99-104664CITY OF FEDERAL WAY
33500 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1911 SW 353RD
NO.: 926975-..0070
PROJECT DESCRIPTION : ELE
;= OWNER
DICK POULSEN
1911 SW 353RD PL
FEDERAL WAY WA 98023
•n •u. ..f"n .n•
Electrical Inspection Requests 253-661-4140
P E_
- ONE CIRCUITFOR NEW GAS FURNACE
CONTRACTOR
OLD TIME ELECTRIC
8614 BRIGGS LN SW
TACOMA WA 98498
253-588-5045
OLDTIEI021LD
LENDER
qt-10v('&y
PERMIT NO: ELE99-1336
ISSUED. 12/08/99
BY: FC2
EXPIRES. 12/01/00
M CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY
-____--_______
' STRUCTURE INFORMATION"°�"
RfIITItI
#BILE HOMES
NEW
i
CONST, TYPE.: V -N
NEW SINGLE FAM.";'
SEV
IRVIC ,CR F11 iStR ONLY: 0
OCC. GROUP..:
T LDINGS. 0�fi°....,
0-200 AMPS...:
D
OCC. LOAD,,.. 0
... 0
201-600 AMPS......: 0
ERIC �K 0
5 SQUARE FEET.:
AMPS.:
0
... 0
i
3
401-600
AMPS.:
-�� s. t k '
i
TAX RATE : 8.6% Us
` RESIDENTIAL ALTERATIONS
MULTI
FAMILY
NEW
i
SEV
FEED
0-200 AMPS........: 0
0-200 AMPS...:
0
... 0
201-600 AMPS......: 0
201-400
AMPS.:
0
... 0
I tvug
401-600
AMPS.:
0
... 0
TPA
501-800
AMPS.;
0
0
Duca
Qni awn
nvrp •
n
n
COMM. ALTERATIONS T TEMP SERVICE MISCE'LANEOUS i COMM/IND NEW INSPECTION RECORD
F � I
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
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.......: 44.25 OVER 600 VOLTS.: 0 p
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS 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 CITYY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �`V _-----------__---- -- DATE
FILE COPY
CfTY OF X
® E�
VV F��
mcc.:-1VED
DEC 0 81999
CI rY OF FEDERAL WAV
BUILDING DEPT.
ELECTRICAL PERMIT APPLICATION
***Federal Wav Business License numher:
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 6614000
Fax(253)661-4129
1WI.iw 9'! _ 1 Z"2' C_
Job Address i 1 T,
Job Site Phone a5-3 7 7 a 70
Parcel No
Lot No
Subdivision Name
Owner/tenant 0., -1/ `
U\ awl
Mail Address 9
5w 3S3 (1 1
Phone
t -10
a 5-3
Electrical Contractor
AddresstphoneElectrical
Pa gox 3G �'� S
contractor license number oo n '
9 �:
00 T }Ae eleC�r cI I`A
9$q3`j
OL 0 T-_rc-r c) a l c
Expiration Date: / Z /00
53 s8g-
Use of Bldg: ❑ SF Res ❑ Comm ❑ Other ❑ Multi ❑Church/School
Class of Work: ❑ New ❑ Alteration ❑ Addition ❑ Repair
Description of work:: i + r V\r'(::�aS '-v
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 1300sz-$67.00;F=hadd'n500fe-$21.50)
_ Service and feeder ...... $72.25
Square Feet:
permit fee +$56.25. Add'1 plan review
_ Each outbuilding or garage . $28.00
MOBILE HOME/RV PARK
for other submissions is $67.00/hr.
(inspected with service)_
# 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
(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
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
- 201 - 400 .... 169.00 .. 67.00
$16.00 each)
_
800 amp .. 225.25 .. 169.00
- 401-600 .... 197.00 .. 78.75
_ Progress inspection per 1X! hr .... $33.50
-Over
_ 601-800 .... 254.50 107.25
_ Swimming pool, hot tub, spa .... 67.00
- - 1000 ... 310.75 129.75
Temporary Pole (up to 60 amp) .. 38.75
Ov
_Oer 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
_
601 - 1000 ............... 254.50
agent) of the above named property, or a licensed
_ 0 to 200 amp ............... $ 61.50
_
_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
_
ver 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
A 'cant's Signatur :
_ 61-100 .................. 44.25
_ 101-200 ................. 56.25
-
_ 201-400 ................. 67.00
Date: - g -�
_ 401 -600 ................. 89.75
over 600 .................. 97.75
El.EC IC.APP
R£Ns£D 11/23/99
33OF
ITF"EDR01-WAYPERMEE36350irst Way South ELECTRICAL PERMIT ISSUED: 12/08/99
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 12/01/00
ADDRESS :191:1 SW 353RD PL
NET.: 926975-0070
PROJECT I)Ef,;("RTPTl0N:ELE - ONE CIRCUITfOR NEW GAS FURNACE
OWNER .== ...... CONTRACTOR
DICK P(fi)LSEW OLD TIME ELECTRIC
1911 SW 353RD PL 8614 BRIGGS LK SW
FEDERAL WAY WA 98023 TACOMA WA 98498
SIRUCTURE INFORMATION i1I
CONST. TYPE.: V -K S It6LE FAM -,
OCC. GRQIJP..:
D I NGS. 0
OCC. LOAD...: 0
SQUARE FEET.:
COMM. ALTERATIONS ILM "LAVI(I
0-200 AMPS....... 0 O -loo Amlt.... :
LENDER
SALES TAX KWE�IS VITKIN THE CITY OF FEDERAL MAY. TAX RATE : 8.64 sts
LE HOMES *
iVICE ONLY: 0
ERVICE AND FEEDER....: 0
EAVICI OR FEEDIP I
M1SCIL LI ', 3
THERMOSTATS....: : U
RESIDENTIAL ALTEPAITONS
0-200 AMPS......... 0
QO AMPS ...... 0
. ..... .. .
PA,
BER Of C 1
COMM/IND NEW
0-100 AMPS...... 0 ... 0
101-200 AMPS...: 0 ... 0
MULTI FAMILY NEW t
SIV FEED
0-200 AMPS...: 0 ... 0
1401-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
M AND OVER.: 0 ... 0
* INSPECTION RECORD
SERVICE DATE
201-600 APPS....: 0
101-200.. .,
1 LOW VOLTAGE....:
0
201-400 AMPS...:
0 0
COVER.. DA T E
601.1000 AMPS...: 0
201-1*00 A 0
SWIMMING POOL—:
0
401-600 AMPS...:
0 0
OVER 1900 AMPS..: 0
401600 AMPS..: 0
SIGNS..........:
0
601-800 AMPS...:
0 ... 0
ANAL.. DATE
Nun. 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.......:
44.25
OVER 600 VOLTS.:
0
MASTIMETER RPR.:
0
.. �=.;
.... ................ ........
PERMITS EXPIRE 180 DAYS AF ILA ISSUANCE IF 10 NOOK IS STARTED.
I CERTIFY THAT THE IN OR FURNISHED BY Of IS TRUE AN CORRECT TO THL KST Of NY KNWKIE AD lit APPLICABLE CITY Of FIKIRAL MAY RE401RININIS MILL K NET.
OWNLP OR AGENT
DATE
FIELD COPY