99-101414 .- , 39 -Jo) `1/Y
CITY OF FEDERAL WAY IT NO: ELE99-0385
33530 First Way South „.,,. ” �,) . H � ... ISSUED: 04/12/99
Federal Way , WA 9E3003 Electrical inswCection Requests 253--661--4140 BY: FC2
253-661-4000 EXPIRES: 04/05/00
ADDRESS : 34910 ENCHANTED PKWY S Unit: A-18,2
NO . : 219260-0570
PROJECT DESCRIPTION:INSTALLING 8 CIRCUITS
p= OWNER --- - - - CONTRACTOR ----- ._ = LENDER -- -
CHECKMATE FORBES ELECTRICAL CONST CO
34910 ENCHANTED PKWY 5, A-100 1502 S BROOKSIDE TERRACE
FEDERAL WAY WA 98003 TACOMA WA 98465
253.584.6499 253.564.3949
FORBEEC032D9
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6t ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * I * RESIDENTIAL ALTERATIONS * I * MULTI FAMILY NEW *
CONST. TYPE.: V-NSEV FEED
� 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 i 201-600 AMPS ' 0 1 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 } OVER 600 AMPS • 3 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 ' IMAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * 1 * MISCELLANEOUS * 1 * COMM/IND NEW * * 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 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 i 401-600 AMPS..: 0 ; SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 8 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 • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE FORMATION FURNISHED BY NE IS T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT i __-r DATE Li'a—q i
FIL C COPY
CITY OF FEDERAL WAY . PERMIT NO: ELE99-0385
350 I i rst Way South ELECTRIil A L PFRIII `r
issuED: 04/12/94
Federal Way, WA 99003 Electri(AL Inspection Reque,.,,A., 253-6(.,..1 .'41411 •BY: FC2
253-661-4000 EXPIRES: 04/05/00
ADDRESS:34910 ENCITANTED PKWY S Unit.: A--1&2
NO. : 21926.0-0570
PROJECr DESCRIPTION:INSTALLING 8 CIRCUITS
OWNER4t - - :13U===0.4.'2,.M,.., CONTRACTORP402:=41,......ralt==t1Atin0f41.1=SM.WMSM,==PM.SLUWAW. Wie.
CHECKMATE FORBES ELECTRICAL CORSE CO
34110 ENCHANTED PINY 5, A.100 1502 S BROOKSIDE TERRACE
FEDERAL WAY WA 98003 TACOMA WA 98465
253.584.6499 253.564.3949
FORBEEC032D1
• • t.,
*** CONTRACTORS, PLEASE USE LOCATION (001 1117 14018 WORMS SALES TAX FOR PROJECTS RERUN ENE CITY V FEDERAL1111 . _TA!.11.!12:!!!!!.,...„,
—.--,--.- .------- -
.-= ---'i"""v""'"m:"rtw''*"'='"ry- -- a c..
4' ' ' ' ' ' '. ''''''" ' R / M *
* STRUCTURE INFORMATION / t NEW RaWNTIW* 4t, ILL HOMES t * ESIDENTIAL ALTERATIONS * ULTI FAMILY NEW
, I SEV FEED
CONST. TYPE.: V-N 1 ITEISk., E FAM 0.'','1, ''' P,'4n '00.Y: 0 0 200 AMPS......,..: 0 0-200 ANPS...: 0 ... 0
0 Wq"' " '4,14, ilAWA7k --':,. ANN444,44.. 41$gw.-4A,Am 201-400 AMPS.: 0 ... 0
OCC. GROUP..: OUt4. Jill'IINGS.,: 0 , SERVILE. AN ...A, ..,.. n , , _ME , , ,_.1 ,,
i ., _ ,.k. 4,,k Vr \'''-''' kt Ila I.-LLL; OVER,,- ,. ., ,, ,,,, •s.,,,,. OW 600-40S..•4 41-.-- ----, `'-''' --' ' 401-600 AMPS.: 0 ... 0
occ. LOAD...: 0 t -, ,,,e,, ..:,,,,,, ,- 0,(,, 0 5y::,,:--t,-;opr , ' .. ' . - ,- , 4,i1 ,, y:t.- 0 --,,,,, ,,:?, , , 401_800 Amps.: 0 ... 0
SQUARE FEET,: '' ' -' MAST/METER - - 1 ''',- , •,,,,
0 -k , , --',' „,-- -'e%•,N1,4\wk45*.V.4kw,..„,--, ,,,,,,,,r4 ,t-,-. - • ',.. 10.040ER 01. cift ... 0 .. 001 AND OvER... 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE ...... DATE
0-200 AMPS......: 0 0-100 AMPS....: 0 IHERMOSTATS„..: 0 101-200 AMPS...: 0 ... 0
201-600 AMPS....: 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 . . 0
601-1000 AMPS...: 0 1 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 1 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. !:...e..--- DATE
NON. OF CIRCIUTS: 8 1 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
_I_ YARD METER LOOP0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES . 67.00 OVER 600 VOLTS.: 0
1 .
I MAST/METER RPR.: 0
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PERIUTS EXPIRE 180 DAYS Al Flit ISSUANCE If NO WORK IS STARTED.
I CERTIFY INAT 1Nt ORMAI100 TURNISINED BY NE IS I AND COMO 10 1111 BfST Of MY KNOWEDSE AND ENE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS MILL SE NET.
OWNER OR AGENT --- t-,/).t--1 .F1.--1- 77"-- • IE
FIELD COPY cj
--) �5 3
07/0929.8'/TUE 08:52 FAX 066614129 CITY OF FEDERAL SPAY X 001
CITY OF r Q 33530 First Way South
_
V� EIMEIZFil_.
�11-' 7:074,1 Phone (206) 661-4000
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im 0;Ps"ELECTRICAL PERILIT APPLICATION
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Job Address y 3 to > GIIA/JTupi/-u,y ,so
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sl A{you Job Site Phone
Partrel4ce Loi No Subdivision Name
NCT�•pvJS J
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Owner"TE-1 /6‘1•--)1- Mail Address Phone
t-? (hMnn,)
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Electrical Contractor Mail Address 4,52,-2, 5. Phone"753 56 y- 3 gee 9
'- ".' - /3 v-00 ;de Ter(ace License No.Fo2/ge -GD 3Z09
t'�M —ret c eta n g Laec Expiration Date .2 g�q q
Use of Bldg: OSP Rea cConun ❑Other ❑Multi oChurch/School Class of Work:`( hIew Iteration ❑Addition ❑Repair
Describe Work: //i5 / // 6 f-20 V Cf re u t7L-5 eon V Rectos.
Type of Const: _ NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _ Service or feeder only . . . . $40
Occupancy Load: Single Family _ Service and feeder 65
Square Feet: (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
If service X400 amp, plan review is req'd. _ #of service or feeders
Fee = 35% of permit fee +$50. Add'1 plan _Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
review for other submissions = $60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMMILY COMMERCIAL/INDUSTRIAL
_# of Thermostats (Includes three units or more) Amps Service or Add'n
(First thermostat-$30; Add'n thermostats- Service Feeder Feeder
$10 each) _Up to 200 amp . . $ 65 . . . $ 20 _0 to 100 $ 65 . . $ 40
_ # of Low voltage fire or burglar alarm _ 201 - 400 amp . . 80 . . . . 40 _ 101 - 200 80 . . . 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) _401 - 600 amp . . 110 . . . . 55 201 - 400 150 . . . 60
_#of Signs _601 - 800 amp . . 140 . . . . 75 401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _ 801 and over . . 200 . . . 150 601 - 800 225 . . . 95
_ Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
_ Swimming pool, hot tub, spa . . . . 60 _ over 1000 300 . . . 160
_Temporary Pole 35 _ Over 600 volts surcharge . . . 50
Yard Pole meter loops 40 _ Mast or meter repair 55
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _0 to 200 $ 65
services.) _201 - 600 150
I hereby certify that I am the owner (or Service or Feeder _ 601 - 1000 225
authorized agent) of the above named _0 to 200 amp $ 55 _over 1000 250
property or a licensed contractor(or firm's _201 - 600 amp 80 6 #of circuits
authorized agent) and am making the _over 600 120 (First 5 circuits-$50; Add'n
installation or alteration in compliance with _ Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. # of circuits 40 Temporary Service
(First circuit-$40; Add'n circuit- _ 0 to 100 $40
Applicant' Signatu-e: $5 each) _ 101 - 200 50
_201 - 400 60
_ 401 - 600 80
r�Z--f 0 , over 600 90
Date: