99-101153 FILL curt
CITY OF FEDERAL WAY �'............... �',,.,,,. ,, I ';;; PERMIT I T NO: L E 9- 31
L.
pp p �'' 1 � 1 pp pp M E 9 0 6
33530 First Way South !I4'YI 9,w ;�" .,., illi,. ., .1141 !I-- i ii°;) R.Mi .�II.. ..If,,, ISSUED: 03/23/99
Federal Way , WA 98003 Electrical Inspection- Reque's' ts 253-661-4140 BY: HTS
253-661-4000 EXPIRES: 03/16/00
ADDRESS: 28710 13TH AVE S
NO. : 720300-..0660
PROJECT DESCRIPTION:addition for kitchen outlets and lights (adding one circuit)
E. OWNER -- --- t-= -- _ CONTRACTOR _�- LENDER =_=-_ ---
TONY NOVAK & SUZANNE FULLER ELECTRIC
28710 13TH AVE S i 37107 12TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
253-839-8297 I 661-7181
FULLEEI027BK
--- - 1 _
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * s MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
' SEV FEED
1CONST. TYPE.: V-N NEW SINGLE FAM. ' SERVICE OR FEEDER ONLY: 0 , 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
1 OCC. GROUP..: i OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
I OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 OVER 600 AMPS 0 1 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0
601-800 AMPS.: 0 0
i NUMBER OF CIRCITS: 1 801 AND OVER.: 0 0
___'_ _---__._ __. 1
I * COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
# 0-100 AMPS • 0 ... 0 SERVICE DATE
I 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 j 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 j 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
i NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
FYARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
1 TOTAL PERMIT FEES - • 41.00 OVER 600 VOLTS.: 0
} - i--•MAST/METER RPR.: 0
-.-_.__.___._ ---__--. .-_.._
-. ...
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
C'
OWNER OR AGENT ___ _.. : 11"-X-L- DATE ,,3-2 =_L_ _..
. —
- OF FEDERAL WAY ...
i — TR I(-A L
..., _ _ , , -661-4140
E L , C. - Rewves Lc, 253 , . PERMII
BY: NTS
u t h
CI" Crct Way So ,
3510 - 1 - PERMIT (1:.iSti*.i.JD:E ."YE35/1.42%(/34. 6
Federal Way, WA 98003 E lec t ri cal I nspdk t 1 cai.,,___
253-661- .-4n00
EXPIRES: 03/16/00
ADDRESS:28719 13(11 AVE S
720300-0660
PR
.--.
NO.. :
DEscRTIlltn!!lift!2:!!!!!!! and lights (adding one
...',22.......,_ ......... . LENDER
1
OWNER ...........
FULLER RIC
TONY NOVAK & SULANNE
3
28710 13TH AVE S 7107 12TH AVE S
FEDERAL WAY MA 98003
FEDERAL WAY NA 98003
253-839-8297 * 661-7181
,.....1
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'""'"e"''''m'''""Z11-W10411q;DEI;;TiliiiiIi;;;;I!! FE:;!F*""42:TiTisfiTITY Of frOLOALrY. TAX RAT __............„,l
3MMit=MVO:MAW
' "'4''"'-'"g=414 (0101RAC10RS, PLEASE ....... _,.„ aumum*,004*„. HONES * T!!!:
t ,_„„„,„,,..,„.........” .f.f. , 444a
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--:-"----1-*'- *4Hilf RESIDERTIA01'
0 ... 0
--t-SiWT;47NfORMATIOR t - ' ,,,--lilitt ONLY: 0 IRESIDENTI'Al:ZER.AoWS-t
0-200 AMPS 0:2:90LTAIMPFS77 NEW_ 1 ! 11
NEW
• 0 201-400 AMPS.: 0 ... 00
00 cos,: 0 ••.
CONSI. TYPE.: V.N
' ',;., ,
14uiuEfv*,, , _ttpwtuotwii.t'4 ,,, 1,,,,
- ' , ics .:il ' '
OCC. GROUP..:
o
• ... 0
1 AHD OVER:. 0
SOW FEET.: 1 (K4'S 7 ' :'l ‘::, 222,,, ' 1771771.?!! 7: :;;;;;;;rZ1110 AMPS.: ^ — 0
OCC. LOW•.: 0 0 " ' '' ' ' ' .,,.,`,,-- ty,,;:\44AA7i V-'''
\-C"A ':.$4-`*-44'
_,..,......
i ii
1 coMN/IND NEW *
, t
.. 0
t
t COMM. ALTERATIONS
9-100 AMPS • 0 ... 0
/ TEMP Af61.1 • * MISCELLANEOUS t
THERMOSTAT . : 0 101-200 AMPS...: 0 . 0 I SERVICE -_-_-_771, " RECORD
:---------
DATE
(Hat) AMPS....: 0
201-400 AMPS. • 0 .. 0
0-200 AMPS • 0
•
LOW VOLTAGE. • 0
101-200 AMPS • 0
401-600 AMPS...: 0 ... 0
DATE7.7
201-600 AMPS • 0
SWIMMING POOL.: 0
FINAL.. _4We -
201-400 AMPS..: 0
601-1000 AMPS...: 0
SIGHS • 0 601-800 AMPS...: 0 ... 0
COMMENTS:
401-600 AMPS..: 0
801-1000 AMPS..: 0 ... 0
OVER 1000 ANS..: 0
OVER 600 AMPS.: 0
OVER 1000 AMPS.: 0 .
HUM. OF CIRCIOTS: 0 YEARPD.MPEOTIEERSLOOP: CIIT
OVER 600 VOLTS.: 0
IOTA PERMIT FEES • 41.00
I
MAST/METER RPR.: 0
• =4MA. gNI.U.M=1.9,74.WW, . =m4s4Asswp4x=.4.,,..,.mmtt===
L'''''''' '''' - AFTER 155944 IF IS ROE AND CORAtC
PERMITS EXPIRE 1iNTAWY.'S" "'""'" NO WORE IS STARTED.
I IA 1111 BEST Of NY KNOWIEDCE AND it APPLICABLE CIIY(0f MEDAL WAY DEQUIRINENIS WILL BE $11.
1 CERTIFY TIM IRE INfOtt)IION fORNIS7I
?
OWNER OR AGENT _
DATE ._... .-
_..4., ,
J _...c.___ y
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CD0193(Rev 4/97)
�3" G 33530 First Way South
-=z= Jnr Federal Way WA 98003
\>\> RY Phone (206) 661-4000
R ; + • /r-
LLLCT1tICAL ' 173 c 1PPLICATION "
MAR 2 3 1998 ELE- 4 64 - OS 16
Job Address Job Site Phone
Parcel No Cl lx'`l -'t=t:E•ki,l WAY
Lot No BUI DAiA ttTName
Owner Mail Address
Phone
T I- «- ZG h,,e/10 yak -,". 7/v /3 ti /)vim S(.
Electrical Contractor Mail Address Phone ,).53-66/-77
/ �� License No.Fu//f* i 0;27,3/
FGLI 1 rr/ecTf,cJ G -7/0 ) /2 /1V SC• Expiration Date /-12-a6fx.,
Use of Bldg: OSF Rea ❑Comm ❑Other °Multi OChurch/School Class of Work: ❑New oAltcration t9Addition ['Repair
Describe Work:
Adcl:/.0-- +.'(_;,- K , f /,a,-- v,,,i/e_{s f 1.,,i,4s
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 plans are required for review, the fee is _ # of service or feeders
35% of the permit fee plus$50. Additional _Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
plan review for other submissions is $60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY 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 . . . 1L5
_ 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
• Issuance fee for each permit 20
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 _ # 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-$46; Add'n circuit- 0 to 100 $40
Applicant's Signature: $5 each) . _ 101 - 200 50
/ _ 201 - 400 60
�� `�� — 401 - 600 80
over 600 90
Date: ' a 3 —
,llr .An
RL'.i sup 3/J INS