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CITY OF FEDERAL WAY u PERMIT NO: ELE99-0020
33530 First Way South �;,,.. L... E.:�;;....'. ..,�,,..H,. ..iI.� �;:.. �'',,. H..� �.;.,,� ' ,�'"'h ;..8... ...N,, ISSUED: 01/0 /9
Federal Way, WA 98003 Electrical Irnspection•pequt?sts 253--661 -4140 BY : FC
253-661--4000 EXPIRES: 01/01/00
ADDRESS : 825 SW 301ST PL
NO. : 515320-0510
PROJECT DESCRIPTION:INSTALLING NEW SERVICE/FEEDER FOR MANUFACTURED HOME, NOT IN EXISTING PARK
-- OWNER ==- CONTRACTOR - T LENDER - _. q
- CLYDE PACKER GROFF'S ELECTRIC HEAT INC 1 1
825 SW 301ST PL € 3308 S UNION AVE
FEDERAL WAY WA 98023 ' TACOMA WA 98409
253-859-1239 253.383-3511
GROFFEH442RU
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% m
* 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 j 0-200 AMPS • 0 j 0-200 AMPS...: 0 ... 0
OCC, GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 1 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 ` SERVICE OR FEEDER (PK): 0 t OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 j MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * 1 * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS • C ... 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 j 201-400 AMPS...: 0 ... 0 COVER.. DATE _
601-1000 AMPS...: 0 1 201-400 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 j FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 { 801-1000 AMPS..: 0 ... 0 f 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 DAY FT" IS UANCE NO WORK STARTED.
I CERTIFY THAT T IN- MA' ON F 'M SH �E I UE AN CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT `_ _ _-40 �ir L__ __y/� DATE
FILE COPY
......._
crrroF �_ _ 33530 First Way South
• Federal Way WA 98003 1
Phone (206) 661-4000
r0A 0 7 igqc ELECTRICAL PERMIT APPLICATION „
ELE- 1'-/ - I 1 -,
Job Addresa 91Ld1 dis7 L� 1��1 _ -� l Job Site Phone 't`A Y
T� .)l �r1 i` 'V"
Parcel No Lot No Subdivision Name
Owner C`L�.e Lt.- . H•� Mail Address Phone ~
i3Ho5 H3;c� u ►�. C3 —5039
`'v.V\co L1..L
Electrical Contractor Mail Address Phone 1,C 3" 3 VI -3 S i l
Vr c+f L\ecV.rkc 30 cs $o 1iv-v1GV• License No. (;;C ff 6 1-11-14-XtZOi. •
--r _ tJ' C g r. S Expiration Date Roco
Use of Bldg: Xfp.F Res ❑Comm °Other °Multi °Church/School Class of Work: KNew ❑Alteration ❑Addition ❑Repair
Describe Work:
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 ft-$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 . . . 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
■ 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-$40; Add'n circuit- _ 0 to 100 $40
Applicant's Signat e: $5 each) - _ 101 - 200 50
_ 201 - 400 60
_ 401 - 600 80
_ over 600 90
Date: 19..—aei * ci
PERM.App
REvisao 3/31/95