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95-100852 9�'�/�o g�a 33530OFi rstEWay Sout h E L E C T R I CA L P E R M I T PERMSSUED: 05/02/9513 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC 661-4000 EXPIRES: 04/25/96 ADDRESS:32829 6TH PL S NO. : 132140-0900 PROJ ECT DESCR I PT I ON:SIN6LE FAMILI' DMELLIN6 CAMPOS 6LEN, LOT i90. ONNER CONTRACTOR LENDER CAMPUS 6LEN LTD PARTNERSHIP INDEPENDENT ELECTRICAL CONT 4030 LAKE MA BLYD NE, #2Q1 32159 SE LAKE NAII(ER RD I(IAKLANO MA 98033 ENUMCLAM MA 98022 -1100 INDEPEC131JL � STRUCTURE INFORWATION = � NEM RESIDENTIAL � s NOBILE HQMES = # RESIDENTIAL ALTERATIONS = � MUILTI FANIII' NEN � SEY fEED CONST. T11PE.: V-N NEM SIN6LE FAY.:X SEAYICE OR FEEDER QNLY: 0 0-200 AIIPS........: 0 0-200 AMPS...: 0 ... 0 OCC. 6ROUP..: R-3 OUT BUILdIN6S..: 0 SERIYCE ANO FEEDER....: 0 201-600 AIIPS......: 0 201-400 AMPS.: 0 ... 0 OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 OVER 600 AWRS.....: 0 401-600 AIIPS.: 0 ... 0 SQUARE fEET.: 2105 NAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0 ��� �a.������ � ��� NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0 � COIIN. ALTERATIONS � � TEMP SERYICE � s I�ISCELLANEOUS « = COMM/IND NEM � � INSPECTIOR RECORD = 0-100 AIIPS.....: 0 ... 0 SERYICE DATE 0-200 AIIPS......: 0 0-100 AMPS....: 0 THERIWSTATS....: 0 101-2Q0 AIIPS...: 0 ... 0 ""1-600 ANPS....: 0 101-200 AIIPS..: 0 LOM YOLTA6E....: 201-300 AYPS...: 0 ... 0 COYER.. DATE I-1000 ANPS...: 0 201-400 AqPS..: 0 SMIMMIN6 POOL..: 0 301-600 AMPS...: 0 ... 0 OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SI6NS..........: 6 601-800 AMPS...: 0 ... 0 FINAL.. DATE NUM. OF CIRCIUTS: 0 OYEA 600 AMPS.: 0 TEIIP. POLES....: 0 801-1000 AIIPS..: 0 ... 0 COMYENTS: 9ARD NETER LOOP: 0 OVER 1000 ANPS.: 0 ... 0 TOTAL PERMIT FEES.......: 100.00 OVER 600 YOLTS.: 0 IIAST/METEA RPR.: 0 PERIIITS E%PIAE 180 DAYS AFTER ISSUANCf IF NO MORK IS STARTED. RESIDENTIAL AND 6AADIN6 PERMITS EXPIRE ONE YEAA AFTER DATE Of ISSUANCE. I CERTIFY THAT THE INFORH ON FURNISNED BY E TRUE AND CORRECT TO THE BEST OF MY I�NOMLED6E AND TNE APPLICABLE CITY Of FEDERAL MAY REQIlIREMENTS NILL BE ItET. i � OWNER OR AGENT _��- ------- DATE ---5—�'�[S--- • FILE COPY MHY-02-1y�5 10�8� INDEPENDENT ELECT�IC ?06 852 6141 P.08 �- ' , �.,,Y� � 3�534 �irst�'V�y Sonth � �_r,��J�„�� Fedesal Way WA 98003 �� � Phone{206) 661-d000 �Y.�CT�tICAL P��M�'�' API�LI�ATYOI� � EL�- (� -�C�j I � Job Adciress 3�����+� ��� ]ob Site Phnne ' �upus Gle�. � , ar�.Et 1p Lot tr'o � Subdivision Idame � �, J�:'ner Po�y+�a Nt�west MA;1 Ad�;�4c �.�.BQOC��� Phonc �2��$2�`-77�Q � Bel�vne,WA.9$OQ9 ��_ + L.ieccnc�,l�=hnuaek.+r Tu{ail Addross Phono Itdep�t'►de�►t Ek�['i�l 321�9 S.&L�{�e t�V�ke�gd. Licenas No. �ND��BC13T�1 Coat�ctcirs,�ac. Enumcla.r,WA.9i�422 i �.xp;reuon Dsu 4li3l97 t,'ce nf P,►d�: ❑SF iica ❑�vmm �Othcr ❑hiuIti C�hurch/5chool Cls.c�of Woric: er►� ❑AlteraYion GAddition �Rs�air '! [�escri k,e Wqrk: �� �00 Am U� Servi�e Si�a ie Fazn�y I�wellllu�g �� 1�yne of C:ansc: N�EW �SYLI�h'T'IAL SERVICES RZOBILE H�h'�5 � Occupancy Group: Servica or fr:�der anly . . . . 5d0 �} nccupancy Lc�arj: Single Family r Service and feeder . . . . . . . b$ ` Square Feet. �(First 1300 ft''-$50; Each sdci'n _ _----- — 500 ftz-52�) M�BILE HOME!�iV �'ARK I' Cf tans �re re uired for reviaw t�ia f�e is #of service or feeders ��, P q y ������ =���.� — I35`� �f��e per�it f� �1�.5 �54_ Addittonal � Earh ou ui ing or garage . $25 (F"irst servicelf�er-$4�; Add'n ': pla a iCti'1���' iC�f uther submissians is 560.�r. service�fcocciers-$25 eaeh} �'' M1f ISC E(ZUIPh�E'�"r!'TEMP SERVICF.� NEW hiULTI-FANIILX C01��1��tCIAL1IlYDYJSTRIAL (' � of�'hermostats {Inclu�es threz units or mare) Amps Sez�ice or Add'n� i�y(Firsi t�7�et�.ostat-$�0; Add'n thermostats- Sorvice Feeder F�der 51b each) _ Up to 2,OC3 amp . . $ 65 , . . � 20 0 to A'� . . . . . . $ 65 . . $ �0 � # of�.ow vpltage fire ar burglar al�irm _2a� - acw amp . . sa _ _ . . �n l0i - 2G� . . . . . SC) . . . 50 �� fFirsc 2�;�0 ft=-$35; Each add�n SUO ft�-51�) ap1 - b00 am;� _ _ 110 . . . . 55 � 201 - 40C . . . . . 7.5� . . . 60 +; � of Signs _ G01 - 800 amp - - 140 . . . . 75 441 - E04 . _ _ . - 175 . . . 70 � — Ef tFirst sign-$30; Add'n sigu-$1� each� � $41 and ouer . . 2(?4 . . � 15Q 601 - SOa . . . . . 225 . . . 95 ( _ �rogress inspuctitsra pe[ br - _ . . . . �50 � SO1 - 100t�. . . . . 275 ; = _ 115 SWI�g�7CJ<71, hvt tub, &�a 5Q over lOQO 3t�G 160 Temporary Pole . . . . . . . . . . . . 35 Over 6i]0 volt� surcharge . . . 5t7 1 _ Yard Pole meter :oops . . . . . . : . 40 � Mast or met�r r�pair . . . . . 5� � ■ ?ssuanc.e fve for each permit . , . . 20 ii �� ALTEREA S�tGLE- QR CON�RCIAL/II�1llY1STRIAI. �{ ,'wpc.�ctioru rec�uested be��fore 3:�0 wilt be N�[J�TI-FAMII.Y Altezed Service ar Fee�ers `)rnade the fotlowir►,�;wurk d�t�, 661-�14�. (When inspect�c!separ�tely fram t4�e _ 0 ka 200 . . . . . . . . . . . . $ 65 (I s�r��i�&.) _ 241 - b00 . . . . . . . . . . , . I�0 �I I herehy c�rtify t�,at Z am the owner (ot Service�r Fetsler 501 - 1000 . . . . , . . . _ . . ?25 �I auihorizcci &gent) csf tbc;above �named _G co �00 am� - - . . . . . . . . S 55 over I000 . . . . . . , , _ _ . _ 25J �I; prooerty or a �itea5ed Cont[acto�(or ftrm's _2QI - �500 amp - . . . . . . . . . 80 _# of circvit� i! authoriz.z�d agent) and 8�m tl�king �'ie _ over 600 . . . . . . . . . . . . . 120 (First 5 circuits-$50; Add'n �� ir�sta[lation�r altaration i�i r�mpliance with __Mast or met�er te�tair . . . . . . 34 c�rcuits-$�each) E� dl1 applicabie city, cauury, and staue laws. !� nf cireuets . . . . . . . . . . . . 40 Temporary 5erviee �) �(Firat oircuit-$40; A,dd'n circuit- _ � tq x00 . . . . . . . . . . . . . �40 ?� Appli gnature: � ` �5 each) _ it31 - ZQO . . . . . . . . , . . . 5l7 201 - 400 . . . . . . . . . . . . 6Q � � ¢OI - 6f.►0 . , . . . . . . . . . , $U i �aver 600 . . . . . . . . . . . . . 90 ( �a1e: :'J t M.. Ycnsrt� 3f31N1 � _ i � } ` ,,� ,�TR�UCTURL : isting Use �� 'nposed Use ~ �r � � ti�-E-��,..-�. `�Y'l b-C ��'�-�t.� S��t t Permit includes: Building C� Plumbing f� Mechanical (�' Other �� Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck 79 Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area G(,( , ��' sq ft Area Basement _sq ft _ Decks_ _sq ft Garage sq ft Proposed Total Area ��iL`� sq ft -� Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ < Project Valuatig� $ . ;�, � �.�':;; Zoning Lot Size �Existing Bldg Valuation $ _ _ _ _ __ _ __ __ ___ __ _ __ ___ _ _ _ __ _ _ ___ _ _ __ _ .... __ LENDER Name Address i�iC��L� City State Zip MECHANTCAT. C�NTRACTOTt I Contractor Name Address '��.'� (�...1'l'����S � (L�-'� f, �. I C�tY State Zip Contact Phone Fax License # Expiratiun Date Verified ❑ Yes ❑ No PLUMBIlYG �CONTRACTOR Contractor Name Address � �1� C�t,v(�( � �'�A � - Ci �l 1((.�� City State Zip Contact Phone Fax License # . Expiration Date Verified ❑ Yes O No 1 PLUMBING FIXTURE COUNT Water Closets ��� < , � � Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories e� Washing Machine Drains Total:Fxtute.:Count : : C�A:SY�CA�;UNTT �OUN� Fuel Type (electric/other) ��� -�� Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping ange Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscella�eous Fuel Ta�ks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground ;, . BBQ's Wood Stoves 3-15 Tons Total::lJntt Ctiurit: _,::`;.`.,...,,. ' '� �1iSCLA1MER: 1 certify under panalty of pery'ury thet the information fumished by me is true and conect to the beet of my knowledge and further that I am authorized by the ownnr of the above premises to perfortn the work far which permit epplication is made.I further agree to save harmlesc the City of Federal Way es to any claim(inclu�'ing casts,ezpenses, and attomeys'fees incurred in investieation and defense of such cleiml,�'.'ich may be made by eny person,includinp the undersigned,and filed against the City of Federal Way, b�t only where such claim arices out of tho reliance of the City,including�s officers and employees,upon the accuracy of the information supplied to the City as s part of this applicaticn. , ���J-r�� ��_- ���� � � Owaer/Apent:'-�"�' � � Date: � ��- _ ' .