99-100496 e • 9q ' /o 0 994
CITY OF FEDERAL WAY � L E.
PERMIT NO: ELE99-0091
33530 F i rs t Way South !l;»;,, E".. 0,,,,, ,,,U.,,.�;;';?. I. ..iA !I.,,,,, ii":,;k A.::.r:;�,,M.,,U.. ,,.�,,, ISSUED: 0 /2 3/9`
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 01/22/00
ADDRESS: 4124 SW 325TH ST
NO. : 873201-00/0
PROJECT DESCRIPTION:electrical to gas furnace hook up
s- OWNER ,- CONTRACTOR __.__.... _ -- _ --- T LENDER €
TAMARA GRIMES = OLD TIME ELECTRIC
4124 SW 325TH ST I 8614 BRIGGS LN SW
FEDERAL WAY WA 98023 I TACOMA WA 98498
952-0188 i 253-588-5045
OLDTIEI021LB
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * t * MOBILE HOMES * ! RESIDENTIAL ALTERATIONS f * 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
f SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
f NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
1
......_._......__. _..-_.....___.... _.. ..._.__«.._._....... T 1 T_.-._.....__.._.
* 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 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 i SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 ' 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 0 ! OVER 600 AMPS.: 0 , TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
b -- -- ---- YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 41.00 OVER 600 VOLTS.: 0
MAST/METER, RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATI 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 Z -,57:,,, C.( DATE / --5'
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CITY OF _ BUILDING DIVISION
• EO ECFI\FF 33530 First Way South
FEYN)N) / Federal Way WA 98003
IAN 2 FI 'Tor (253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number:, /.1;"4�� ELEggj— 60 9 J
Job Address ,tp t,/ ,j& s
3 - ?4 Job Site Phone
Parcel No L Lot No Subdivision Name
Owner/tenant ' Mail Address Phone ��� - `
88
17477'1/ - /r s `f//—) 32S
Electrical Contractor Address/phone Sew y' '�Z/ rs .�,,<LS) Electrial contractor license number (copy req'd):
/p / ��//.,� y-- 5 O',-'J rbc i o_1• e--
0,,,,o
-
0�o ✓i-C.,G'_77-ze.0 /7 C'YY ' c.-.--/c---445'S J Expiration Date:QkCj/ U Z / ue;L.'
Use of Bldg: SF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: 0 New 0'Alteration 0 Addition CI Repair
Describe Work: c,-
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
review is req'd. Fee is 3 5% of —(First 1300 f2-$62;Each add'n 500 f2-$20) Service and feeder 67
planre Q 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 2500 f2-$36;Each add'n 500 f2-$10) _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 1/2 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 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
Applicant's ignature: _0 to 100 $41 ,
_ 101 -200 52
4 _201 -400 62
n _401 -600 83
Date: A—e��7 _over 600 94
EIEC[WC.ArP
RF.vISrn 12/8/98
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