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12-103060 . es," ri p !.,_,---, F ' Electrical City of Federal Way Community&Econ.Dev.Services L2.3 Permit #: 12-103060-00-EL 33325 8th Ave S $4,-,.-‘-.3 Federal Way,WA 98003 Inspection Request Line: 253 Ph:(253)835-2607 Fax:(253)835-2609 p q ( )835-3050 Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630 Project Description: Add/alter up to(6)circuits for outlet&switch relocation. Owner - Applicant Contractor NORTHWEST CHURCH DAVID FREIHEIT OWNER IS CONTRACTOR 34830 21ST AVE SW NORTHWEST CHURCH,FACILITIES PAUL*CE214M6(4/18/15) FEDERALWAY WA 98023 MANAGER .- LICENSED ELECTRICIAN-CHARLES E PAL 34800 21ST AVE SW FEDERAL WAY WA 98023 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps? No t Electrical Fixtures Circuits-Commercial 6 PERMIT EXPIRES Sunday, December 30, 2012 Permit Issued on Tuesday, July 3, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us: ••-- in accordance with the laws, rules and regulations of the State of Washington and a Ci oferal Way. Owner or agent: - ►4I Date: 7- 3 -- I Z 444%.,. • THIS CARD IS TO MAIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 12-103060-00-EL Address: 34800 21ST AVE SW Project: NORTHWEST CHURCH FEDERAL WAY, WA 98023-3044 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. o UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' CI Final-Electrical(4055) Approved Bye Date ,. 2 El Rough ElectricalCI Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED • JUL 03 2012 �( OF FEDERAL.WAY / �J - ..10. 30 0. 30 6 0 CITY OF CDS of Federal Way ELECTRICAL PERMIT APPLICATION **Most electrical permits may be obtained on-line at www.cityoffederalway.com** SITE ADDRESS: 3 Li 00 21 °� lLV'c S W t rc A- r 43 A O z 3 SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/P ppSE•H-USE 5 2 3 3 O - O k a v PROJECT NAME . . (Tenant or Homeowner Last Name) N' S `'"`^"e"' 144 L‘' ru ke.A.Acc ti 1-.16 2 3 c ivc v - U 4tc c,:,r 0,„)1/4-0C,, PROJECT DESCRIPTION y„ay.<- Sw "'kc1,.e'S {'-\ -Sze) Detailed description of work to / rr be included on this permit only Ll A-0 cX'L SLi • PRIMARY PHONE PROPERTY OWNER N0 (cZ73 ) S'SFS - ( J,—t MAILING ADDRESS E-MAIL 3'i ( c'oc? tes)c_ STATE ZIP FAX !ii- A 9 g(1)c;3 ( a.53 ) i SIC>3 NAME PRIMARY PHONE t✓`N c Asses 0. Fa-0 ( 2 5.3) .7 _ -7,191 MAILING ADDRESS .,y4 , E-MAIL ELECTRICAL ,2,a.5O 2 I o CONTRACTOR CIT' STATE ZIP FAX WA STATE CONT: OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# §?-- Ia U L C=C: a PI si( °-// $ / NAME (t e2: 3 PRIMARY PHONE Vl<J.1C-L,, ( ) �i;s - L' APPLICANT NUr`� wegF C.-AL MAILING ADDRESS ,.,,� E-MAIL sC 3�t U Uc' �, t1C 'J� Ar .a '`i ;Gt! CITY STATE ZIP FAX 1- y(e=0 A LamO'- ;Pd ' O -7 ( ) - ( PROJECT CONTACT xAME \ r - PRIMARY•l7PHONE 3 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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 annde of such claim),which at, .- made by any person, including the undersigned, and filed against the city, but only where ch claim a •. out ofa reliance • the .ty including its officers and employees, upon the accuracy of the information supp to the city as • .art 3?us plica i. . SIGNATURE: V DATE C'i/c)//L PRINT NAME: Fre-t.L eA''L 33325 8th Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607♦fax 253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): a3:, . a,:tni _ " .' ..; A�` ;°d;. i, _: 0 FEES: First 1300 ft2-$122.00; 101J t'ZQO;dixk $;u, r -A4*W ' I$10 o Each additional 500 ft2-$39.00q ir p NEW MULTIFAMILY (3 units or more) 401;°� 1st Service/Feeder Additional Feeders I... , 0,° iikintAVRASVCgirrA ....$;' ft"S a m® 12a '± 4�..'.ry „ r, .u i i*** „;s4N; IVAMOVINAOSiat4W4filiftil gg�ayyss hh ,�'J�.. �+ �C�a ''i i�we�rN� °!® .,�'W`.,�a�' ,'.�.'8 aa.,. .w"":• °'�;�4�gew z�F���23-- *:8 ...ata t °° kMi 1 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder Additional Feeders 1st Service/Feeder r a �SS $ ir. ;: s yy $ � E!,. v + �:�k v,:,.'TJ .'8:.'z z a 2 '��` � $` r*12�1 00 ac5a^ .«e` 6. , i'ma»e° ;A a, -i$ ,, i s ,'e ga s, ',:, �a°e.$ "A? .1 6+471" " .,,. te Added or Altered Circuits / 1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits ( a 1-5 circuits$103.50;each additional$8.00 Mast or meter repair $60.50 Mast or meter repair $111.50 MANUFACTURED HOMES PLAN REVIEW FEES reel der=icy;, , = 8© Plan Review required only for: • . rliOgi • New,or alteration to,service of 1,000 amps or greater • Medical/Educational/Institutional Facility $103.50 plus 35%of Permit Fee (Permit Fee x 35%_ +$103.50=Plan Review Fee) • Plan review for modified submittals $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling N ®14aega $31$ ..,. ., . . ❑ Other 61 f Area to be served by system: 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 201 ,4p0* ,: 54!2 `,3t1" s , ," '6t: 0 #of Thermostats q: a,a -W eA„k First$60.50;each additional$18.50 Over FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated. Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application