98-100241 9 g'/D a a y/
CITY OF FEDERAL WAY PERMIT NO: EL_E98-0064
33530 First Way South E: ... :.M';„;�.,. -ft .11 C ''''' „ if"" 'f:. i' .: "I" ISSUED: 01/26/98
Federal Way , WA 98003 Electrical Inspection Requests 2.53-661-4140 BY: ND
253-661-4000 EXPIRES: 01/20/99
ADDRESS:104 SW 312TH ST
NO. : 072104-9219
PROJECT DESCRIPTION:ALTERING 10 CIRS.
e- OWNER _- :: CONTRACTOR ----=-- - •---.-=-- LENDER = -- .-___.
SOUTHLAND 7-1l TEVERGREEN ELECTRICAL SRVCS,INC
104 SW 312TH ST 1 1708 9TH AVE SE
FEDERAL WAY WA 98023 1 MILL CREEK WA 98012
575-6711 1
i 425/787/8987
° ` EVERGES039RF
-.. _ --- __: ._._.. -._..1 __ _-::._ _ .,_..__._ _ -- --- _- -. ----- -------------
us
-_ ---_-------=is CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
_
* STRUCTURE INFORMATION * ` * NEW RESIDENTIAL * * MOBILE HOMES * 1 * RESIDENTIAL ALTERATIONS lc * MUILTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: ! SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 00-200 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.: 0 i MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
I i
* COMM. ALTERATIONS * * TEMP SERVICE * * 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 1 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-300 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 301-600 AMPS,..: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE _ )
NUM. OF CIRCIUTS: 10 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 75.00OVER 600 VOLTS.: 0
s MAST/METER RPR.: 0
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 DATE
FILE COPY
CITY OF FEDERAL WAY .: PERMIT NO: ELE9B-0064
33530 F i rst. Way S,otit ti E L EC I Ili, I IL P E fit tsi I T V;SUED: 0.1/2.5/98
F:.3cie ra 1 Way, WA '44)03 Eiectricai Inspection Requ .,ts 253 661 41 40 BY: NM
253-661 -4000 EXPIRES: 01 /?0/9.4
ADDRE(.3S:104 FW At2TII SI
NO. : 072104- 9219
PROJECT DESCR I PT TON:ALTERING 10 CIRS.
SOUTHLAND 1-11 EVERGREEN ELECTRICAL SRVCS.ITIC
104 SW 312TH ST 1708 9114 AVE SE
I FEDERAL WAY WA 98023 MILL CREEK VA 98012
575-6711 425/787/8987
EVERGES039Rf
1st CONTRACTORS, PLEASE USE LOCATION CAW lIBBIONAINUARTINC SIRES TAX FOR PROJECTS MINIM THE CITY Cf FEDERAL NAY. TAX RATE : 8.21 U'
* STRUCTURE INFORMATION * * Noi RuiDENTI4 $ ' t MOTEL 140fiv t * RESIDENTIAL ALTERATIONS I * MUILTI FAMILY HEW I
sEV FEED
RE0 mos FAN,: StPvIct 0P FTEDEP ONLY:
CORSI. TYPE.: V-N 0-200 AMPS • 0 0-200 AMPS...: 0 .. 0
OCC. GROUP I 00T INILDIDGS-.: 0 *Attila AO TEEDEf,...: i a)I.-600 MPS,— 0 201-400 AMPS.: 0 . . 0
KC. LOAD...: 0 tLi'Vl'..t GA t.EDER Hit : 1. OVEP e.,00 MPS.....: 0 401-609 AMPS.: 0 ... 0
SQUARE FEET.: 0MOT/METER REPAIR.: 0 601-800 AMPS.: 0 _ 0
! , stuimR OF
civanTs: 0 Rol Atm OVER.: 0 0
""* 44"" "**- '''''''' ^..**- ''',., .*Aw.....w ...........,
* COMM. ALTERATIONS * * TEMP Sr.RVICE * * ITISCELLAItOUS * $ COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS..._: 0 ... 0 SERVICEDATE
0-200 AMPS • 0 0-10L, ASV • 0 I THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 EN VOLTAGE • 0 201-300 AMPS..,: 0 ._ 0 OVER.. ,_ DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 301-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS. • 0 0 i r THAL ..... ...___"7"..... DATE 5/1 ?It'
NUM. OF (IRCIUTS: :10 OVER 600 AMPS. 0 TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 1 COMMENTS:
- YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES..,_..: 75.00 OVER 600 VOUS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 1R) NAYS AFTER ISSNANCE IF NO WORE IS STARED.
I CERTIFY THAT THE INIORDAIION FORNISNEP DT MI IS TRIM. AND CORRECT TO THE NEST OF NY INOWLEIGE AD THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL BF TU.
0WHER OR AGENT DATE
...
FIELD COPY
j I
01/20/98 TUE 11:33 FAX 2536614129 CITY OF FEDERAL WAY 2 002
COMMUNIRDE Enp E®D PARTMENT
CITY Or 2 BUILDLxG DIVISION
sir Ej, 1998 33530 First Way South
N` /' Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION ELE�� 6
Job Address f/ iq S(1_,/) 2 /G 3` _�_ ..__ --- Job Site FJione 7 .
/l' / J/
Parcel No Lot No Subdivision Name
Owns Mail Address Phone
/ [even /U'Lf !.t1 ' /Z-
Electrical Contractor Mail Address _ (y2 c 1 ?£r 7 P'9 8 7
C / ry L r) / I �1 License No.,�ff/ e.5 O�9 K r
f ve m tt'e i ( /eec rt / .�e r v/r.,,, ! 7/t7 !r N rfkr !')"%//Cre e/4 Expiration Dec �/ /?9
Ute of Bldg: 0 SF Rea ArCotrun 0 Other 0 Multi ❑Church/School Class of Work: 0 New 'Alteration C Addition o Repair
Describe Wok / /
Re,d'-)10C`P law ' /t 9�v`c �14c. die.Pell errTvrDi45. Q fi.1 r!?�.e;*,— , S}/ 4'"oat?
Type of Const: '/ ✓ NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _Service or feeder only $40 1
Occupancy Load: _Single Family _Service and feeder 65
Square Feet: (First 1300 ft2460,Each add'n 500 ft-$20)
MOBILE HOME/RV PARK
If service i 400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders
=35%of permit fee+$50.Add'!plan review (First servicafeederS40;Add'n service 1
for other submissions=$60ihr. feeders-325 each)
1
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) »
_#of Thermostats Amps Service or Add'n
(Firstthermnnat$30;Add'ntheemoataiuSlO each) Service Feeder Feeder
_#of Low voltage fire or burglar alarms _Up to 200 amp .... $65 $20 _0 to 100 $65 , ... $40
(First 2500 fe.$35;Eachadd'n sec fe-510) _201 -400 amp .... 80 40 _101 -200 80 50
#of Signs _401 -600 amp .... 110 55 _201 -400 150 60 I
(First sign-S30;Add'n sign-S15 each) _601 -800 amp .... 140 . , . ... 75 _401 -600 175 70
_Progress inspection per hr $60 _801 and over 200 . 150 _601 -800 225 95
_Swimming pool,hot tub,spa 60 801 - 1000 275 . . .. 115
_Temporary Pole 35 over 1000 300 , ... 160
Yard Pole meter loops 40 Over 600 volts surcharge 50
_Mast or meter repair 551
rALTERED SINGLE/MULTI FAMILY 1 COMMERCIAUINDUSTRIAL j
Inspections requested before 3:30 will be (When inspected separately from the services.)
made the following work day,661-4140. Altered Service or Feeders
Service or Feeder _0 to 200 $65
I hereby certify that I am the owner(or _0 to 200 amp $55 _201 -600 150
authorized agent)of the above named property _201 -600 amp 80 _601 - 1000 225
or a licensed contractor(or fine's authorized _over 600 120 _over 1000 250
agent)and am making the installation or _Mast or meter repair 30 #of circuits X75
alteration in compliance with all applicable i #of circuits 40 (First 5 circuits-550;Add'n circuit-S5 each)
city,county,and state laws. (First circuit-540;Add'n circuit-55 each)
Temporary Service
Applicai is Signature.: /7 N 1 _0 to 100 $40
_200
50
\ IL J� L 201 400 60
�,i_ _401 -600 80
Date: / over 600 90
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