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CITY OF FEDERAL WAY E LECTR ICA L PERM I T PERMIT NO:
05/08/9525
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: ND
661-4000 EXPIRES: 05/01 /96
ADDRESS: 31014 22ND AVE S
NO. : 053700-0525
PROJECT DESCRIPTION:NEW SF
nWNER — CONTRACTOR — LENDER
_LIAM BELL
'14 22ND AVE S
ERAL WAY WA 98001
206 839 8165
* STRUCTURE INFORMATION = * NEW RESIDENTIAL * * MOBILE HOMES $ I * RESIDENTIAL ALTERATIONS * $ MUILTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.:X SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: R-3 OUT BUILDINGS..: 1 SERIVCE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 1901 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
COMM. ALTERATIONS * * TEMP SERVICE $ $ MISCELLANEOUS $ * COMM/IND NEW $ $ INSPECTION RECORD *
111, 0-100 AMPS • 0 .. 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 201-300 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 301-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. _ DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 125.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED1, E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ */ ' % il, / DATE 5 9s'
FILE COPY
cmyOF �— 33530 First Way South
•_ ED Federal Way WA 98003
Vv PUY - Phone (206) 661-4000
ELECTRICAL PERMIT APPLICATION _ _
ELE- 1 -0 .2 S
Job Address 3 I o/ / ., a "4-d Ave, 50. Job Site Phone
Parcel No 615 -700 _ 0525 Lot No/O/ Subdivision Name — RKEQ 5 57E£L L./4K,E T/Z/4GT,S
Owner Mail Address ,,,d Phone
LJI LL/Qt-( J. "ueLL Sa / 2 Sc... 30 a PL
A-u 6v2-/J (.4.i4
� 5H. 9e6o/ 6,106)) 53 9-816 S
Electrical Contractor Mail Address Phone
License No.
ouonir2 Expiration Date
Use of Bldg: , SF Res DComm ❑Other DMulti ❑Church/School Class of Work: Aflew DAlteration DAddition ❑Repair
Describe Work:
n/Et-+.) CoN5 TR0cr/ aN
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _ Service or feeder only . . . . $40
Occupancy Load: X Single Family _ Service and feeder 65
Square Feet: 19Q 9 (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
If plans are required for review, the fee is _ # of service or feeders
35% of the permit fee plus $50. Additional /X Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
plan review for other submissions is $60/hr. service/feeders-$25 each)
MISC EQUIPMENTPI'EMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
_ # of Thermostats (Includes three units or more) Amps Service or Add'n
(First thermostat-$30; Add'n thermostats- Service Feeder Feeder
$10 each) Up to 200 amp . . $ 65 $ 20 0 to 100 $ 65 . . $ 40
_ # of Low voltage fire or burglar alarm _ 201 - 400 amp . . 80 . . . . 40 _ 101 - 200 80 . . . 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) _ 401 - 600 amp . . 110 . . . . 55 _ 201 - 400 150 . 60
_#of Signs _ 601 - 800 amp . . 140 . . . . 75 _ 401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _ 801 and over . . 200 150 601 - 800 225 . . . 95
_ Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
_ Swimming pool, hot tub, spa . . . . 60 _ over 1000 300 . . . 160
_ Temporary Pole 35 _ Over 600 volts surcharge . . . 50
_ Yard Pole meter loops 40 _ Mast or meter repair 55
■ Issuancefeu-for-eaeh-flees---- 20
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _ 0 to 200 $ 65
services.) _201 - 600 150
I hereby certify that I am the owner (or Service or Feeder _ 601 - 1000 225
authorized agent) of the above named _ 0 to 200 amp $ 55 _ over 1000 250
property or a licensed contractor(or firm's _201 - 600 amp 80 _ # of circuits
authorized agent) and am making the _ over 600 120 (First 5 circuits-$50; Add'n
installation or alteration in compliance with _ Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. _ # of circuits 40 Temporary Service
(First circuit-$40; Add'n circuit- _ 0 to 100 $40
Applicant's Signature: $5 each) - 101 - 200 50
_ 201 - 400 60
// l'// _ 401 - 600 80
_ over 600 90
Date: .51/4/95-
11PPERM.APP
REVISED 3/31/95 •
1111.
RECEIVE",
ir
BUILDING DIVISION 33530 First Way South
- - Federal Federal Way,WA 98003
\)N;> AY- MAR 0 3 2000 (253)661-4000
Fax(253)661-4129
CITY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT API;LICATION # N)laS;7- .9'-
MMignigignagia site address ,<). •'', ..c-, ,e, 5-4/.,,h,
SITE]LOCATIOtimii :::::::::::::::::::,::,.,:::i:::: :::: :.,:::*, ,
Tenant narry,-"e---://, gve2 &r, //,/,ix,47.,..,, Lot # Assesx'A Tlu5#1.2 .... o/c.)
'77
Addr ss
pc.
Building Owner's Nan2e_.....7.-: Xi, ZY1 e.A-35L-4(Ai
City *--;=2":";1. 4,174461/ I State/<" Zip Phone
Description of Work /1/67,falc..- A 'LT 1,,Ael gOseci &-z:5 tip-7783r -1--- .J-luirii.-c.L ikec
,),,,4 -14.1k-..
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-,,,,rtwar.i.viiimimmmoimummimo:]:i::i:iil:i
Name (F,M,L)
Z--gilltrIe ZitIWC.beiVi ( (3 -ittifi =--- /- ,'7, //2- )_,)
Address
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City 4/L((4.11 T-I— ' State 7P:4 Zip C7i57S
/5.,Litia,iti!zoinie, p Day gh9rle-_,) ()tiler Phone Fax/42-Y'357g
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BUILDING tOargiteitoRniiiiii:i::i:un:i:i*],i:i:i*::] Federal Way Business License #
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified O Yes 0 No
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ARCHITECIMmgimiimin:ii:i:imi:i]iiiiiia::i:]::oiiiiiii
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
Mit iliN
4k-7
4
aTRUGTURE : Existing Use 44") 1�'►l-(y,`/., Proposed Use jam;t..'4,
i
Permit includes: Q..Building ❑ Plumbing :0-...Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New _,.2- Remodel ❑ #of bedrooms ❑ Deck
..0---Commercial ❑ Addition El Repair ❑ Garage ❑ Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ,p- Sewer Availability•ti On-Site Septic System Availability ❑ Project Valuation $ (JCC -
Zoning C` C C Lot Size Existing Bldg Valuation $
.E6tDER
;;; ,; ;:: For new residential only - Proposed selling cost: $
Name „ Address
City State Zip
MEG ANI A .G........bR........ ' <M
Contractor Name 7jAddr --9J.2C.)
ii/ ., ....c4w
City //;77Ci/ /L7 ') Stat Z4 Zip °%21
Contact---”. Phone Fax
License # (7/ff144_ _ Ex.iration Dat': ' ' Verified ❑ Yes ❑ No
P1UMBtMasCt.7NTM. . .
Contractor Name/ Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUM Bt11fC:ft.TU. ..
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
ONLY
$
EVALUATION
N€EtFfAtV:IG,i4L t3NIT.. {y. ..I'..
MECHANICAL
Fuel Type ga lectric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt 377 000 :an/'5 Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Tot I Unit Count
DISCLAIMER:I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of
the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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 eliance of th city,includ . its officers and .loyees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: , 'f f lDate: -3 �� Q�RU,IDIHG AFP /
REVISED 5/18/93