99-104851CITY OF FEDERAL WAY
33530 F=irst Way South
t
Federal Way, WA 98003
253-661-4000
or
Electrical :Inspection Requests 253-661-4140
ADDRESS:4059 S.W 321ST ST
NO.: 873190-2260
PROJECT DESCRIPTION: INSTALLING NEW 200 AMP SERVICE FOR SFR.
= OWNER ______________________________________ -:____:::__=====r= CONTRACTOR
DON HALTERMEN FULLER ELECTRIC
4059 SW 321ST ST ° 37107 12TH AVE S
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
661-7181
s a
FULLEEI027BK
y'q -)0Y g5)
PERMIT NO: ELE99-1456
ISSUED: 12/20/99
.BY: FC2
EXPIRES: 12/1:3/00
LENDER
i
x:: CONTRACTORS, PLEASE USE LuCAT:DW f!ff 1732 WftER *0ORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.6% #_#
FILE COPY
STRUCTURE INFORMATION
MOBILE HOMES
' RESIDENTIAL ALTERATIONS
MULTI FAMILY
NEW
#
!
`
SEV
FEED E
P CONST. TYPE.: V -N NEW,
0-200 AMPS....
0
,.. 0
OCC. GROUP,.: OUT 9UI _.��5
^'"` '�`D FSE"F"
0
201 - AMPS... �
201-400 AMPS,:
0
... 0
OCC. LOAD...: 0
r
SERVICE t'° FEED"
'��,: 0
OVEN
401-600 AMPS.:
0
... 0
SQUARE FEET.: 0.-
i MAST/METER REPAIR.: 0
�-800 AMPS.:
0
... 0
t
NUMBER OF CIRCUITS: 0
801 AND OVER.:
0
... 0
t
---------------
h
_-_......__--_-_.-._•-_...___. __....._---__-__ ..._...,.».....,_..-._.-. ... ......__._ ..-..._...__
-------------
-------------------T------------
COMM. ALTERATIONS TEMP SERVICE *
$ MISCELLANEOUS
COMM/IND NEW
INSPECTION RECORD
a
,
... 0 SERVICE
0-100 AMPS.....: 0 ------------
DATE
----------
`
}
0-200 AMPS......: 0 0-1CC AMPS....:
0
THERMOSTATS....:
0
101-200 AMPS...: 0 0
201-600 AMPS,...: 0 101-200 AMPS..:
0
LOW VOLTAGE....:
0
201-400 AMPS...: 0 ... 0 COVER.. -------------
DATE
----------
'
I
601-1000 AMPS...: 0 201-400 AMPS..:
0
SWIMMING POOL..:
0
401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: O 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:
E --------!-----------------------------t
YARD METER LOOP:
0
OVER 1000 AMPS.: 0 0
€
TOTAL PERMIT FEES.......: 61.50
4
OVER 600 VOLTS.: 0
I
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DRYS AFTER ISSUANCE IF NO WORK IS STARTED.
---------------
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS
WILL BE MET.
OWNER OR AGENTP4�t� 4�
._----
----
--
DATE �.� ---- 9"
FILE COPY
RECEIVED
MY OF ��
0
VV
0-6 OAC 2 019910
CIA
BUILDING DEPT,
ELECTRICAL PERMIT APPLICATION
1' V, UA Al ♦1 Ay LU3 lAu sn' L14;GllJG 11U111UU1 .
Job Address LAS Ci
Parcel No Lot No Subdivision Name
Owner/tenant r Mail Address
i)(-) 'A /4 V OS Cl S SLI
Electrical Contractor Address/phone
Ftti Ile,- cle 1. r,
Use of Bldg: )SF Res 13 Comm ❑ Other ❑ Multi OChurch/School Class of Work: ❑ New N.Al
Description of work:: Feld
n � w �U H'�i' Se./• ✓� -cE Sic -
If service is greater than 200 amp, a
plan review is req'd. Fee is 35% of
permit fee +$56.25. Add'l plan review
for other submissions is $67.00/hr.
I MISC EQUIPMENT/TEMP SERVICES
_ # of Thermostats (First -$33.50; add'n-$10.50ea)
_ # of Low voltage fire or burglar alarms
First 2500 ft2-$38.75; Each add'n 2500 ft2-$10.50
* Per WAC 296-46-910(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 Signature:
T'
Date:
FIECIRIC.MP
REVVED 1217199
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 ft2-$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.)
Job Site Phone
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
IiLL' ' 1 -
Phone
X5-3-87y.1�_ci1)6)
Electrical contractor license number (copy-q'd):
/: u //c> e, C z? 6',f
Expiration Date: O,/ l � U 199
teration ❑ Addition ❑ Repair
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)
Job Site Phone
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
IiLL' ' 1 -
Phone
X5-3-87y.1�_ci1)6)
Electrical contractor license number (copy-q'd):
/: u //c> e, C z? 6',f
Expiration Date: O,/ l � U 199
teration ❑ Addition ❑ Repair
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
Add'n
44.25
Feeder
56.25
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
Altered Service or Feeders
_ 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 ea)
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
CTTY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253--661--4000
CLECTRICML FA E ft N IT
E-Lectrical Inspection ReqUeSts 253-661--4140
ADDRES5:4059 SW 321ST
NO.: 873190-2260
PROJECT DESCRIPTION: INSTALLING NEW 200 AMP SERVICE FOR CJP.
OWNER ...... I- CONTRACTOR ........
DOM HALTERNEW FULLER ELECTRIC
4059 SW 321ST ST 37107 12TH AVE S
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
661-7181
FULLIE10278K
I ... . .................. ..... ......
LEMMA
PERMIT NO: ELE99--1456
ISSL)ED: 12/20/99
B,(. rC2
EXPIRES: 12/13/00
1, .. ... ......
PIRNITS EXPIRE 180 DAYS At ILK ISSUHCE If NO IOR[ IS STARTED.
I CERTIFY THAT TILE IKORMI ION fORNISKI ff NE Is 199 AD CORRECT TO TIE VEST * W KOREAVE W TK AMICABLE CITY Of fEDERAL NAY REQUIkLMNIS HILL BE NET.
C'
OWNER OR AGENTL PAT[
FIELD COPY
qu LQ All Cot
tn't' vRrg grFoRTING WS
TAX I(* PROJECTS VItNIN IK CITY * FUNM BAY.
I" RATE : 8.6% sn
t
NEW RISIDDIT AI
I t 4001ti 8001L.
RESIDENTIAL
ALTERATIONS t
MULTI FAMILY NEW
SEV
FEED
CONST. TYPE.: V -X
AN t3flf,1[ FAM.;
k�IACE 09 UL1-1111:
-
020 AMPS—.
I
0-200 AMPS—: 0 ...
0
O(C. GROUP-:
4G" 0
-ER11"Iff AND f FERP.
Of 201--, " APS,
201-400 AMPS.: 0 ...
0
OCC. LOAD... 0
�IPV!rf 0' ' F1110
0 QVIR 600 A#v'-
401 -600 AMPS.: 0 —
0
SQUARE FEET,:
f/M[T[k REPAIR,
11-41111"1011-900 Amps.: 0 —
0
NUMBER OF UPOIN 0
801 AND OVER,: 0 —
0
COMM. ALTERATIONS
I SIPVICE
-
--------------
("M/lMD KIN
---------------- -------------
- ------
INSPECTION RECORD
0-100 AMPS--: 0 —
0
SERVICE
DATE
0-200 AMPS......: 0
0-100 AMPS....: 0
I THERMOSTATS—.:
0
101-1-00 AMPS...: 0 ...
0
201-600 AMPS....: 0101-200
AMPS-: 0
LOW VOLTAGE....:
0
201-400 AMPS...: 0 ...
0
COVER.,
DATE
601-1000 AMPS...: 0
201-400 AMPS..: 0
SWIMMING POOL..:
0
401-600 AMPS...: 0 ...
0
OVIR 1000 AMPS-: 0
401-600 AMPS-: 0
SIGNS..........:
0
j 601-800 AMPS...: 0 ...
0
FINAL..
DAIE
RON, Of CIR(IUTS: 0
OVER 600 AMPS.: 0
TEMP. POLES—.:
0
j 801-1000 AMPS..: 0
0
COMMENTS:
YARD METER LOOP:
0
OVER 1000 AMPS.: 0
0
TOTAL PERMIT FEES.......:
61.50
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
1, .. ... ......
PIRNITS EXPIRE 180 DAYS At ILK ISSUHCE If NO IOR[ IS STARTED.
I CERTIFY THAT TILE IKORMI ION fORNISKI ff NE Is 199 AD CORRECT TO TIE VEST * W KOREAVE W TK AMICABLE CITY Of fEDERAL NAY REQUIkLMNIS HILL BE NET.
C'
OWNER OR AGENTL PAT[
FIELD COPY