. f /
SIGNATURE:
and/ or Authorized
1-I6 0g�
o NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
o YES
ti NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
❑ YES a NO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application
CTRICAL PERMIT INFORMA N
RESIDENTIAL
❑ Single Family Square Feet.
(First 1300 ft2- $115.50; Each add'n 500 ftl - $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(Inspected separately) $76.50
NEW MULTI -FAMILY (three units or more)
Service
Feeder
❑ Up to 200 amp
$125.50
$ 37.00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.50
106.00
❑ '601 - 800 amp
272.00
145.50
❑ Over 800 amp
389.50
291.00
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ over 600 amp 234.00
I # of circuits to be added/altered
(1-4 circuits-$76.50; Add'n circuits $7.50/ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $125.50 $ 76.50
❑ 101 - 200 amp 155.50 98.00
❑ 201 - 400 amp 291.00 115.00
❑ 401- 600 amp 339.50 136.00
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
❑ Over 1000 amp 584.50 311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106.00
ALTERED COMMERCIAL/INDIISTRIAL
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ p of circuits to be added/altered
(1-5 circuits - $98.00; Add'n circuits, $7.50/ea)
COMMERCIAWINDIISTRLAL PLAN RMEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOMEIRV PARK
Residential/Multi-Family
$67.50
❑ # of service or feeders
(First service/feeder-$76.50; each add'n-$50.00)
CommerciaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps
$ 76.50
❑ 101 - 200 amps
98.00
❑ 201 - 400 amps
115.00
❑ 401 - 600 amps
155.50
❑ over 600 amps
168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First-$57.50; add'n-$17.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
Pt 2500 ft2-$67.50;
Each add'n 2500 W - $17.50) • Per WAC 296.46.910(5)(b)(i & ii)
❑ # of Signs
(First sign-$57.50; add'n sign $27.00/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$115.00
$76.50
$115.00/hour
$5.50
Bulletin #100-January 1, 2008
Page 3 of 4
k\Handouts\Permit Application