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95-100920 33530OFirsDEWay South E L E C T R I C A L P E R M I T PERMSSUED: 05/09/9536 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC '661-4000 EXPIRES: 05/02/96 ADDRESS: 115 MIRROR LAKE PARK ���'�DVE� g$�• /pp9 0�� ;�10. : 072104-9003 PROJ ECT DESCR I PT ION:UP6RADE SERYICE AqD ADD 5 NEw CIRCUITS. E�AY 0 9 �995 BETHEL CHAPEI, BLD6 115. OMNER CONTRACIOR BUfL'T31r.t1G flEAT. BETHEL CHAPEL D IN CLOSE CO INC 414 SIM 312TH P 0 BO% 24246 FEDERAL NAY MA 98023 SEATTLE WA 98124 -0444 623-8960 DMCLOCI21805 = STRUCTURE INFORIIATION = = NEM RESIDENTIAL s r NOBILE HOIIES � = RESIDENTIAL ALTERATIONS i � MUILTI FAMILY NEN � SEY FEEO CONST. TYPE.: V-N NEM SIN6LE FAW.: SERVICE OR fEEdER ONl1': Q 0-200 AIIPS........: 1 0-200 AWPS...: 0 ... 0 OCC. 6ROUP..: OUT BUILDIN6S..: 0 SERIYCE AND FEEDER....: 0 201-600 AWPS......: 0 201-400 AMPS.: 0 ... 0 OCC. LOAD...: 0 SEAYICE OA FEEDER (PK): 0 OVER 60Q ANPS.....: 0 401-600 AMPS.: 0 ... 0 SQUARE FEET.: 0 ;�����,� ;����, �� � MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0 NUIIBER Of CIRCUITS: 5 801 AND OYER.: 0 ... 0 � COMN. ALTERATIQNS s � TEMP SEAYICE � r NISCELLANEOUS � � COWIJIND NEM = = INSPECTION RECORD ; 0-100 AMPS.....: 0 ... 0 SERYICE DATE 0-200 AHPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: 0 101-200 AMPS...: 0 ... 0 201-600 AIIPS....: 0 101-200 AIIPS.,: Q LOM VOLTA6E....: 201-300 AMPS...: 0 ... 0 COYER.. DATE 1-1000 AMPS...: 0 201-400 AMPS..: 0 SwII1MING POOL..: 0 301-600 AIIPS...: 0 ... 0 _YER 1000 AMPS..: 0 401-600 AMPS..: 0 SI6NS..........: 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE NUM. OF CIRCIUTS: 0 OYER 600 AHPS.: 0 TEMP. POLES....: 0 801-1000 AIIPS..: 0 ... 0 COIIIIENTS: YARD IIETER LOOP: 0 OVER 1000 AIIPS.: 0 ... 0 TOTAL PERiIIT fEES.......: 115.00 OVER 600 YOLTS.: 0 NAST/METER RPR.: 0 PERMITS Ef(PIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND 6RADING PERIIITS f%PIRE ONE 1'EAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INF A ON NISHED BY NE IS TRUE AND CORRECT TO THE BEST OF NY KNOMLED6E AND TNE APPLICABLE CITY OF fEdERAL UAY REQUIRENENTS wILI BE MET. OWNER OR AGENT __ __ _ ' ---------------------------------------------------------------- DATE �_--_�--_ � FIIE COPY ,1 ' � G ����)��� 33530 First Way South ---�— ED Federal Way WA 98003 �� �/ Phone (206) 661-4000 ���� � � ���� EL�CTRI���i=R��T APPLICATION �_ait���:� �r��-.. . , ELE-��(�L) - � Job Address I (L ���� �.: r� L — ��/)� �. Job Site Phone .�n �Q� _ �c. ! J !` Parce!No Lot No Subdivision Name Owner �c-��� �.'n�::� .'�'�/��11:1rJr n,le v� Mail Address �O�� �"'�'�r:��r- Phone �3<� �_ `Z(..�JC- v L/iY_'� �l(?� Electrical Contractor Mail Address Phone (,.2 3'""�`��'� ��'�V C�-1�x..0 L=� ��'x �t-1���� License No. ��C,��� Ll:z� i Z.1���� �j� N �l� � Z� Expiration Date Use of Bldg: ❑SF Res ❑Comm ❑Other oMulti �Church/School Class of Work: ❑New AlteraGon ❑Addition epair Describe Work: i✓4� �b�c- :��1?V;!c � L!�A r`/ ✓�7 c,,,.� r;n.� ��<< F/.r� . -� N _�I����1 G�<: ,. ��:-C�/O Type of Const: NEW RESIDENTIAL SERVICES MOBII,E HOMES Occupancy Group: Service or feeder only . . . . $40 Occupancy Load: Single Family Service and feeder . . . . . . . 65 Square Feet: (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 3540 of the permit fee plus $50. Additional _Each outbuilding or garage . $25 (First service/feeder-$40; Add'n plan review for other submissions is $60/hr. service/feeders-$25 each) MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMII,Y C011�1�RCIAL/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 ■ Issuance fee for each permit . . . . . 20 ALTERED SINGLE- OR COMII�RCIAL/INDUSTRIAL � Inspections requested before 3:30 will be MiJLTI-FAMII,Y 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 ---- 401 - 600 80 over 600 . . . . . . . . . . . . . 90 Date: � — `�-- � �j Revisen 3/3�ros .