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99-101012 CITY OF FEDERAL WAY � y _ ,.,.,p p II � PERMIT NO: LE 9- 27 33530 F i rst Way South E 9„� �,. (""" II H,. .i. �,,...�;,'„, li,..,. P E.IH,II� ',,. ,,, ,, ISSUED: 03/1 /99 Federal Way, WA 98003 Electrical Incpeciaion.Requests 253--661-4140 BY: HTS 253-661-4000 EXPIRES: 03/04/00 ADDRESS: 29918 21ST AVE S 99-1bJO4) NO. : 798320-0030 PROJECT DESCRIPTION:HVAC - INSTALL WOOD STOVE = OWNER - - _ _,.... T CONTRACTOR == = -___ ---- ------- -T LENDER _:________-------. -- RYAN ANDERSON & THERESA ' EDISON SECURITY SERVICES : 29918 - 21ST AVE S ' 5870 S 194TH ST FEDERAL WAY WA 98003 f KENT WA 98032 $ 839-5512 1 253/839-5512 _EDISOSS023RQ *** 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 * * 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 OCC. LOAD...: 0 ' SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0 SQUARE FEET.: 2000 i MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0 NUMBER OF CIRCUITS: 0 { 801 AND OVER.: 0 ... 0 * COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD * 0-100 AMPS • 0 ... 0 S RVICE DATE 0-200 AMPS • 0 0-100 AMPS • 0 ! THERMOSTATS 0 I 101-200 AMPS...: 0 . . 0 201-600 AMPS • 0 ' 101-200 AMPS..: 0 LOW VOLTAGE • 1 201-400 AMPS...: 0 .. 0 i 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 F'NAL.. DATE NUM. OF CIRCIUTS: 0 ! OVER 600 AMPS.: 0 ' TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 CIMMENTS: YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 TOTAL PERMIT FEES • 36.00 OVER 600 VOLTS.: 0 MAST/METER RPR.: 0 , i I 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 CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT hoed ---.----- DATE 5/ii./qq. ... .. FILE COPY CITY OF FEDERAL WAY 3 :3530 F i rst Way Sout: ELECTRICAL PEPMIPERMIT NO: ELE99-0276 T ISSUED03/11/ Federal Way, WA 98003 Electrical Inspection R:eqqe„sts 253-661-4140 DY: HTS 253-661-4000 EXPIRES: 03/04/9090 ADDRESS:29918 21ST AVE. S , NO. : 798320-0030 PROJECT DESCRIPTION:IP/AC - ,,,.,-.L,I,Lf_E ., ROWYANNE8A;;;;11;;............. . topiNsT80AscsT0EC8iiiws–iR7v.is ----- LENDER - 29918 - 21ST AVE S 5870 S 194TH ST 1 FEDERAL WAY WA 98003 UHT WA 98032 1 839-5512 1 253/839-5512 1 EDISOS5023RQ "–"""""----- ---4"–*---PiZTiZiiiiii CITY OF FEDERAL WAY. TAX RATE : 11.6t tis sts CONTRACTORS, PLEASE USE L 1732 NNEN. REPORTING SALES TAX FOR .......4.. .....„........,,.,.. * MULTI FAMILY NEW * r"---rS;WWW0;;;TI;7 * NEW RESIDENTIAL *,005, mw,kvAy5W11NO4Mii"7'"'"'"," * RESIDENTIAL ALTERATIONS * SLY FEED -„, 0 200 AMPS • 0 0-200 AMPS...: 0 ... 0 COAST. TYPE.: V-N NEW Si(Kti\-‘441.:40V1111;44:0ORLY: 00 2W-600 AMPS • 0 0 201-400 AMPS.: 0 ... OCC. GROUP..: AN -' -10,M OUT BUILDINGS..: , , ,, 414): 0 OVER 600 AMPS 0 401-600 AMPS.: 0 ... 0 OCC. LOAD...: 0 „,,, , R ; 4,. : 601-800 AMPS.: 0 ... 0 , - 0 ';' '\'''.-1277:-;,- ,,,,, ii„ ....,-,,;1,,- ;- ;;FIIT;!,1':„T-,„,,„„ 801 AND OVER.: 0 --- ,- '-.-, .k,- -- ', V '' 'ViON‘ SQUARE FEET.: 2000 I , '-'''.-,, ,„<, A..-:, c,"'s-, ,, .„,.,..,,,,-,- -,-.r, ,•.;,:: ... .„ ......._.... * t COMM/IND NEW * t INSPECTION RECORD * * COMM. ALTERATIONS * ' t Top sERVECE * ,' I NISCELLANE00,c i 0-100 AMPS • 0 ... 0 SERVICE DATE f 0-200 AMPS.....,: 0 0-100 AMPS • 0 INEPHOSIAT',....: 0 101-200 AMPS...: 0 ... 0 201-600 AMPS 0 101-200 AMPS..: 0 LOW VOLTAGE • 1 201-400 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 i 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL-- 05;.77.1..... DATE i-7 NUM. Of CIRCILITS: 01 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS: • ==Atmmx,.....r.,=.,r,v,,rammi.ncraxo,v.61.a.n,,wr,===c,,g,r 1 YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 TOTAL PERMIT FEES 36.00 OVER 600 VOLTS.: 0 MAST/METER RPR.: 0 PERMITS EXPIRE .180 DAYS1 ,AFTIZITultANUNgt10F4011:01Es IS STARTED. I CERTIFY INK 1 TRUE AND CORRECT 10 TOE BEST OT NY BMOTTLED [ AND TOL APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WITT It NET. OWNER OR AGENT 1 II AT DATE ___,?......._.—.............._ i0A1: e, 0 • 4 411" FIELD COPY CITY OF = BUILDING DIVISION • EQ 33530 First Way South vN> Ry Federal Way WA 98003 (253)661-4000 Fax(253)661-4129 ELECTRICAL PERMIT APPLICATION! � ***Federal Way Business License number: ELE�–OZ Job Address c/ Q I ;]r A V...63 F (� If,X I . Li i /�� rob Site Phone 453 '359 'CJ)0 Parcel No Lot No Subdivision Name �',4/ Owner/tenant Mail Address.:-� //j� Phone R y c,(t' VI?C1° 12f% 4 3P rNlc�, a ar 22 '9 55 ElectricalContractor Address/phone V-018OTheCI.11-10 -) 104 -P) i Electri,si contrac license number co re ✓ � ( PY 4��: (� �� t� D�Expiration Date:j,.� / 1 /q:.; Use of Bldg: 0'SF Res ❑Comm ❑Other o Multi ❑Church/School Class of Work: 0 New Q Alteration Cl Addition ❑Repair Describe Work: (JO 0 itmge) 5o._, W-', ' NEW RESIDENTIAL SERVICES MOBILE HOMES If service is greater than 200 amp, a _Single Family Service or feeder only $41 (First 1300 ft-5Eachadd'n 62; sou 1t-$20) Service and feeder 67 plan review is req'd. Fee is 35% of — Square Feet: ' t c C) S =.f-I- 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) er _#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n )4-#of Low voltage fire or burglar alarms Service Feeder Feeder (Residential:first 2500 I-$36;Each add'n 500 ft-$10) —Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41 (Commercial: 1-4 zone-$36,Each add'n zone-510) —201 -400 amp . . . . 83 41 _ 101 -200 83 52 !1 _401 -600 amp . . . . 114 57 _201 -400 156 62 —#of Signs (First sign-531;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 — —Yard Pole meter loops 41 —over 1000 313 . . . . 167 _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 film'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 40 (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 • plical is Sinature: _ (.•iki6CCL1: 0 to 100 $41 . t _ 101 -200—201 -400 62 _401 52 600 83 -� Date: Lc ,C)cl —over 600 94 ELEC-rRIC.APP Rev,srD 1218/95 __