99-102800 4 r 59-fb,)800
CITY OF FEDERAL WAY �y PER iI NO: LE 9- 78
33530 First Way South L �� L(... ..,�.,,.R. .. ... C r,';,,�L. ';;' :::. °'UU�1 .,1 ,,. ,, ISSUED: E 07/21/99
Federal Way , WA 98003 Electrical Inspection Requests 253-661-4140 BY: FC
2.53-661-4000 EXPIRES: 07/14/00
ADDRESS: 4630 SW 333RD CT
NO_ : 189890-0060
PROJECT DESCRIPTION:NSF - WIRING AND SERVICE 2722*** Undefined variable: ***
A- OWNER -«. --- ..«__•_...«__.__._ ----------____.«.._._«_. CONTRACTOR __«._ -.
__-____________-_._ _r_.___- - LENDER
LEBARON HOMES, INC. I PROVIDENT ELECTRIC, INC.
25110 212TH AVE SE tl PO BOX 59284
MAPLE VALLEY WA 98038 RENTON WA 98058
425.432.9124
425-271-4648 i
PROVIEI103C2 {
*** 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. TYPE.: V-N NEW SIHGL FAM.:X SERVICE OR FEEDER ONLY: v i 0-200 AMPS • 0 1 0-200 AMPS...: 0 .., 0
OCC. GROUP..: OUT BUILDINGS. .: 0 ! SERVICE AND FEEDER 201-600 AMPS. . ... ;; S 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 .. FEEDER ;PK;: D OVER 622 PIPS. 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 2722 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
!` NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
I I
_.,__..._..............«_...._...«.._....__.__.--.__..7 .__..._..-_....._._.._....... .._.�. 1.__......-._..-«.__...«__«.__«_. .r .l. -._-_._..-._.___.........,.....-.«._...._ .._r_.
* 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 I
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 i COVER.. _- DATE ____________
! 601-1000 AMPS...: 0 201-400 AMPS..: 0 ' SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0 1
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 I FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 i 801-1000 AMPS..: 0 ... 0 ! COMMENTS:
' YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 1
TOTAL PERMIT FEES • 122.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WRY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _____ _ • - -. DATE 7/21//7f?
FILE COPY
----
,... -
CITY OF FEDERAL WAY — PERMIT NO: ELE99-0781
33530 First Way South E I_ EC-1111 CA L. P ERM I T ISSUED: 07/21/99
Federal Way, WA 98003 Electrical juy,,f,c,t-tion Requestc, 253- 661-4140 13Y: FC
253-661--4000 EXPIRES: 07/14/00
ADDRESS:4630 SW 333RD CT
NO. : 189890-0060
PROJECT DESCRIPI ION:NSF - WIRING AND SERVICE 272.2m Undefined variable: *t*
LEBARON NOSES, INC.
MAPLE VALLEY WA 98038 PROVIDENT ELECTRIC, INC.
25110 21210 AVE SE
PO BOY 59284
RENTON WA 98058
425.432,9124
425-271-4648
NOV
5$. 1$32 TOREN WORT'S SALES TAX fOR PROJECIS IIIININ IRE CID' OF FEDERAL WAY. TAX RATE : 8.6% tst
Ag4==1mammuzaax.3mzu ==mazuvamann.rag:rmeasglactemAmmout4Inwmur,vfamvAmsexo—Amcgrl,nu-sv,=*,..mfticommusti
t STRUCTURE INFORMATION * t NEW RISIDIRTIAL j HOMES I $ RESIDENTIAL ALTERATIONS * $ MULTI FAMILY NEW *
i SEV FEED
CORSI. TYPE.: V-R HEW SINGLE FAM.:X i SERVICi OR FEEDER O14LY-104- ,V '- q-200 Altin... . : 0
0-200 AMPS...: 0 ... 0
OCC. GROW.: 001 EPIEDINGS..: 0 SiWita OWD FEEDER, . ,: O''' - ,- /01-600 AMPS. . ..: u 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 (,4141,1, ug FEW tn). 3 ,,,,,, , t,., 600 AMOS...... , 401-600 AMPS.: 0 .., 0
' -,
SQUARE FEET.: 2122 -'}. mAsTNTER REPAIR.: 0 I 01-800 AMPS.: 0 ... 0
NUMBER Of CIRCUITS: 0 801 AND OVER.: 0 ... 0
. - -
t
COMM. ALTERATIONS t t TEMP SERVICE i t MISCELLANEOUS * t COMM/IND NEW * I . .-2c,-H3ISPECTIOR RECORE .
0-100 AMPS...„.: 0 . . 0 SERVICE tlf..!f7DAT( N,I-A' / 'y
0-200 AMPS 0 0-100 AMPS 0 TRERMOSTAIS....: 0 101-200 AMPS...: 0 ... 0 /
701-600 AMPS 0 101-200 AMPS..: 0 I LOW VOLTAGE....: 0 201-400 AMPS...: 0 ... 0 COVER0=0;0:7:01: DAT'
601-1000 AMPS...: 0 201-400 AMPS..: 0 I SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AKPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL DATE
AMPS..: 16/4;4?
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES....: 0 801-1000 0 ... 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS,: 0 ... 0
TOTAL PERMIT FEES • 122.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 1, DAYS AFTER ISSUANCE IF NO WORK IS STARIED.
I CERTIFY IRA' INI INF e.71._SNED DY NE IS IDOL AND CORRECT TO INI NEST Of NY KNOWLEDGE AND INE APPLICADLE CITY OF FEDERAL WAY REQUIRINNIS MILL DE NET.
NKR OR AGENT
Ck,,'/.....""-------- DATE 97211/7I?
Z
FIELD COPY
CRY OF G BUILDING DIVISION
•
E� JUL 2 133530 First Way South
id
Vv Fi4 Federal Way WA 98003
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(253)661-4000
BUILUItki DEO'r: Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 9 C- 5 ELE — � ' 1
Job Address LI b / S ?j 3 3 rd c � 'r, �- Job Site Phone(yi sj �32 —�� ?/�1
:
Parcel No Lot No Subdivision Name 51-04 e $roc k
Owner/tenant / Mail Address t✓4 fF0 38 phone
Le Qcerovl �lovr)f' 5 2278 ' 5E 1771'�' P/ ryk 164 (4LS) 43z- glZ4'
Electrical Contractor 27/—y6
Address/phone (VC) yp Electrial contractor license number (copyre
4'�:
PSCv;dehf e /ect-ri-c e ovlE, 2o3 cZ
PD. goi( Sc/2 Y4 e,foir IA/A 98C Expiration Date: 02/ 2 2 / 2.4p00
Use of Bldg:".„%F Res 0 Comm 0 Other ❑Multi 0 Church/School Class of Work: 'New 0 Alteration 0 Addition ❑Repair
Describe Work:/ R o vn e)( w;r ,'/15 of rl e,/ co n 5 f l vc f I o•1 5 F A ,;14, 2-(2O ..4-"/'
uv\deryrvv4d 5erV 'c e
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a X Single Family Service or feeder only $41
plan review is req'd. Fee is 35% of (First 1300 ft'-$62;Each add'n 500 ft'-$20) —Service and feeder 'i7
Square Feet: 2-7 22_
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 fe-$36;Each add'n 500112-$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 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)
1 Temporary Service
Applicant's Si l nature: _0 to 100 $41
) ` ° 101 -200 52
6 ,1t -1'
/� _201 400 62
401 -600 83
Date: 77 7--(//rr ? _over 600 94
ELECTRIC APP
Revise 12/8/98