99-104663CITY OF FEDERAL
33530 First Way
Federal Way, WA
1253-661-4000
4t -10 -Yb b
WAYPERMIT NO: ELE99-1330
South � .; �� �w„ �;:,..` .,,�,,. �, .�,. �;.., ; �� Vii„ �;.,,w �,,;:. i� �, ��M .,Mw ...N,.. ISSUED. 12/07/99
93003 Electrical Inspection Requests 253-661-4140 BY: FC
EXPIRES: 11/30/00
ADDRESS. -3403L 22ND PL SW
NO.: 330630--01£30
PROJECT DESCRIPTION -Replace existing service panel/circuits in existing sfr.
- OWNER ________________________ ___ _______________-_____-- CONTRACTOR
i CAROLE MORTENSEN OWNER IS CONTRACTOR
34031 22ND PL SW
FEDERAL WAY WA 98023
253-952-6522
i rLmr
F ° N/A I
s---- --------------------------------------------------- --1-- ------- - ---------- ...---- ------ - -- - -
CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6%_#
STRUCTURE INFORMATION $ NEW IkESIDEN'IRI *;BILE HOMES * RESIDENTIAL ALTERATIONS MULTI FAMILY NEW
CONST. TYPE.: V -N
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.:
$ COMM. ALTERATIONS
NEA SINGLE FAM. SERVICE OR FEEDER ONLY: C
0 DINGS. 0 4
SER ICE ATTD TEED R ...: 0
SEATC OR
`
F,fit
0-200 AMPS........: 1
201-600 AMPS......: 0
TEMP SERVICE MISCELLANEOUS COMMJIND NEW �
0-200 AMPS......:
0
0-100 AMPS....:
0
THERMOSTATS....:
0
201-600 AMPS:...:
0
101-200 AMPS-:
0
LOW VOLTAGE....:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
SWIMMING POOL..:
0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
0
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.:
0
TEMP. POLES....:
0
--
YARD METER LOOP:
0
TOTAL PERMIT FEES
.......
:105.15
i
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
MAST/METER RPR.:
0
4
i
SERVICE
COVER.. ----
FINAL..
COMMENTS:
$ INSPECTION RECORD
DATE
DATE
DATE
PERMITS EXPIRE
180 DAYS AFTER ISSUANCE
SEV
FEED
0-200 AMPS...:
0
... 0
201-400
AMPS.:
0
... 0
401-600
AMPS.:
0
... 0
601-800
AMPS.:
0
... 0
RI1I AND
OVER.:
0
... 0
$ INSPECTION RECORD
DATE
DATE
DATE
PERMITS EXPIRE
180 DAYS AFTER ISSUANCE
IF NO WORK IS STARTED.
I CERTIFY THAT
AGENT
THE INFORMATION FURNISHED
'jBY� ME IS TRUE AND CORRECT TO
__ "V'L V �.�
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OFFEDERALWAY REQUIREMENTS WILL BE MET.
------------------ — ----- DA -It Z-.�_� 1sJ__
FILE COPY
"ryofz RECEIVED
uv F DEC 0 71999
r,I- Y OF FEDERAL WAY
ELECTRICAL PEF iiifi°iDAPPLICATION
***Federsil Way Rnc;.- i
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ae?
Address =�
�A " 1 rob Site PhoneiS .L v" )_ -A
Parcel No (J
Lot No
Subdivision Name
Owner/tenant
Mail Address _� O ? L 0L ai,)
Phone
2c�LE- h+ /1t RTCn3eI �QF
• �,Q � ` c, e_i_ 4 �__ %�T,
JS
Electrical Contractor
Address(phone
Electrical contractor license number (copy req'd):
U:� ,<-
Expiration Date:
Use of Bldg: P,$FlZes ❑ Comm ❑ Other ❑ Multi ❑Church/School
Class of Work: ❑ New teration ❑ Addition ❑ Repair
Description of work:: •jZc ['c if ` L l4:,,
If service is
N RESIDENTIAL SERVICES
, . �
MOBILE HOMES
greater than 200 amp, a
. Single Family
_ Service or feeder only .... $44.25
plan review is req'd. Fee is 35% of
(First 1300 & 467.00; Each add'n 500 W -$21.50)
Service and feeder $72.25
permit fee +$56.25. Add'1lan review
p
Square Feet:
- ......
for other submissions is $67.00/hr.
_ Each outbuilding or garage . $28.00
MOBILE HOME/RV PARK
(inspected with service)
# of service or feeders
outbuilding or garage ..$44.25
-
-Each
(Inspected separately)
(First service/feeder-$44.25; Add'n service/
feeder -$28 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
- # of Thermostats (First 433.50; add'n-$10.50ea)
Amps Service or Add'n
- # of Low voltage fire or burglar alarms
Service Feeder
- Up to 200 amp $ 72.25 . $ 21.50
Feeder
First 2500 ft2-$38.75; Each add'n 2500 ftz-$10.50
_ 201 - 400 amp . 89.75 ... 44.25
- 0 to 100 ..... $ 72.25 . $ 44.25
* Per WAC 29646-910(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 am 158.00
p ... 84.25
- 201 -400 .... 169.00 .. 67.00
$16.00 each)
-Over 800 amp .. 225.25 .. 169.00
401-600 .... 197.00 78.75
- . _
_ Progress inspection per 1/2 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
Inspections requested before 3:30pm will be
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
made the following work day, 253.661.4140.
(When inspected separately from the
Altered Service or Feeders
services.)
0 to 200 $ 72.25
I hereby certify that I am the owner (or authorized
ervtce or
e Feeder
_ 201-600 ................ 169.00
601 - 1000 254.50
agent) of the above named property, or a licensed
E 0 to 200 am $ 61.50
p..............
_ ...............
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.
_
!4- # of circuits ......................
Temporary Service
A
(1-4 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .................. $38.75
cant's Signature:
Mi
61-100 44.25
l
_
_ 101-200 ................. 56.25
Y` `�� `'
_ 201 -400................. 67.00
...............
Date: Z n
-1
401 -600 ................. 89.75
over 600 .................. 97.75
F1Ec -.n ,
REVI 11/27/99
CITY OF FEDERAL Wray'PERMIT NO: ELE99-1330
33530 Fii-si, Way South E. L CT R I CAL. PERMIT lf;SUUI). 1.2/07/914
I-eder,al Way, WA 98003 ElecLr-ical Inspection Requests 253--661-4140 BY: FC
253-661-4000 EXPIRES: 11/30/00
ADDRU3S:34031 22ND PL SW
NO.: 3'10630--0180
PROJECT DESCRIPTION"Replace existing service paael#bzut4 in existing sfr.
I OWNER COMMACIOR ...... ........ . ..... LENDER ......
CAROLS MORTENSEN OWNER IS CONTRACTOR
34031 2211D PL SO
FEDERAL WAY WA 98023
b i
253-952-6522
MIA
1981 CONTWIORS, PLEW V51 LO(Aff()!�If" ")ING SALES TAX FOR PROTECTS VITNIN THE CITY Of FEKKAL MAY. TAX ItAll :: 8.6%
"T
STRUCTURE INFORMATION
Rrw trlSW"TTAl
8MISCELLANEOUS
"Bill HOMES
0
CONST. TYPE.: UNLE
0
101-200 AMPS—:
SERVSERVALSR
fEEKR ONLY:
0
OCC. GROUP—:
DINGS. .-liio
AEX��,
0
;r[D,,,R.....
0
OCC. LOAD... 0
0
OVER 600 AMPS.:
7rP7'J
OP FUDIP (Py):
0
SQUARE FUT.: 0
YARD MEIER LOOP:
0
0-200 AMPS......: 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
HUM. Of CIRCIUTS: 0
TOTAL PERMIT FEES.......:
UMP ffRVIC[
8
8MISCELLANEOUS
0-100 AMPS....:
0
THERMOSTATS....:
0
101-200 AMPS—:
0
LOW VOLTAGE....:
0
201-400 MPS..:
0
SWIMMING POOL..:
0
401-600 WS..:
0
SIGNS..........:
0
OVER 600 AMPS.:
0
TEMP. POLES....:
0
------------
YARD MEIER LOOP:
0
105.75
* RESIDENTIAL ALTERATIONS
0-200 AMPS—
OVER `6`06 i�OA-Ak
ST METER R14�AIt�� TT
OBER OF (1901i i
COMM/IND NEW
0-100 AMPS--:
13 ... 0
101.1100 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
NASTI'MEIER RPR.:
0
MULTI FAMILY NFO
SEV FEED
0-200 PIPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 0
601 -800 AMPS.: 0 0
AND OVER.: 0 ... 0
INSPECTION RECORD
SERVICE DAII
COVEA— DAfl
FINAL.. DA f 1
CONNINTS'.
PMTS EXPIRE 180 DAYS IWI(It ISMKL It NO IKA( IS SIART(D.
I CERTIFY IMI Illf INFORNTIN FIXIISID BY RE IS IRUt AND CORRECT TO IN! KSI Of MY KKOVLIDGI AND TIlE APPLICABLE CITY Of FEDERAL NAY RE401RMNIS 11111.1. BE NET.
,.I -'CERTIFY
*- AGENT c, DATE
FIELD COPY