95-100890OWNER OR AGENT
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
DATE
ELECTRICAL PERMIT
Building Inspection Requests 661-4140
ADDRESS:104 S 294TH PL
NO.: 543720-0150
PROJECT DESCRIPTION:ELETRIC PERMIT - (1 CIRCUIT)
OWNER CONTRACTOR
CHARLET CLAY HOLMES ELECTRIC
104 S 294TH PL PO BOX 179
FEDERAL WAY WA 98023 1422 RAYMOND AVE SW
RENTON WA 98057
235-8000
HOLMEEC549BH
LENDER
Av'P5-cdo'9q0
PERMIT NO: ELE95-0020
ISSUED: 05/04/95
BY: FC
EXPIRES: 04/27/96
STRUCTURE INFORMATION ;
NEW RESIDENTIAL t
= MOBILE HOMES =
; RESIDENTIAL
ALTERATIONS t
MUILTI 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..:
OUT BUILDINGS..:
0
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.: 0
MAST/METER REPAIR.:
0
601-800
AMPS.:
0 ...
0
NUMBER OF CIRCUITS:
1
801 AND
OVER.:
0 ...
0
= COMM. ALTERATIONS =
TEMP SERVICE
s MISCELLANEOUS
COMM/IND NEW ;
# INSPECTION
RECORD
;
0-100 AMPS.....: 0 ...
0
SERVICE
DATE
AMPS......: 0
0-100 AMPS....:
0
THERMOSTATS....:
0
101-200 AMPS...: 0 ...
0
6200
1-600 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.......:
40.00
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER IS CE IF O WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORAT BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTDATE
----------------- 5 1\��------------------------------------ -
- ---- -- - ------------------
FILE COPY
JG f�L,
On OF CL C -7 `f Z 80 3353IFirat Way South
R E(I I VE DFederal Way WA 98003
VV Phone (206) 661-4000 +
MAY 9 31995
ELECTRICALr PERIMT Ai'j'OAY
BUILDING DEPT. gam-
�-
Job Addmaa/ yob Sits Phone
Parcel No Lot Na Subdivision N
�r
Owner Mall Address Phone
Eisotriaal Contrect�r Msii Address Phone Z- 3 is 00 0
/ 2P,-, alc,.� t-61 Lioense No. 14,11 te-r-
Alt P. 0, 7 7 Expiration Date � v $
Use of Bldgi GS Rea oComm 00ther ❑Multi oChuroh/Sohooi Clara of work: oNsw ❑Alteration 12Addition OPepair
Describe Worki
Typo of Const: re s • de
Occupancy Group;
Occupancy Loa,:
Square Feet:
If plans are req iired for review, the fee is
35% of the per nit fee plus $50. Additional
plan review for Iother submissions is $60/hr.
MISC EQUIPMENTAMMP SERVICES
# of Thermostats
(First thermoitat.$30; Add'n thermostats -
$10 each)
_ # of Low vdltage fire or burglar alarm
(First 2500 W-$35; Each add'n 500 "10)
—# of Signs
(First sign -$30; Add'n sign -$15 each)
_Progress inspection per hr ....:. $60
_ Swimming p ol, hot tub, spa .... 60
_ Temporary Tole ............ 35
Yard Pole mbter loops ........ 40
Inspections requested before 3:30 will be
made the following work day, 661.4140.
I hereby certify that I am the owner (or
authorized agent of the above named
property or a licensed contractor (or firm'snt
authorized agent and amaking the
installation or alteration is compliance with
all applicable city, county, and state laws.
Applicant' gnaturel
i
Date �
ArA m a41M
NEW RESIDENTIAL
Single Family
`(First 1300 ft2-$60; Each dd'n
500 ft2-$20)
_ Each outbuilding or
MORES HOMES
*Service or feeder only .... $40
_ Service and feeder ....... 65
MOBILE HOME/RV ]PARK
_ # of service or feeders
$25 (First servico/feeder`$40; Add'n
service/feeders-$25 each)
NEW MULTI -FAMILY
(Includes three units or more
Service Feeder
_'Up to 200 amp , . $ 65 .... $ 20
_ 201 - 400 amp .. 80 .... 40
401 - 600 amp , . 110 .... 55
_ 601 - 800 amp .. 140 .... 75
_ 801 and over 200 1... I50
ALTERED SINGLE- OR
MULTI FAMILY
(When inspected separately frj m the
services.) f
Sexvice!or Feeder
_ 0 to 200 amp .. , . , .. ' .. $ 55
_ 201 - 600 amp ...... ... 80
_ aver 600 .......... 120
_ Mast or meter repair .. ... 30
# of circuits ........ 40
(First circuit -$40; Add'A 't-
$5 each)
COMMERCIAVINDUSTRM L
Amps
Service or Add'n
Altered Servioo or Feeders
Feeder
_ 0 to 200 ............
—0 to 100......
$ 65 . ,
$ 40
101-200
..... 80 ...
So
201-400
..... 150 ...
60
401-600
... , . 175 ...
70
601 -800
..... 225 ...
95
_ 801-1000
.... 275 ...
115
_ over 1000
..... 300 ...
160
_ Over 600 volts surcharge , ..
50
Mast or meter
repair ... , .
55
COM V=CIAL/INDUSSTRL4,L
Altered Servioo or Feeders
_ 0 to 200 ............
$ 65.
201-600 ............
150
601-100o ...........
225
_ over 1000 ............
250
_ # of circuits
(First 5 circuits -$50; Add'n
circuits -$5 each)
Temporary Service
0 to 100 .............
$40
_ 101-200 ............
50
_ 201-400 ............
60
_ 401 - 600 ............
80
_ over 600 .............
90
OWNER ON AGENT DATE
CITY OF: FEDERAL YX3353® First WaySouthELECTRICAL ERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:104 S 294TH PL
NO.: 543720-0150
PROJECT DF SCRIPTION:ELETRIC PERMIT (I CIRCUIV
OWNER - CONTRACTOR
CHARLET CLAY HOLMES ELECTRIC
104 S 2941H PL PO BOX 179
FEDERAL WAY WA 9802< 1422 RAYMOND AVE SW
HINTON WA 98057
235-8000
STRUCTURE INFORMATION
CONST. TYPF.: V-0
OCC. GROUP-:
OCC. LOAD... : 0
SQUARE FRI.: 0
$ CONN. ALTERATIONS I
16200 AMPS......: 0
1-600 AMPS....: 0
601-1000 AMPS...: 0
OVER WOO AMPS-: 0
NUN. Of CIRCIUTS: 0
TOTAL PERMIT FEES.......:
PERMITS EXPIRE 186 DAYS AFTER IS
Tf 0"
I CERTIFY THAT THE INFORMAT
01 11Z
OWNER OR AGEH';
TIAL *
N311161LE FAN.:
OUT'' WICINGS..:
Im
ONES 4 1 * RESIDENTIAL ALTERATIONS 4
OILY: 0 0-200 AMPS......,.. 0
lam
PO
m
*"
-TE ME 0
#UNBfR OF CIRCUITS: I
q6- I Koh
PERMIT. NO: LLE95-0020
ISSUED: 05/04/95
BY: FC
EXPIRES: 04/27/96
NUILTI FAMILY NEW *
SEV FEED
0-206 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
##t'400 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
F COO/IND NEW INSPECTION RECORD
0 -lot DATE
st, W'
'?o
U AMPS.... 0 ... SERVICE
0 i0 Amps. 0 THERMOSTATS....: 0 101-200 AMPS...: 0 ... 0
101-200 AMPS..: 0 LOW VOLTAGE....: 201-300 AMPS...: 0 ... 0 COVER.. DATE
201-400 AMPS..: 0 SWIMMING POOL—: 0 301-600 AMPS...: 0 ... 0 1
401-600 AMPS.,: 0 SIGNS..,.......: 0 601-800 AMPS...: 0 0 FINAL.. DATE
:7F
OVER 600 AMPS.: 0 TEMP. POLES—.: 0 801-1000 AMPS—: 0 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
40.00 OVER 600 V011S.: 0
MASTIMETER RPR.: 0
CC IF 0 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
BY f IS IROI: AND CORRECT TO TR BEST OF MY KNOWLEDGE AND 14E APPLICABLE C1fY Of FEDERAL WAY REQUIREMENTS WILL BE NET.
D -Ali
FIELD COPY
SE�'BACKS $'F 347 HGS
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FOUNDATION jllll4L[.$
Date
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PLUMBING>' GROUNDWORK
Date
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UNI3ERFLCOR FRAMING
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PLUIINBIN G ROUGH -IN
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Date
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MECHANICAL RQ.UGH-IN
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FRAMING
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- 1 ST LAYER
Date
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GWB - 2ND LAYER
Date
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Date
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PLANNING FINAL`
Date
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ENGINEERING FINAL
Date
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FIRE FINAL:
Date
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BUILDING FINAL
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N4 "17m
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