01-101569 City of Federal Way
Community Development Services Electrical Permit #:01 - 101569 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST 510.1 Ave.SW Parcel Number: 542350 0630
Project Description: ELE-Provide power to fan located in mezzanine of existing church.
Owner Applicant Contractor
NORTHWEST CHURCH SEQUOYAH ELECTRIC NONE
12316 134TH CT NE
REDMOND WA 98052
1 Fixtures
Quantit r '� Description a
�t
.__til :-
Alt.Serv./Feeder up to 2000tpie
> PE E ► t $i 1.6 2001 IFWORK NO IS STARTED.
it
I herebycertifythat thea' tion is orr : :-....t cons ..`�. <€ <desl bed ';.;.p _;•:::.><- >: < <
the occupancy andIfit ' i :,accw:da a with ie 1a%s`: les anc.E `;..;ations oft State t tin to> :::::<>::;:;;.:;.:;;;:.;:.;:-:;;•
the City of Federal W .
a
........:::.: ::.................. ::.:
Owner or agent: =:=> >':.. :? ::.: ::::::::::::::.: Date:
«rroF r— 33530 First Way South
• �� Federal Way WA 98003
Vv Phone (206) 661-4000
APS 1 9 ?I'
ELIELECTRICALIVERMECvAPPLICATION
BUILDING DEPT. ELE-
t9/_-(e9/ z f-a)-et
Job Address J?ido/U i Avg L5��, Fiz)EdeAtt_ kj��r, Gt/.•4-
Job Site Phone
Parcel No 2�JT-0 - 0 1,3D D Lot No Subdivision Name
•
Owner / %% Mail Address Phone
N, `y- �C , 5/5700-&/ Jni &J, f , ''
Electrical Contractor QUC l CORP. Mail Address / / !. one 4495- Pei-e,006
/3,314 -/3‘/ Lowe. i L . e No.,5,6 UOG 06o 02 COY y
Expi ion Date
Use of Bldg: OSP Res ❑Comm ❑Other oMulti ti(Church/School C of Work: •New oAlterati ❑Addition ❑Repair
Describe Work: A, — 03, OLCA-eit.
�ROvi,DC q 4cW 6`12 • * lkd / k /.1r ; /o ,
Type of Const: 7 — Cei►wnj(tc.k!. I NT I SERVIC , y 'BILE HOMES
Occupancy Group: Service or feeder only . . . . $40
Occupancy Load: _ Service and feeder 65
Square Feet: irst .0; . a• n
' I 20) MOBILE HOME/RV PARK
If plans are fired for revie ,e ,, _#of service or feeders
35% of the ..'t fee p $50. ddi. _ out ' ding garage . $ (First service/feeder-$40; Add'n
plan review . .they .missio. $.:;lt service/feeders-$25 each)
MISC EQUIP ; /TEMP SE IC , k TI-• • II COMMERCIAL/INDUSTRIAL
_#of Thermos (Includes three units o ore) Amps Service or Add'n
(First thermos 30; Add'n therm. .ts- Se : -rFeeder -
$10 each) _ to 2 ' . . . $ . . 0 --'1 to 100 y,ilr
_#of Low voltage. e or burglar alarm -41 . . . . 0 101 - 200 80 . . . 50
(First 2500 ft2-$35; D, . add'n 500 ft2- _40 61' , . . 11 5 _ I 1 -400 150 . . . 60
_#of Signs 601 •6 . ..p . 14• . . 5 _ , .1 -600 175 . . . 70
(First sign-$30; Add'n sign-$15 each 01 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
wissuaace-fee-for-exteir permit 26+ -
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 1 0 to 200 ?2.-. $44
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'',Signature: $5 each) - _ 101 -200 50
_201 - 400 60
(.7ete (-2L--_______-
_401 - 600 80
over 600 90
Date: 'l Iitb t
REVISED 3/31/95