99-104618CT'TY OF FEDERAt- WAY
33530 F'i rst Way South
Federal WAy, WA 98003
253-661--4000
Al)DRESS:5301 SW 326TH ST
NO.: 189830-0230
PROJECT DESCRIPTIMADD 4 CIRCUITS
n Amora I ---
ED g SARA 911LES11
5301 SW 32670 ST
FEDERAL NAY VA 18023
�` 253-874-2529
Its CONIKA(IV6, PLEAS[ VSt tOCA110
* STRUCTURE INFORMATION *
CONST. TYPE.: V -R
0(t. GROUP—:
OCC. LOAD...: 0
SQUARE FEET.: 0
COMM. ALTERATIONS
0-200 AMPS......: 0
20I-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS—: 0
Ron. Of CIRCIUTS: 0
TOTAL PERMIT FEES.......:
EL L E C'f Ps I Cf,-� L PERMIT
A
Ll e c f, ri (.-I �i I f n,-',pe�- in on Requests 25;:1--6051-41.40
yam/ � /o�G/d�d�
PERMIT NU: LLE99-1321
ISSLA-D: 12/03/99
BY: FC
LXPIRES: 11/16/00
CONTRACTOR....... — ... =---m ..... � LENDER ...... ..........
OWNER IS CONTRACTOR Z!!'
N/A
yjFCA
IN SALES TAX fOR PROJECTS VITNIN INE CITY Of FEDERAL VAT. TAX RATE 8.6% tti
HOMES s
SERVI(I t*' FEEDER ONIx:
MISCELLANEOUS
0-100 AMPS—.:
0
E THERMOSTATS....; 0
101-200 AMPS—:
0
LOW VOLTAGE....: 0
201-400 AMPS..:
0
SWIMMING POOL—: 0
401-600 AMPS..:
0
SIGNS........... 0
OVER 600 AMPS.:
0
TEMP. POLES....: 0
0
ftAfVNITER RPR.:
YARD METER LOOP: 0
44.25
t RESIDENTIAL ALTERATIONS *
,��600
tlgT
/METER R 0
NUMBER Of CIRCUITS: 4
COMM/IND NEW
0-100 AMPS......
0 ... 0
101-200 AMPS....
0 ... 0
201-400 AMPS...:
0 ... 0
401-600 AMPS—:
0 ... 0
601-800 AMPS...:
0 0
801-1000 AMPS..:
0 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
ftAfVNITER RPR.:
0
MULTI FAMILY NEW t
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-6011 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
INSPECTION RECORD
SERVICE
DATE
COVER.
DATE
FINAL..
DATE
COMMENTS:
2== . . . . .. w om.. r; *=
KNITS EXPIRE 180 OATSIffAFERA I If NO VORK IS STMED.
O�Al
I (ERy THAT Iff form:, I r SUED IY,IS AN CONKI TO TNE ZEST Of NY 1WEVal AND IRL APPLICABLE CITY Of fLKlAl VAY RLQUIRLNLNIS WILL Dr. "LT.
OR AGENT DATE
ck-c-s-AD OCA- /-4-07-
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO: ELE99-1321
w i'"'i i;°;w W `�� ..,N,,, ISSUED: 12/0/9
33530 F -s t. Way s o u t t,',; N.,; q;.,. ,.y... h'° �' . "�;
Federal Way, WA 98003 Electrical Tnspectio-n Rlaquests2.'_i3--661-4140 BY: FC
250-661-40007 EXPIRES: 11/26/00
ADDRESS:53O1 SW 3261'F3 ST
NO.: 1.89850--0230
PROJECT DESCRIPTION.ADD 4 CIRCUITS
OWNER=-__________________________________________________ CONTRACTOR =____.______________________-_____________-- LENDER
ED & SARA BIELESKI ` OWNER IS CONTRACTOR
5301 SW 326TH ST
FEDERAL WAY WA 98023
s s i
1
253-874-2529
-' N/A €
_
, .,,.,, „-------------------
777,
CONTRACTORS, PLEASE USE CATIA"� �1�2 Iflit PORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6%
STRUCTURE INFORMATION NEW RESIDE 'IA_ MOBILE HOMES RESIDENTIAL ALTERATIONS MULTI FAMILY NEW t j
} SEV FEED t
CONST. TYPE.: V -N " HtiSLE FAl' : ERVICE OR c �;ER ONLY: 3 200 AMPS-- 0-200 AMPS...: 0 ... 0
OCC. GROUP-: � i �:�$�ia.. E;,'. �''� F -.- .. 0 ` 2^ AM"r 201-400 AMPS.: 0 0 �
OCC. LOAD...: 0 ��' � �r„� � � SERVICE OR FEEDER (P�:}: C;'E� c 4
�3 A'!PS. ... 01-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 -,A , �., �,.;,. _ MAST/METER REPAIR.: 3 -800 AMPS.: 0 ... 0
' NUMBER OF CIRCUITS: 4 801 AND OVER.: 0 ... 0
s I { f
r $ COMM. ALTERATIONS TEMP SERVICE MISCELLANEOUS * COMM/IND NEW INSPECTION RECORD
0-100 AMPS.....: 0 ... 0 SERVICE _ DATE
0-200 AMPS......: 0 ' 0-100 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
----------
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL-: 0 ' 401-600 AMPS...: 0 0 p
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS..........: 0 ? 601-800 AMPS...: 0 ... 0 FINAL.._____________ DATE __________
NUM. OF CIRCUUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 i COMMENTS:
--------------------------------- ---_--____.._.-------------------_; YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES.......: 44.25 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 WAFTERE IF NO WORK IS ST RTED.
I CERTIFY THAT THE HED BY IS TRU AND CORRECT TO THE BEST OF MY KNOWlE1N;E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL Bf MET.
OR AGENT -_-
FILE COPY
ctrvOF C_ ■ FCEIVELJ
uv DEC 0 31999
GI I Y LtsiI riAL WAY
, t+,1-I)ING DEPT.
ELECTRICAL PERMIT APPLICATION
BUILDING Dngsioh*
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
***Federal Way Business License number: ELE�f - 3Z
Job Address Job Site Phone Z53 97J d5*
Parcel No Lot No Subdivision Name
Owner/tenant/� ' l MaiPhone
Mail Address c
E -b 8 % 12 iP S !� I S-JilJ 6) / v,-) 32 `'� L- 5 1 s 3 9 %
Electrical Contractor Address/phone Electrical contractor license number (copy mq d);
Expiration Date:
Use of Bldg: F Res ❑ Comm ❑ Other ❑ Multi ❑Church/SchoolClass of Work.❑ New ❑ Alteration 'Addition 11 Repair
Description of work::
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 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 11&s. ,
Date: / l-/ 31 y'
RFnSEn 11/27/99
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 W467.00; Each add'n 500 ft -S21.50)
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 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 ......................
(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
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.)
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 ......................
(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
Add'n
Feeder
44.25
_ 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