99-104580CITY OFA FE=DE=RAL. WAY
3::3530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1911 SW 353RD PL
NO.: 926975-0070
PROJECT DESCRIPTION:TSTAT
r= OWNER
DICK POULSEN
1911 SW 353RD PL
FEDERAL WAY WA 98023
- L/V THERMOSTAT
i
Electrical Inspection Requests 253-661-4140
CONTRACTOR
NORPAC HEATING & A/C INC
3414 "A" ST SE SUITE #102
AUBURN WA 98002
= LENDER
1p J, / b Y 5 8(7
PERMIT NO: ELE99-1312
ISSUED: 12/01/99
BY: FC2
E=XPIRES: 11/24/00
931-0608
! I NORPAHA123M5
------------
-----------------
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% ***
3 # STRUCTURE INFORMATION NEW RESIDENTIAL MOBIL HOMES $ RESIDENTIAL ALTERATIONS MULTI FAMILY NEW $
9 f
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... ` i DI S, ' 0�_T, 201-400 AMPS.: 0 .. 0
QQ Btf1.. •� ,� t
OCC. LOAD...: 0 r 1; �R C)R�DER (PK �'R 401-600 AMPS,: 0 0
SQUARE FEET.: 0 �. „ ��w .. ,,,_ ����; a, Ii -800 AMPS.. 0 0
...., =art ��«..3„.:�,� .....<, ,TJMETER _: 0
T NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
COMM, ALTERATIONS $ TEMP SERVICE MISCELLANEOU5 $ COMM/IND NEW $ INSPECTION RECORD
0-100 AMPS.....: 0 0 SERVICE DATE
0-200 AMPS......: 0 0-100 AMPS....: 0 ' THERMOSTATS....: 1 101-200 AMPS...: 0 •.. 0
201-600 AMPS....: 0 101-200 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
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.......: 33.50 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
---------------
.._._».....__......____________...___..._____..___._._.__..._._...____-.__..........._..,..__.-_.__._._....___..._________._.__-________-..-_..__._..,...__................._....,___,,....___._...,............-.__-_-_-___-_..__..-__...._..___..-....._._.... _._.,_._......,..-......._..._i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT._--------------- _-------__---_.-._. DATE `z _
FILE COPY
CITY OF =--
VV FAY � E1� 1F A� �� r1►
4
ELECTRICAL PEMflT APPLICATION
'Federal Way Business License number:
BUII,DING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
F,i,F, "qa - I.'-, 12
Job Address i i 5' (� 3 S` �=✓ �� •
Job Site Phone
Parcel No
Lot No
Subdivision Name
Owner/tenant' g t
�t•� Pou
Mail Address
Phone
Electrical Contractor
Address/phone
Electrical contractor license number (copy req'd):
"0 IL fro 7� «1 S al r4 /c-
.5r- S L` �/oZ
N"yLp A 1,,16 / ?-,5 -1 c -
Expiration Date:
r ✓ `tSoo 8-
Use of Bldg: ` LSF Res 0 Comm 0 Other 0 Multi OChurch/School
Class of Work: 0 New WAlteration 0 Addition 0 Repair
Description of work:: �,o, t10 f �.s t T,� k> -
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
_ Service or feeder only .... $44.25
plan review is req'd. Fee is 35% of
(First 1300ft2-$67.00; Each add'n 500ft2-$21.50)
Service and feeder ...... $72.25
Square Feet:
permit fee +$56.25. Add'l plan review
Each outbuilding or garage $28.00
for other submissions is $67.00/hr.
_ .
(inspected with service)_
MOBILE HOME/RV PARK
# of service or feeders
Each outbuilding or garage ..$44.25
(First service/feeder-$44.25; Add'n service/
(Inspected separately)
feeder -$28 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL j
(Includes three units or more)
# of Thermostats First -$33.50; add'n-$10.50ea
( )
Service Feeder
Amps Service or Add'n
# of Low voltage fire or burglar alarms
Up to 200 amp $ 72.25 . $ 21.50
Feeder t
First 2500 ft2-$38.75; Each add'n 2500 ft2-$10.50
_
201 - 400 amp 89.75 ... 44.25
_ 0 to 100 ..... $ 72.25 . $ 44.25
* Per WAC 296-46-910(5XbXi & ii)
_
401 - 600 amp 123.25 ... 61.50
- 101 - 200 ..... 89.75 .. 56.25
_ # of Signs (First sign -$33.50; add'n sign
_
601 - 800 amp 158.00 ... 84.25
01 - 400 .... 169.00 67.00
2 ..
- 201
$16.00 each)
_
Over 800 amp .. 225.25 .. 169.00
- 600 .... 197.00 .. 78.75
Progress inspection per %z hr .... $33.50
_
_ 601 -800 .... 254.50 107.25
_
Swimming pool, hot tub, spa .... 67.00
_801- 1000 ... 310.75 129.75
_
Temporary Pole (up to 60 amp) .. 38.75
_ Over 1000 .... 339.00 181.00
_
Yard Pole meter loops .......... 44.25
_ Over 600 volts surcharge .. 56.25
Mast or meter repair ...... 61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
_ 0 to 200 ................. $ 72.25
201 -600 ................ 169.00
I hereby certify that I am the owner (or authorized
Service or Feeder
_
1000 ............... 254.50
agent) of the above named property, or a licensed
0 to 200 amp ............... $ 61.50
_601-
_over 1000 ................ 282.75
contractor (or firm's authorized agent) and am
_
_ 201 - 600 amp ............... 89.75
_ # of circuits
making the installation or alteration in
over 600 .................. 135.25
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
compliance with all applicable city, county,
_
_ Mast or meter repair .......... 33.50
and/or state laws.
_ # of circuits ......................
Temporary Service
(14 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .................. $38.75
Applicant's Signature:
_ 61 -100 .................. 44.25
_ 101-200 ................. 56.25
201-400 ................. 67.00
Date: �Z�� `� `�
_ 401 -600 ................. 89.75
over 600 .................. 97.75
EL CMC.APP
REVISED 11/27/99
CITY 01 FEDERAL W(4Y
:3:3530 First Way South
federal Way , WA 93003
253-661-4000
ADDRE SS:.1911 SW ::35 3RD TSL
NO.: 9'26975--0070
PROJEC1 DESCFE:I PT ION: TSTAT - L/V THERMOSTAT
nuueo
DICK POULSEH
1911 SN 353RD PL
FEDERAL WAY NA 98023
Electrical Inspection Requests 253-661-4140
CONTRACTOR --....... --
NORPAC HEATING & AJC IK
1414 °A" SI SE SUITE #102
AUBURN NA 98002
931-0608
MORPARA123NS
ns CONTR.4CTORs, PLEA'.[ va LOCA11w 0004: 1712 VRf1 9MREIMG SAFES TAX FOR PROJECTS MIT'MIN INE CITY OF FEIERAL NAV. TAX RATE = 8.6% Its
• ........mami:aaamffi¢malacxillnii itYeras a ._ ... vm _:^^r:r ... _ - ._• '.;^::.:•rmz:__ cnsss --------
t
----m
PERMIT NO: ELE99-1312
ISSUED: D: 12/01./` 9
BY: FC2
EXPIRES: 11/24/00
LENDER
x STRUCTURE INFORMATION*
CONST. TYPE.: V -N
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.:
NEM RESIDENT L t �
,gORTLc HOMES #
RESIDENTIAL ALTERATIONS t
# MULTI FAMILY
NEW
j
* COMM. ALTERATIONS
SEV FEED
LE FAM.;
^1#'�VIOP kLEDLF, ONLY: 0
0
0-2104 AMPS.... ....0 -
0-200 AMPS...:
0 . 0
,0�LR�'iCF
AND FEET!ER 001
�E��1 AMPS. 0
( 201-400 AMPS.:
0 .. 0
as Aood�.�
SLRVT!E OF' FELILP tPi�
0 ...
�R x,00 AMia....,:
' 401-600 AMPS.:
0 .. 0
4.
�T%METER REPAIR.:
0 i
01-$00 AMPS.:
0
* COMM. ALTERATIONS
KMiBER OF CIRCUITS:
0 !
801 AND OVER.:
0
... 0
PEAMITS EXPIRE 181E LAYS AFTER ISSMAIICE IF 0 WK IS STARK1.
I CERTIi Y THAI TME INFORNOW FNRNISNEY TTY TIE IS TRUE AND CORRECT 10 TIE KST OF MY CNONLEDGE AN TIE MKICNILE CITY Of FEDERAL WAY REQUIREMENTS MILL K MET.
OWHER OR AGINT DATE
1 <" /
FIELD COPY
* COMM. ALTERATIONS
i TEMP SIRVRE
MISCELLANEOUS
COMM/IND NEN x
� � INSPECTION
RE(ORD �
0-100 AMPS.,...:
0 ...
0
SERVICE .____..._._
DATE
0-200 AMPS...,..: 0
0-100 AMPS....:
0
THERMOSTATS....:
1
101-200 AMPS...:
0 ,.,
0
201-600 AMPS....: 0
101-200 AMPS,.:
0 �
LOW VOLTAGE....:
0
201-400 AMPS...:
0 ,..
0
COVER.. _ _
DATE .r _._�.,_.....,
601-1000 AMPS...: 0
201-400 AMPS..:
0
SWIMMING POOL..:
0
401-600 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
COMMENIS,
YARD METER LOOP:
0
OVER 1000 AMPS.:
0 ...
0
TOTAL PERMIT FEES.......:
33.50
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
PEAMITS EXPIRE 181E LAYS AFTER ISSMAIICE IF 0 WK IS STARK1.
I CERTIi Y THAI TME INFORNOW FNRNISNEY TTY TIE IS TRUE AND CORRECT 10 TIE KST OF MY CNONLEDGE AN TIE MKICNILE CITY Of FEDERAL WAY REQUIREMENTS MILL K MET.
OWHER OR AGINT DATE
1 <" /
FIELD COPY