99-101629 .. _ ig. /0 I G ag
CITY OF FEDERAL.. WAY •
PERMIT NO: ELE99-0441
33 530 First Way South .,. F(.,.,,. IRT d.,.w..fir',. .il P ... f::;'0,:,P1 ::1; , ISSUED: 04/28/99
Federal Way, WA 98003 Electrical Inspection Requests 253--66:L-4140 BY : FC2
253-661-4000 EXPIRES: 04/21/00
ADDRESS: 288:L.5 PACIFIC HWY S Unit: 6A
NO . : 042104-9024
PROJECT DESCRIPTION:ALTERING 1 CIRCUIT
f= OWNER ._ --- - ----- CONTRACTOR - - -- ::___r= LENDER - - --
REDONDO FAMILY CHIROPACTIC 1 EVERGREEN STATE ELECTRIC INC
28815 PACIFIC HWY S, #6A PO BOX 1448
FEDERAL WAY WA 98003 ORTING WA 98360
253/838-43733 , 770-0656
EVERGSEObbJA 4 - __ _._.__.__..._ __-.-- __._.
i __..v.- _ _ _� _. .__ __..__.__
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% **Z
* STRUCTURE INFORMATION * t NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
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..: OUT BUILDINGS..: 0 ' SERVICE AND FEEDER . 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
t SERVICE OR FEEDER (PK;: -0 ,VER 600 AMPS • 3 401-600 AMPS.: 0
OCC. LOAD...: 0 , 0
SQUARE FEET.: 0 ' MAST/METER REPAIR.: 601 800 AMPS.: 0 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
;
_ i
^
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * COMM/IND NEW * i
1 * 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 1 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 it AMPS..: 0 401-600 AMPS..: 0 ` SIGNS 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 1 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 • 52.00OVER 600 VOLTS.: 0
i jMAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO . STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED B ME I T'UE , 1 ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT filf .. , . - DATE �—.?e.T ip
FILE COPY
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CITY OF
L
AY
1
33530 First Way South . LM 'C 1., f a, CAL t I�" L. i-N , ,,I.. PERMISSUED:I_004/28/99
Federal Way, WA 980013 Electrical tn.: pection Requests 253 -6 , I 140 E31': FCS
`253-661 4ClCat�
EXPIRES: 04/21/00
ADDRESS:28815 PAC F= IC:: HWY S Unit: 6A ,
NO : 042104 -9024
PROJECT DESCR S P F ION:ALTERING ICIRCUIT 'S `
rOWNER amsn.�amsamrmaxssxrwammzxa: atamwnammxa;::Lxmmms mzwucmu:xwa s, CONTRACTOR SSFRCLCS mRi9ZZM^tlm[AR5S39RSItaiGS.U. .mmAY* ..—# . LENDER T.;:= rx.:WIIYWV.-.L.-iiz=;m,-ts�u���
1 REDONDO FAMILY CHIROPACTIC EVERGREEN STATE ELECTRIC INC
28815 PACIFIC HWY S, $6A PO BOX 1448
4 FEDERAL WAY WA 98003 OPTING WA 98360
1
1 253/838-43733 170-0656
EVEF.GSEOE:6JA
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.t!; „"�a�s tlmammmsxxs�wGmuaaSSSaim,t�::Mar.3W�tuicxL•x W..z. mma:xam.'3aaaxamx....GmmsarrY.:zrA.ee:C�.:x:wsa.f+:uma,J3m::ciR s: au,:kr a't^t�Fsaae.
*** CAIFTRMCIO*S, rUSE 1KAR*CQI � I Ik 16 SALES tAX NMI PROJECtS WHIM 11W CItY OF FEIERiN MAY. TAX RAtE = 9.6 :**
.•.$^kLC'rSiS."«.F".S!".«Z:]C:Y$Y:Cy:E+.';�T.'Peg,.L:.w Y]Y4R�^.'S�:'�` SIL P9f43CX•".1f i1ffim �'.k. S'. ''."'"'"''''''-'"--P"''
.(+ R+,.0 1 ....._.. ? .L$i.tn.. +.ritt..S:,!'r� s it..CW#5';X W.aW a%Se�.:....23.,t4:6A:AC 3ir.^1.1i, ,(1.34-0•..
iiNT.tl.L.^.s.dZl.>.0.CIT:A'LQ1W9'SJ.:iGZ..
* STRUCTURE INFORMATION * * I�RESIDENTIAL * � ' N"E'Tt, �'!M�' RESIDENTIAL ALTERATIONS t * MULTI FAMILY NEW *
SLV FEED
CONSI. TYPE.: V-N NEft �E FAM v tERVIf E OR LLtDLI MA: „r "A Alm . 'a # U 200 AMPS...: 0 O
T1CC. GROUP,.: .. ' . 5t 1.E nE{". FEl LES Ol ,' MP ; 201-400 AMPS.: 0 0
OCC.' LOAD?.... 0 a Yt� x � '.�1:'.1_L '.'1�. .EEIrt.; ,,_ � 600 AME'{; 11-600 1AMPS.. Q 0
SQUARE FEET 0 ' 881/METERK.PAER.': i+ -800 AMPS.: 0 ... 0
,�•
NUMBER OF CIRCUITS: U •301 AND OV£R.: 0 ... 0
_ _._. _._.......__... _ _..._.1........_ __...._..____... __...,.. L_.__.._. ._........_. .__
I * COMM. ALTERATIONS F ;1' r .; TEMP SERVICE * * MISCELLANEOUS t * COMM/IND NEW * » t INSPECTION RECORD $
0-100 AMPS • 0 ... 0 SERVICE ...... __.�.__.... DATE
1 0-200 AMPS • 0 0-100 AMPS • 0 1 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
1 201-600 AMPS • 0 101-200 AMPS..: 0 C LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 COVER.. __ ,. W__.....w_ 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 1 FINAL.. ......._ �r� DATE4.7
—1,L!.f�
NUM. OF CIRCIUTS: 1 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS.,: 0 ... 0 I COMMENTS:
._..__...._......._...____....._._......_...___
_ YARD..............._........._.._.._.._..._� YARD METER LOOP: 0 OVER 1000 AMPS.: 0 0
TOTAL PERMIT FEES • 52.00 OVER 600 VOLTS.: 0
1 MAST/METER RPR.: 0
—"'4"-
_'-' ..ZYS ^'SLR:i''Z".:� :a ..:e. �A`:G` .'ms'T.a LX,r'.:,..z.-:u .c.�Y'.zs xtlx:c:..:tl:...StL.3 s..xsR.,:�..,....�C¢:: 'aS::Aes spewS;:iisC a:rasa Cx:;-`.w;C:a4fl,, esa �,e9Y::a1:e;stL:.P..*t* acs:s i*ap9axL:>w..s.mOeaafis�::x::.eesu^.aic
PERMITS EXPIRE 181) BAYS AFTER ISSIMiMCE IF ND, r STMT .
I CERTIFY t�T 11W INfORNATION NISNED I3 IN iv t ECT T6 1NE BEST OF NY ENONI.EDGE AND 1Nt APPLICABLE CIIY OF FEDERAL WAY REQIJIRLMINTS MILE $1 MET.
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OWNER OP AGENT
41*4_f-:�lam!,. __ L. . ... _ .. . _...... . DATE .._�.,_M......,._. _.__........_..
FIELD COPY
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Date By /%> _ /«h-7..�-� �a,�. %tv -���-74-Y r��..
2 FOUNDATION IIt14RS n- f' C r._' -,4t�-
Date By 7-7"
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10 MECHANICAL ROUGHIN
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CD0193(Rev 4/97)
CITY OF BUILDING DIVISION
_-i.: — 33530 First Way South
N S 'Ay Federal Way WA 98003
APR 2 8199 (253)661-4000
Fax(253)661-4129
G,iYofEaut::ilALWELECTRICAL PERMIT APPLICATION
BUILDING DEPT. ** _
Federal Way Business License number: 1 - ELEC�O �1
Job Address 2... .s/5- ?Act ri G I1'�I j 'S b�tie c, A Job Site Phone
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address 6 of Phone
(.t.)(0 6e,Q/FRA I< eo6: 2 SE/S A-CiF/e.- hee4 S, 263- -/iS 6
Electrical Contractor Address/phone Electrial contractor license number (copy req'cO:
_ n ..36,C:5
`df_R6SE G 66 TA
EC/61. ��`_64 971. . L/x!G ',lc. f?) U7lc/4-q9 U/ h & • /p36,C:5 Expiration Date: 4// O/ 120o
Use of Bldg: ❑SF Res eronun ❑Other 0 Multi 0 Church/School Class of Work: O New ❑Alteration ❑Addition ❑Repair
Describe Work:
440 UNE 1&o As4t,p 64/2.c u Jr >`v,2 X-K.4c-1
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family Service or feeder only $41
plan review is req'd. Fee is 3 5% of (First 1300112-$62;Each add'n 500 112-$20) _Service and feeder 67
Square Feet:
permit fee +$52. Add'l plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) _#of service or feeders
_Each outbuilding or garage $41 (First service/feeder-$41;Add'n service/
(Inspected separately) feeder-$26 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL ,
(Includes three units or more)
_#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500112-$36;Each add'n 500 112410) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial: 1-4 zone-$36,Each add'n zone-$10) _201 -400 amp . . . . 83 41 _ 101 -200 83 52
401 -600 amp . . . . 114 57 _201 -400 156 62
_#of Signs (First sign-$31;Each add'n sign$15) 601 -800 amp . . . . 146 78 401 -600 182 73
_Progress inspection per%2 hr $31 801 and over 208 156 _601 -800 235 99
Swimming pool,hot tub,spa 60 _801 - 1000 287 . . . . 120
_Temporary Pole 36 _over 1000 313 . . . . 167
_Yard Pole meter loops 41 _Over 600 volts surcharge 52
_Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder _0 to 200 $67
I hereby certify that I am the owner(or _0 to 200 amp $ 57 _201 -600 156
authorized agent)of the above named property, 201 -600 amp 83 _601 - 1000 235
or a licensed contractor(or firm's authorized _over 600 125 _over 1000 261
agent) and am making the installation or _Mast or meter repair 31 / #of circuits
alteration in compliance with all applicable _#of circuits (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signatu / 0 to 100 $41
_
_ 101 -200 52
iid.��L / _201 -400 62
_401 -600 83
Date: over 600 94
ELECTRIC.APP
REVISED 12/8/98