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04-105081 City of Federal Way Electrical Permit #: 04 - 105081 - 00 - EL Community Development Services P.O.Boic 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: GREEN Project Address: 3906 SW 335TH et Parcel Number: 327900 0280 Project Description: Installing a new 20-amp circuit for freezer Owner Applicant Contractor Wallace C Green Jr. &Carol D Green Jr. LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC 3906 SW 335TH PL 13359 NE 16TH ST 13359 NE 16TH ST FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005 98023-2927 (800)794-4321 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Residential 1 PERMIT EXPIRES June 13,2005. Permit issued on December 15,2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: See Application Date: 12, ( I S (Dv1 F1tALED THIS CARD IS TO REMAIN ON-SITE f CITY OF A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-105081-00-EL Owner: WALLACE C GREEN JR. Address: 3906 SW 335TH PL FEDERAL WAY, WA 98023-2927 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. • 0 Slab/Concrete Floor(4255) ' 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved By Date `y Date By/�// Date�i � ❑ Under-slab groundwork(4295) Approved By Date 0(-1 - LO ao .6i Federal Way ��GEopMEN PERMIT t• COMMUNITY DEVELOPMENT SERV P. pEVE ri,oOK SF MF CO M% DE EN FP 33530DFIRST WAY,WA . ..,,;;�. 18 �c 1 APPLICATION FEDERAL WAY,WA f.C�"t 18 IT. / / 253-6614115.FAX 2 6614129 © I www.d(9011ederalumu.com The ollowin. is re.uired in ormation-an Inco •fete a.•lication will not be acce•ted. Please .Tint le.ib1 (in ink)or /�- PROPERTY INFORMATION • 9/ SITE ADDRESS f 6 6 �� • . 351-A fl . SUITE/UNIT# ASSESSOR'S TAX/PARCEL # - LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legd desniptoc) - - PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION kELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work in uded on this permit onlu) 20arf fkeezeI- aa-(ui PROJECT NAME(Name of Business or Owner Last Name) h nee, L./ • PEOPLE INFORMATION • PROPERTY NAME wig 1-ee� PRIMARY PHONE W OWNER /�/T� (j 1f�g' - 19� 3A IOIVDDVkt . 3. np� t� PL . it � �p"`L kv�j UP 1/ w/I . 10.2., CONTRACTOR COMPANY NAME APPLICANT N ME OFFICE PHONELIAM�/er Ex( rl C ;dery/ce /cl-i f► fii ain ( 25).f(1 - 17 71 LING A CITY,STAT , IP CELL PHONE 135AIDRESS NF l b U ®elle u e W, - gdd05 ( ) - CITY OF FEDERAL WAY BUSINESS LIC NSE NUMBER ,XPIRATION DATE FAX NUMBER Z 0 - o f-I o y- 0 6 - B L /2 / 3/ / 0 ( .25 )fb2 -2414 CONTRACTORS REGISTRATION NUMBER(copy dC card required with each application) EXPIRATION DATE LAN PEEvgg1 6 c , / / I 1 .05 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE (la Ine aJ (OA it01-6 " ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) CONTACT • ec lkI(rill, nit/rail PRIMARY (725) 0J - / / 71 E-MAIL ADDRESS DRESS LENDER Per RCC('19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION . • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) a' < • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft,-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 ❑ Detached outbuilding or garage 0 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) LI 801 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑;Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 0 201 -600 amp 220.50 Service or Feeder 0 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ # of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) # of circuits to be added/altered (1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 ❑ Service over 200 amps ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 ❑ # of service or feeders LI 101 -200 74.00 51.00 (First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a ❑ 401 -600 117.50 n/a 0 over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ # of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review 0 Voice Cabling (for modified submittals) $87.00/hour O Data Cabling 0 (Per System(s) 1•t 2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(i& Bulletin#100-March 30,2004 Page 3 of 4 k\I landouls-Revised\Permit Application