99-104884CITY OF FEDERAL WAY
0
0-100 AMPS....: 0
PERMIT N0: ELE99-1475
33530 First Way South
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ISSUED: S U E D : 1;� / � �. r9 9
Federal Way, WA 98003
Electrical Inspection Requests
253_66_1-4140
BY.- FC
253--661-4000
0 th-.
OVER 600 AMPS.: 0
EXPIRES: 12/15/00
ADDRESS:32816 43RD PL SW
0
0-100 AMPS....: 0
�'�1 l�Y�'8Y
0
NO.: 873201-0330
601-1000 AMPS...:
0
201-400 AMPS..: 0
OVER 1000 AMPS..:
PROJECT DESCRIPTION:ELE - WIRE SIWM SPA -
60 AMP PANEL, 2 PUMPS, GAS NEAT,
1 LIGHT
0
OVER 600 AMPS.: 0
F= OWNER
CONTRACTOR-___________=_______-_-_==________=____ ____= LENDER
DIANA NELSON
BREKELECTRIC
!
;
32816 43RD PL SW
10701 ALTON AVE NE
FEDERAL WAY WA 98023
SEATTLE WA 98125
4 253/815-9413
I 206/367-8088
g
-BREKEI*09,K8
{'
:st CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE = IIA :
STRUCTURE INFORMATION NEW RESIDENTIAL
* MOBILE HOMES
# $ RESIDENTIAL ALTERATIONS $
MULTI FAMILY NEW
SEV
FEED
CONST, TYPE.: V -N'
cco`rrrE OR FEEDER ONLY:
0 0-200 AMPS........: 1
0-200 AMPS...: 0
0
OCC. GROUP..:
SERVTCF” A ER....:
0 ' 201-600 AMPS......: 0
201-400 AMPS,: 0
... 0
OCC. LOAD...: 0
SERVI_ L OR`F R.fPO :
0 OVER 600 AMPS.....: 0
! 401-600 AMPS.: 0
... 0
SQUARE FEET.: 0
AEA IR.: Q
'^
601-800 AMPS.: 0
0
BER ITS �
801 AND OVER.: 0
0
...
COMM. ALTERATIONS $ .EMP SERVICE
MISCELLAnEOL'S
COMM/IND NEW
INSPECTION RECORD
}
0-100 AMPS.....: 0 ... 0 SERVICE
DATE
F
0-200 AMPS......:
0
0-100 AMPS....: 0
201-600 AMPS....:
0
101-200 AMPS..: 0
601-1000 AMPS...:
0
201-400 AMPS..: 0
OVER 1000 AMPS..:
0
401-600 AMPS..: 0
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES...,...: 61.50
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INION FUBWga-BY ME 15,4`R"DA
OWNER OR AGENT
THERMOSTAT'S ..... 0 101-200 AMPS.... 0 ... 0
LOW VOLTAGE....: 0 201-400 AMPS...: 0 ..• 0 COVER.,
SWIMMING POOL..: 0 401-600 AMPS...: 0 0
DATE
SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL ._____________ DATE _____—___ '
TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 COMMENTS: €
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
TOZ
ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
-------------------- DATE
FILE COPY
crrr of �
• 11 E�
VV AY
OR 2
ELECTRICAL PERM IT/v4kPPLICATION
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
*
**Federal Way Business License number: ELE -
Job Address r �� ��
Job Site Phone ��
Parcel No
Lot No
Subdivision Name
Owner/tenant
Mail Address
Phone p /%
Electrical Contractor
�'
��� - r_/`x
Address/phone Z�* 3C
Elec gtr for li 11Y b copy raq'd):
c4 C/
Expiration Date:
Use of Bldg: 8 SF Res ❑ Comm ❑ Other ❑ Multi ❑Church/School
I Class of Work: ❑ New ❑ Alteration ❑ Addition ❑ Repair
Description of work:: Gu_ i� c�CJ i y ani
If service is greater than 200 amp, a
plan review is req'd. Fee is 35% of
permit fee +$56.25. Add'1 plan review
for other submissions is $67.00/hr.
MISC EQUIPMENT/TEMP SERVICES
_ # of Thermostats (First -$33.50; add'n-$10.50ea)
_ # of Low voltage fire or burglar alarms
First 2500 ft' -$38.75; Each add'n 2500 ft2-$10.50
* Per WAC 29646-910(5)(bxi & ii)
_ # of Signs (First sign -$33.50; add'n sign
$16.00 each)
_ Progress inspection per 1/2 hr .... $33.50
_ Swimming pool, hot tub, spa .... 67.00
-Temporary Pole (up to 60 amp) .. 38.75
_ Yard Pole meter loops .......... 44.25
Inspections requested before 3:30pm will be
made the following work day, 253.661.4140.
I hereby certify that I am the owner (or authorized
agent) of the above named property, or a licensed
contractor (or firm's authorized agent) and am
making the installation or alteration in
compliance with all applicable city, county,
and/or state laws.
Applicant's S' `ft
Date:
UMIC.M!
REVISED IL7/99
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 ft' -$67.00; Each add'n 500 ft -$21.50)
Square Feet:
_ Each outbuilding or garage . $28.00
(inspected with service)
_ Each outbuilding or garage ..$44.25
(Inspected separately)
NEW MULTI -FAMILY
(Includes three units or more)
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the
services.)
Service
Feeder
Up to 200 amp
$ 72.25
$ 21.50
201 - 400 amp
. 89.75 ...
44.25
401 - 600 amp
123.25 ...
61.50
_ 601 - 800 amp
158.00 ...
84.25
_ Over 800 amp ..
225.25 ..
169.00
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the
services.)
MOBILE HOMES
_ Service or feeder only .... $44.25
Service and feeder ...... $72.25
MOBILE HOME/RV PARK
_ # of service or feeders
(First service/feeder-$44.25; Add'n service/
feeder -$28 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or Feeder
0 to 200 amp ...............
$ 61.50
_ 201 - 600 amp ...............
89.75
_ over 600 ..................
135.25
_ Mast or meter repair
.......... 33.50
_ # of circuits ......................
.. 56.25
(1-4 circuits -$44.25; Add'n circuits $5 ea)
MOBILE HOMES
_ Service or feeder only .... $44.25
Service and feeder ...... $72.25
MOBILE HOME/RV PARK
_ # of service or feeders
(First service/feeder-$44.25; Add'n service/
feeder -$28 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or
Adu t
44.25
Feeder
$ 72.25
_ 0 to 100 .....
$ 72.25
. $ 44.25
_ 101 -200 .....
89.75
.. 56.25
_ 201 -400 ....
169.00
.. 67.00
_ 401-600 ....
197.00
.. 78.75
_ 601 -800 ....
254.50
107.25
_ 801-1000
... 310.75
129.75
_ Over 1000 ....
339.00
181.00
Over 600 volts surcharge
.. 56.25
_ Mast or meter repair ......
61.50
COMMERCIAL/INDUSTRIAL
$38.75
Altered Service or Feeders
44.25
_ 0 to 200 .................
$ 72.25
_ 201-600 ................
169.00
_ 601-1000 ...............
254.50
_ over 1000 ................
282.75
_ # of circuits
(1-5 circuits -$56.25; Add'n circuits,
$5 ca)
Temporary Service
_ 0 to 60 ..................
$38.75
_ 61 - 100 ........ :.........
44.25
_ 101-200 .................
56.25
_ 201-400 .................
67.00
_ 401-600 .................
89.75
over 600 ..................
97.75
CITY
35C3ClFlFirst EWay South ,. .. M` i�E F2MIi UE Ir12/22/4�95
r. I:
'SUED: 12X.
Federal rel Way, WA 9EI003 Eloctri.:al 253 X61 ...41.E i:l BY: FC
253--661....4000 EXPIRES: 1.2/1.5/00
ADDRESS: ; 2816 43RD ISL SW
NO.: 873201t-03','30
T ROJ E C I' DF SCR I P'c I ON : ELE - MIRE SIMM SPA - b0 AMP PANEL, 2 PUMPS, GAS HEAT, 1 LIGHT
OWNER CONTRACTOR
DIANA NELSON BREK£LECTRIC
32816 63RD PL SN 10701 ALTON AVE HE
FEDERAL MAY NA 99023 SEATTLE NA 98125
2531815-9473
ate: xaxcisrsxa:�arrw.¢c:ua-a>7xm:x:.:
stt CONI
STRUCTURE INFORMATION
CONST. TYPE.: V -N
Oct. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0 j
COMM. ALTERATIONS
206/367-0088
RREKEIIO9M
'LEASE VSL T
I NINj , ; a
T ONLY:
(PK):
_00000e
� MiSCELL�iNEOU" r
0-200 AMPS......:
0
0-100 AMPS....:
T
201-600 AMPS....:
0
101-200 AMPS-:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
NUM. OF C-IRCIUTS:
0
OVIR 600 AMPS.:
0
TOTAL PERMIT FEES.......:
0
61.50
DATE ....__..__.,....
IKRMOSTATS....: 0
LOM VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
LENDER -:
FEDERAL NAY. TAX RATE : 8.61 Us
I NOW- I I *XESIDEIM AI 9FERATIONS #
0 0-200 AMPS......... 1
0 201-600 AMPS......: 0
0 AVFR64
AMP"UmS...... 0
71,ti
.�#U ,
,y
MULTI FAMILY NEN f
SIV FEED
0-200 AMPS...: 0 ... 0
201-1100 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
t COMM/IND NEW t
t INSPECTION RECORD
0-100 AMPS.....: 0 ...
0
SERVICE _
DATE
101-200 AMPS...: 0 .
0
201-400 AMPS...: 0
0
COVER,. .____...._
_..._.___. DATE _.-_...._._...
401-600 AMPS...: 0 ...
0
i
,
601-800 AMPS...: 0
0
i FINAL.. .._......___.._...__
DATE ....__..__.,....
801-1000 AMPS..: 0
0
i COMMENTS
1
OVER 1000 AMPS.: 0 ... 0
OVER 600 VOLTS.: U
MAST`/METER RPR.: 0 t
:i�a:�;1Y.'Ytx S'.4Yd¢CGfM1'u"lm¢ 9 YY:::::Ltl:C:�ti.Y¢:ttC19G¢tlCS`�iX:Y:Y. W x."<1i:[t'.��1R+:«'� C.CI'i i^.atlKiDCY1.:"7F&Y S:M57� W i6fB�R4RP'YtA.•�Yl.'++S:.J
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO YORX IS START0.
I CERTIFY THAT THE 11 F MIATION Fz*IISNED BY, NE 15, Mt A00,01tRECT TO TRE CI Of MY KNONL.EKE AND INE APPLICABLE CITY OF FEKRAL MAY Rtt?U!TRINUMIS MILL K NET.
,
OWNER OR AGENT _ .._ c� - y
FIELD COPY
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SU:SFENDED GEIi INO::::::
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PLANNING FINAL ........................... ....
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Date By
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Date By
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BUILDING FINAL.
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OTHER _ ....
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CDO193 (Rev 4197)