99-103165 •
CITY OF FEDERAL WAYPERMIT NO: ELE99-0890
23530 First way South lif. E.. IC:T rol, :. ;.: C 11,01 .... P ff.rk a'mill 1.: ."1"" ISSUED': 08/16/9
Federal Way, WA 98003 Electrical Inspection Requests 2.53- 661 -4:L40 BY: FC2
253--661-4000 EXPIRES: 08/09/00
ADDRESS: 28641 11TH AVE S
NO . : 515296 -0260
PROJECT DESCRIPTIO N:RES ALT - ONE NEW CIRCUIT FOR LIFT
= OWNER _. -- ---i- CONTRACTOR - - ---, LENDER --- -. .�
RALPH SHOOK 1
i SHEPPARD & NELSON ELECTRIC
1 28641 11TH AVE S PO BOX 3630
FEDERAL WAY WA 98003 = KENT WA 98032-0210
253-839-0793 206-578-7333
1 SHEPPNE556JQ
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 HEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * t "C2'._E HOMES * * REq'^prTALTERATICNS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 i 0-200 AMPS -.._0 . 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: O SERVICE AND FEEDER..•-: 0 201-600 AMPS....44 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 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 1 } 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * I * TEMP SERVICE * * MISCELLANEOUS * I * CMM/IND NEW * * INSPECTION RECORD *
0 100 AMPS 0 0 i SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 j 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 1 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 0 i OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 ; COMMENTS:
- - YARD METER LOOP: 0 . OVER 1000 AMPS.: 0 ... 0 ff
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 INFORMATION FURNISH 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 r `
DATE Q_pp2.1 ...-5.!9_-._..
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cmoF RECEIVE NBUILDING DIVISION
•
ED AUG33530 First Way South
v\> Ry UG 16 199 Federal Way WA 98003
(253)661-4000
CITY OF FEDERAL w., Fax(253)661-4129
BUILDING
ELECTRICAL PERI APPLICATION , �,(
***Federal Way Business License number: 4911 EL1J ct— JL/g �
Job Address "' r. / 2/ 2 -r'; �4 /-��/-7 Job Site Phone Z3-13— Yi , j0 2 C'_3
Parcel No f Lot No Subdivision Name
Owner/tenant �f���� ,) Mail Address
�j h 0�; Phone
'A-A/1Sunil
•
Electrical Contractor Address/phone P.O. Box 3630 Electrial contractor license number (copy req'd):
Sheppard & Nelson Electric Kent, Wa. 98032 SHEPPNE556JQ
206-878-7133 Expiration Date: 7 / 31 / 01
Use of Bldg: ❑SF Res ❑Comm ❑Other 0 Multi 0 Church/School Class of Work: 0 New 0 Alteration 0 Addition 0 Repair
Describe Work:
1 — c\(cam L1 J�
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family Service or feeder only $41
plan review is req'd. Fee is 3 5% of (First 1300 fe-$62;Each add'n 500 fie-$20) _Service and feeder 67
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 SERVICES11 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
#of Thermostats(Fist t-stat-$31;add'n-$10 ea) Amps Service or Add'n
r #of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500112-$36;Each add'n 5001V-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial: 1-4 zone-$36,Each add'n zone-$1o) _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%hr $31 — _801 and over 208 156 601 -800 235 99
Swimming pool,hot tub,spa 60 801 - 1000 287 . . . . 120
_Temporary Pole 36 —
_Yard Pole meter loops 41 over 1000 313 . . . . 167
_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 e 6'�A b0
P PP e L (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$4l;Add'n circuits$5 each)
Temporary Service
Applicant's Si nature: /2e^5a,�4 L- ca6;i"`n 't f r _0 to 100 $41
r A _ 101 -200 52
.. ,� '!
ct _201 400 62
(� e, _401 -600 83
Date: O - /6 - % / over 600 94
ELEcmuc.APP
Revism 12/8/98