12-103058 •
• • 'Electrical
ity of ay
Community&Econ.Dlev.Services 'a Permit #: 12-103058-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NORTHWEST CHURCH-PARSONAGE ONE
Project Address: 1940 SW 350TH ST Parcel Number: 795620 0030
Project Description: Alteration of circuit for(2)outlet relocations.
Owner Applicant Contractor
NORTHWEST CHURCH DAVID FREIHEIT OWNER IS CONTRACTOR
34830 21ST AVE SW NORTHWEST CHURCH,FACILITIES PAUL*CE214M6(4/18/15)
FEDERAL WAY 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
Electrical Fixtures
Circuits-Residential 1
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 'I be in accordance wi h the laws, rules and regulations of the State of Washington
and ty of Fec1(eral Way.
Owner or agent: \� Date: - 3 — Z-
11 / 13//v
' THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record 0 • ,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103058-00-EL Address: 1940 SW 350TH ST
Project: NORTHWEST CHURCH FEDERAL WAY, WA 98023-6917
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ' '0 Temporary Power(4275) ' El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) *0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
❑ Final-Electrical(4055)
Approved
By C Dater j - l 3-0-- ,
•
ElRough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECiVED
AIL
JUL 0 3 2012 // / //,,
- g
CITY OF 1�
CITY OF FEDERAL WAY f--� — V O J
Federal Way `ELECTRICAL
PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www.cityoffederalway.com**
SITE ADDRESS: / q .e/(0 3S-0 -` Si- 6(,,.) ; r4.,.k w ., , k,A 1 F'o z 3
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PRpro B4IBB
` g1
/ 1 6- G Z V - 0 D 3 0 eaK KCL
PROJECT NAME ,.-, • -
(Tenant or Homeowner Last Name) T°'rS .,c- c L S✓v`~r-eY 1^'l t5s'c. 1 / L
e,X+c' k ov A.L r-UD••. o,A-1 -6, 216 1'G+'�cn• ct
PROJECT DESCRIPTION V‘.o��` r' o N e. iti.atk . o,..+GL-...,, o lot - Seek_
Detailed description of work to
be incbtried on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER G` w`bk C.,..,...;f- (0253 ) 8 3 - 6 3.,2.(
MAILING ADDRESS E-MAIL
3' Ko o d-t sy A•)(- 3u-) . -
CITY STATE ZIP FAX
r ,X. wli (0)0 "l goi,'3 ( 13 ) J3: - 7Ws
NAME PRIMARY PHONE
G hu --Ves E.7.— fit-c-, l (,Z.S3) ,7$ _ 7 ci tl 1
MAILING ADDRESS .,ril L, E-MAIL
ELECTRICAL A 2.50�1 /0 Nae- J
CONTRACTOR CI • STATE ZIP FAX
31 es yvt o,,,.� (u A `i 8 l R 3 ( ) -
-
—
WA STATE CON3BAC'OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
fi kW., C6 ,l yn"(e '/1 $ / i5
NAME PRIMARY PHONE
APPLICANT ND/ w�s t i V 4'` ( Z73) S'E - &32 I
MAILING ADDRESS
! '/ /AOC-
-- A C 'J n t (� :E-MAIL {l
3`f u / v`
1E-42-4)',-t•T , Yo-ry uc;,rc•c`
CITY STATE ZIP FAX
Ie_ e-4 A Wi;-1•, LOA `)EC Z3 - 780Y
J (2s3 ) 8�5
NAME,--NPRIMARY PHONE
PROJECT CONTACT -AV;.C.) p cre>3.(\e. %`* (aS; ) 17_ i 2..Z 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 and defense of such claim),which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the relic of the city, including its officers and employees, upon the accuracy of the
information supplie• • • _ • a part of this app atio .,
SIGNATURE: --` l DATE O G 3//L
pp 11
PRINT NAME: 0)A0 moi] 1v - Pte-•L t
33325 8th Avenue South•Federal Way♦WA♦98003-6325•253-835-2607♦fax.253-835-2609•www cityoffederalway corn
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
(including attached garage): oriammenam1i SeryFee
iceder Additional Feeders
FEES: First 1300 ft2-$122.00; itf in=� 'i.;, t,. :'' . e,a �f•' r
Each additional 500 ft2-$39.00 UMMEMMINIMMIMIESSMINIMMEMEMI
NEW MULTIFAMILY (3 units or more) - �.,nt „ ,rtr �}�y}�( ult. yry
4V 1•_'iA...t1YF'��:ti4•.:a1”.��"�'il�1{-���JF�G �'�Ji��`���1'��.��'
1=t Service FeederAdditional Feeders
0123001k47-0, qatailibMWalft 004 x"^" c a.i•-:
MINEMBONNEMENEMMEMMEMBEMBE
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1=t Service/Feeder 1=t Service/Feeder Additional Feeders
�"lju1,�" +af «'+r• w.tt yt• q. v E'`' �!�7'i1;R .1,i4' �w`?t+"'. ..`•�`fii; ;rLat" Q v?ae"+G'�';,:::.•'uSe..'.asi.,=:x,,w'SN.�
111111111111=11111111111111111111111111111111111.1 1111111111111111111111111/1110
Added or Altered Circuits 1
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
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
.,,
Plan Review required only for:
ESZIMMENCIIINEM • 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 Alann System l=t Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling N,
❑ Other Bw•`��rtr.' zyi r
Area to be served by system:
1•t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
#of Thermostats
First$60.50;each additional$18.50 �/
i c^E 2•"h`�„Yi..ii1.X"...°Y'x, ,y`,�.j}N:.' ,e�3',"�.:.” ''c`#• e".�aC00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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 8'"Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607•fax:253-835-26091 www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application