99-103120 CM 463i16
A `
CITY OF FEDERAL WAY y PERMIT NO: ELE99-0877
33530 F i rs t Way South ';;:. ;� dti.:: ,,.�,,,.�.,,;;W. .�x. ,:i1'°"� ";;;W ,. .11� �� .,�.:: ,.,�... ISSUED: 08/12/99
Federal Way, WA 98003 Electrical Inspection Requests 253--6e.:14140 BY: FC
2.53--661-4000 EXPIRES: 08/05/00
ADDRESS: 28725 11TH AVE S
NO. : 515296-0430
PROJECT DESCRIPTION:ELETRICAL FOR RES ALT (SIX CIRCUITS)- REMODEL KITCHEN, MOVING BATHROOM, ADDING GABLE
- OWNER -..---._____-__.___.__-_ _____._-- CONTRACTOR ----------------- __ LENDER _._____...._____:_____.._._ I
MARK LUCAS PROVIDENT ELECTRIC, INC. I
28725 11TH AVE S PO BOX 59284
FEDERAL WAY WA 98003 RENTON WA 98058
253/966-0078 425-271-4648
PROVIEI103C2
__,___.._____._�=_ I
*** 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 * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * ` * MULTI FAMILY NEW *
SEV FEED
CONST. EV N NEW SINGLE FA": eenvrrr_ n
p N CD n,'v-
0-200 AMPS • 0 0-200 AMPS...: 0 0
OCCGROUP .: BUI "i ' SERVICE AND SEEDER....: 201-6 CAMPS..,-...: .0 I 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE CR rEEE . iP,k' 3 OVER 600 AMPS.. ..; 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
I NUMBER OF CIRCUITS 6 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * I * 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 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
l 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:
�_ _.-.____------------------... 1 - ..
------ ------------� YARD METER LOOP: 0 i OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 51.00 OVER 600 VOLTS.: 0 ,
MAST/METER RPR.: 0
PERMITS EXPIRE 18O DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNIS D 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 _-_W L0,f//7 ___---_.` DATE 5_^ IZ'`_-
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: ELE99-0877
33530 First Way South ELECTRICAL f)E RN I T Lssul. D: 08/12/99
Federal Way, WA 98003 I Electrical Inspection Requests 25d-661 4140 BY: FC
253-661 -4000 EXPIRES: 08/05/00
A1)DRESS:28725 1111-1 AVE S
NO. : 515296-0430
PROJECT DESCR T PT ION:ELEiRICAL FOR RES ALT (SIX CIRCUITS)- REMODEL KITCHEN, MOVING DAEMON', ADDING GABLE
MARK LUCAS
28725 11TH AVE f, PROVIDENT ELECTRIC, INC.
PO ROX 59284 'I
FEDERAL WAY NA 18043 RENTON WA 98058 1
1
253/966-0078 425-271-4648
PROVIE1103(2
*** CONTRACTORS, MEAS.' TISE LOCATION CON TM iNNIFAIPORTING SALES TAX FON MIKIS CHUN TR CITY Of ELKIN. NAY. TAX NATE .: 8.4 *1*
;.*SI2R!TC-TUIrCinlif;11-MA'T-111 *
--- ;'HiV-RESIDENTIAI, * * NAO.' HONES * * RESIDENTIAL ALTERATIONS * * NUM FAMILY NEW
,,,i, OM
SEV FEED 1
COAST. TYPE.: V-N 114-4014E FAII.: :,, .,* t -0MLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
KC. GROUP..: OUT otp/Ks..:;:- al., 4,-1, -, „A* z - ,,„„.-__,,,,..0 wow,,, ,,,.‘,03,. 20c, ,2 0, - 201-400 AMPS.: 0 ... 0
, ., ',.A. n i ft'.%5 r^: ,,,. Mt. 600*S i - \' 401-600 AMPS.: 0 ... 0
OCC. LOAD...: 0 , ' ,. ,,,- '- 0-;', .: "'`' '',. ' A %rr,1 its I it' ' 1, ,v4•,, •••mIt' ^-,
SQUARE FEET.: A 1 i , - , ,;,*!t,,, ,u,, METER ‘ , , . 0 --,,,, =, ,T, -800 AMPS.: 0 ... 0
.,.., 1 . ,,,..-... -
° 1 ' ''' 's*‘ 's 1 It l'I't°'‘‘;1 ' .-.I ' . s s'''-'' NUMBER 01 CIRCUITS: 6 801 AND OVER.: 0 ... 0
I. 4
- 'T-
COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS t t COMA/1ND 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.. eir.--- DAT .....,31-7,-- 7
601-1000 AMPS...: 0 201-400 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 FINAL.. DATE
NUM. Of CIRCIUIS: 0 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 • 51.00 OVER 600 VOLTS.: 0
NAST/NETER PPR.: 0
,a,A44-1-4.--(4-2-
PERMITS EXPIRE 180 DAYS AID? ISSUANCE If NO WORK IS STARTED.
I CERTIFY MAI INC INIONNATION MAI 0 BY NE IS 1P01. AND CONNECT TO TOE ET Of NY KNOWLEDGE AND THE APPT!CARE CITY OF FEKRAt NAY REQIIIRLIMUS WELL RE NEI.
OWNER OR AGENTtry x I
ii PATE
/
FIELD COPY ..
CRY OF G RECEIVED BUILDING DIVISION
• 33530FirstWaySouthjDIFft_Ry Federal Way WA 98003
p- ��94 (253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: Li- q c cii, ELE- — }"3-
Job Address 2 ,5 7 7 5 , , .-i i/ - . 5 Job Site Phone /
Parcel No Lot No Subdivision Name
Owner/tenant I.
J ,=z�lf�q (n/a
!1 Mail Address y Phone
L� t�c cts �Q� 1
. -_'3 7L' 5 /I 1-4‘ Ave iltiC 5 (?-oe) SIC OS I 5--
Electrical
Electrical Contractor ll Address/phone d g c5-5" ('I Z S)1 7/-6/‘YY ElectriRl contractor license number (copy req'd):
p,�,,,,ai e„ f F.:-/e J(' p o. � �9' S y R �✓/� 47,', ,, 1 t;! 1_03 L 2_
B:,�0 Expiration Date: C�2, / 1 z / Z c7 G c,
Use of Bldg: XSF Res O Comm O Other O Multi O Church/School Class of Work: O New Alteration O Addition O Repair
Describe Work: 6R-.4'ccie / + v,pyrziae- (a (ec 71r,'_c' / i I5 2X,S h-ry 5,'..y/e r/vi, y
k e5/'de 0 c e
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
(First 1300 ft-$62;Each add'n 500 it=-$20) —Service and feeder 67
plan review is req'd. Fee is 35% of
Square Feet:
permit fee +$52. Add'! plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) #of service or feeders , ti
Each outbuilding or garage $41 (First service/feeder-$41;Ada'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:fust 2500 ft2-$36;Each add'n 500 ft-$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'V2 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 _6#of circuits 40 (First 5 circuits-$52;Add'n circuit-S5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signature: _0 to 100 $41
=
�jl� 101 -200
201 -400 62
qqC� 401 52
600 83
_
Date: 8/ ((V (( ( / _over 600 94
EIEcnuc.APP
Revisor 12/8/98 - _.
CITY OF ��
•
EO ! BUILDING DIVISION
"� ^ '�/ 33530 1ST WAY SOUTH
v FEDERAL WAY, WA 913003 661 -4000
NCORRECTION
,...
ADDRESS: 7✓C5 L! J2 _ PERMIT #: tr, F ( ^0S'7'
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
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YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
Ar r- s, 0 ----
DA E SPECTOR FOR U LOIN DEPARTMENT
DO NOT REMOVE THIS NOTICE