99-100813 V 99—/bog)3
CITY OF FEDERAL NAY Amp \li
PERMIT NO: ELE99-0204
33530 First WaySouth :.::. , � '"' .;:1" ,..�•.• ISSUED: 02/24/99
Federal Way , WA 98003 Electrical inspection Requests 253--661 -4140 BY : FC
253-661-4000 EXPIRES: 02/18/00
ADDRESS: 34O5 S 336TH ST
NO. : 726120.--0105
PROJECT DESCRIPTION:CHANGING OUT LIGHT FIXTURES
f= OWNER -- ___ _...,.. -- - - -' -T- CONTRACTOR -----'---------- ----- . =
SLAVIK GOSPEL CHURCH i OWNER IS CONTRACTOR
3405 S 336TH ST !
1 1
FEDERAL WAY WA 98003
1 253/569-5849
N/A
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 ` 0-200 AMPS ' 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: I OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 i 201-600 AMPS......: 0 1 201-400 AMPS.: 0 ..• 0
OCC, LOAD...: 0 SERVICE OR FEEDER (PK): 0 i OVER 600 AMPS.....: 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 1 MAST/METER REPAIR.: 0 ! 601-800 AMPS.: 0 ... 0
iNUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
t 3
* COMM. ALTERATIONS * { * TEMP SERVICE * J * MISCELLANEOUS * * COMM/IND NEW * J * INSPECTION RECORD *
< < 0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 1 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0 !
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 ( SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 + SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM, OF CIRCIUTS: 0 1 OVER 600 AMPS.: 0 TEMP. POLES 0 801-1000 AMPS..: 0 .•. 0 ` COMMENTS:
-- - 1 YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
I -i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE IN ATION FU ISHED BY ME I UE AN CO ECT T THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
4 - 9/.—i
OWNER OR AGENT C"�� DATE l/o`
FILE COPY
CITY OF FEDERAL WAY PERMIT NO: ELE99-0204
:33530 First Way South ELECTRICAL P E RM I T issuED, 02/24/99
Federal Way, WA 98003 Electrical incrpo(Aion Requests 25J-661-4140 BY: FC
253-661-4000 ie EXPIRES: 02/18/00
ADDRESS:3405 S 3361-11 ST
NO. : 726120-0105
PROJECT DESCRIPTION:CHARGIR OUT LIGHT FIXTURES
LENDER --. .........*..,..,...........,.,r_„,l
I SLAVIK GOSPEL CHURCH OWNER IS CONTRACTOR
3405 S 336TH ST
1
FEDERAL WAY WA 98003 1
253/569-5849 1
NIA
***
CUTRACTURS, MEAS( USE 1-0CM1011 COILIMII" TING SALES TAX FOR PROJECTS MAIN ENE CITY 01 FEDERAL NAY. TAX RATE : 0.6B sin, . ......,.......f..s............—...0.....1
""--'=-----4"-""'" '''T"" " iS ME *t '''' pet HOMES * * RESIDENTIAL ALTERATIONS *
* STR"I"E I"0"ATION * 1 * NEW R INN" .„, , ,\ ,0t14/
CORSI. TYPE.: V-H
I - , ,
I NEW '," E FAIT.: 0 0-200 AMPS4oma . 4
-Itlifttt*Mitt ONLY: • 0 * MULTI FAMILY NEW
SEV IUD I
0-200 AMPS.... 0 ... 0
1 OCC. GROUP..: 201-400 AMPS.: 0 ... 0
1 OUT KIDINGS..:4 , ,savitif#AL66,+‘111 • '-- 4*'" "...'-'5 ' - 401-600 Atm • 0 . 0
Oa. LOAD...: 0 ,
SQUARE FEET.:
* COOL ALTERATIONS * 1 6044-0 °‘:,1.2, ER Pk) ‘\-%,-A,-.? 61`' ,_.•.4 -4_ ,. \ ) , '• ••
'- ' '-- \''' '-- VST/METERANALLT 0 " - 601-800 AMPS.: 0 ... 0
0 t '0 -, $, -„'„,,,,,, ,
NUMBER OF - - 801 la OVER.: 0
R (FRL,,,,: 0 ... 0
\,
...1 .... .................... ...---.............. .... ......... . .... .
* MP SERVICE , * MISCELLANEOUS * * COMM/IND NEW t I
* INSPECTION RECORD ' - ' I
1 0-100 AMPS * 0 ... 0 JSERVICE DATE
0-200 AMPS ' 1
201-600 AMPS • 0
601-1000 AMPS...: 0 0-100 AMPS. • 0 THERMOSTATS • 0 101-200 AMPS...: 0
I 101-200 AMPS..: 0 201-400 AMPS...: 0 0 COVER DATE
201-400 AMPS..: 0
LOW VOLTAGE 0 ... 0
SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
1 OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL..
NUM, OF CIRCIUTS: 0 1 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
-1- YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES
67.00 OVER 600 VOLTS.: 0 MAST/NETER RPR.: 0
- •uutatr,2-.==w41..x====mmr.-:1.4 :rmr, - - 1
PERMITS EXPIRE 180 NAYS AFTER ISSUANCE It NO WORE IS STARTED.
I CERTIFY THAT 11(9:!INATION 9111SWED BY NE MIRK 10,BRECTJA IRE Kg 01 MV EMBLEM AND TOL APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS RILL OE NIT.
7 /' - . , '(7
owto OR AGENT la /,e--(-:// ----‘3.*/ .' ' *-..' DATE ......!':....7".,
.. 1
FIELD COPY
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CD0193(Rev 4/97)
CITY OF G BUILDING DIVISION
•
33530 First Way South
jD1_Ay Federal Way WA 98003
. „; , (253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
Federal Way Business License number: EL1 3. 6��ki
Job Address
3 L 1
�o 5o ,3� �. Al `PJ�,42A/ts/,�y, �;¢ ga,73 Job SitePhone,?53- 56f- S4,y 9
Parcel No Lot No Subdivision Name
Owner/tsriant Mail Address
Phone
-5-14/0"6:,5,0e/ �'h ,e% '3�O 5-- < 33 t XX/J1 S0 '53 -5-67- 5-Yy 5,
Electrical Contractor Address/phone Electrial contractor license number (copy req'd):
Expiration Date: / /
Use of Bldg: 0 SF Res ❑Comm 0 Other 0 Multi Yhurch/School Class of Work: ❑New 0 Alteration 0 Addition ,7tepair.
Describe Work: / + G/t 1 /'S �c/
C /9/r"j IV 49e_.‘
V -
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family Service or feeder only $41
plan review is req'd. Fee is 3 5% of (First 1300 ft-$62;Each add'n 500 ft2-$20) —Service and feeder 67
Square Feet:
permit fee +$52. Add'! plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) _#of service or feeders
Each outbuilding or garage $41 (First service/feeder-$41;Add'n sel;vice/
(Inspected separately) feeder-$26 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) 4
_#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 ft2-$36;Each add'n 500 if-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial:1-4 zone-$36,Each add'n zone-$10) _201 -400 amp . . . . 83 41 _ 101 -200 83 52
401 -600 amp . . . . 114 57201 -400 156 62
—
#of Signs (First sign-$31;Farh add'n _sign$15) 601 -800 amp . . . . 146 78 _401 -600 182 73
_Progress inspection per%hr $31 _801 and over 208 156 _601 -800 235 99
_Swimming pool,hot tub,spa 60 _801 - 1000 287 . . . . 120
_Temporary Pole 36 over 1000 313 . . . . 167
_
Yard Pole meter loops41 _Over 600 volts surcharge 52
Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL 7
Inspections requested before 3:30pm will be (When inspected separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder CO to 200 $67
I hereby certify that I am the owner(or _0 to 200 amp $57 _201 -600 156
authorized agent)of the above named property, _201 -600 amp 83 _601 - 1000 235
or a licensed contractor(or firm's authorized _over 600 125 _over 1000 261
agent)and am making the installation or _Mast or meter repair 31 _#of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
A V 's iggyature: 0 to 100 $41
(//lam/ �[// Pei 101 _200 52
'� _201 400 62
_401 -600 83
Date: over 600 94
E[EcrRIC.APP
REVISED 12/8/98 __ _