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CITY OF FEDERAL WAY „,,.., v , y„. PERMIT NO: ELE99-0613
33530 First Way South F° .. .,, ,,,Ii h�. d .1. :°r i �,A� H,,i ..Ii ..t ISSUED: 06/11/99
Federal Way , WA 98003 Electrical Inspection Requests 253-661--4140 BY: FC2
253-661-4000 EXPIRES: 06/04/00
ADDRESS: 2O12 SW 306TH PL
NO . : :122103--9164
PROJECT DESCRIPTION:ALTERING 1 CIRCUIT FOR NEW HEAT PUMP
! DON WILSON I OLD TIME ELECTRIC
2012 SW 306TH PL 8614 BRIGGS LN SW
a FEDERAL WAY WA 98023 TACOMA WA 98498
253.874.3393 253-588-5045
1 OLDTIEI021LB
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORIING 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 *
I SEV FEED
1 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 • I :01-600 AMPS.. ....: 0 i 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 s SER',:CE OR FEELER (PK,: u VER := AMPS • E 401-600 AMPS.: 0 ... 0
i SQUARE FEET.: 0 MAST/METER REPAIR.: 0 ! 601-800 AMPS.: 0 ... 0
I NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
1 i
1 * COMM. ALTERATIONS * ; * TEMP SERVICE * * MISCELLANEOUS * ' * COMM/IND NEW * T * INSPECTION RECORD *
i 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
a 601-1000 AMPS...: 0 i 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 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
I 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 FORMATION FURNISHED B�TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ DATE WO\ \Ckc\
FILE COPY
CITY OF FEDERAL WAY .$ PERMIT NO: ELE99-0613
33530 First Way South EL EC I RICAL PERMIT ISSUED: 06/11/99
Federal Way, WA 9E1003 Elect ricat Inspection RequecAs '253-661 -'+140 13Y: FC2
253-661-4000 • EXPIRES: 06/04/00
ADDRESS:2012 SW 306TH PL T,
NO. : 122103-9164
PROJECT DESCRIPTION:ALTERING 1 CIRCUIT FOR NEW HEA I PRP
DON WILSON 1 OLD TINE ELECTRIC
2012 SW 306111 PI 8614 I.'18GS UT SW
FEDERAL WAY WA 98023 TACOMA VA 98498
253.874.3393 253-588-5045
1 OLDTIEI021LB
us CONTRACW,INAMEASE IOCATION CL ti4i 4ao 41.117NG SALES TAX FOR PROJECTS VITRA TIE CITY Of FEIERAt NAY. TAX RAH : 8.4 Vit
* STRUCTURE INFORMATION ;
$ NEW RESIDENTIAL * " !4'tr-f lonEs $ $ RESIDENTIAL ALTERATIONS * * MUlTI FAMILY NEW *
SEV ffID
CONS'. TYPE.: VA NEW SINGIL fAM .
4.L".4** Fe,"Li4 ' 0 0-40 $44.ts....-....ip,i -' it, 0-200 AMPS...: 0 ... 0
1 OCC. GROOP..: 00T ROIEDINGS,.. 0 SERVICE. AND ,ADEP,...: CI 2'"000*001',2..41tm!,, ,, 201-400 AMPS.: 0 -. 0
OCC. LOAD...: 0 T.!PV.Tri io YURI' 1,PT): 010 600 001.....4t 1 '4' i'4'. *I, 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 I MA81/METER ROAM.: 0 ,\ -01-800 AMPt-,.: 0 ... 0
IINUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
COMM. ALTERATIONS $ $ TEMP SERVICE t
* MISCELLANEOUS * ; COMM/IND NEW ;
* INSPECTION RECORD t
0-100 AMPS 0 ... 0
SERVICE DATE
I 0-200 AMPS 0 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
1 201.600 AMPS • 0 101-200 AMPS • 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 .., 0 j COVER.. DATE
I 601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 ANN..: 0 SIGNS 0 601-800 AMPS...: 0 ... 0 FINAL..
NUN. OF Of CIRCIOTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
OVER 1000 AMPS.: 0 ... 0 I
TOTAL PERMIT FEES.......: 41.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
KNITS EXPIRE 180 NAYS MIER ISSUANCE 11 80 IOU IS STAHEL
I CERTIFY THAT TIE INfORNATION RUM IT NE $ TRUE AND CONNECT TO TIE NEST Of MY tRONLEDGE AND TIM OPERABLE CITY OE EIDEN. NAY NEONTRINENTS WILL BE NET.
,
OWNER OR AGENT \ -,../., \L..- "."--"-c. - WE
..--__.... .....7_,..\
i
FIELD COPY
CITY OF G D 30 BUILDING DIVISION
•
EIM 33530 First Way South
.\)\> Ry Federal Way WA 98003
RECEIVED (253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
1 1" -1 2 ELM—JUN1 ,l
***Federal Way Business License number: ��,j
Job Address . V FPL �y ..304,r /je.- Job Site Phone
ite
Parcel No B IL Lot No Subdivision Name
Owner/tenant Mail Address 1-41- n� Phone
&it15o,,.) jc'i4 — sc,,- .3c s(f .a..-3 `37y - 33
Electrical Contractor Address/phone ,� , Elcetal contractor license number (coy req'ce:
� A { �S"�--i/ 4' S>L-&-' ,)4--'` (� 04-43 77 L.-/ 0 2/ t S.-
((0
D LL'nlk Ci e_ �C C,,.h et,a y /<A /C d y 5 O Expiration Date:CA. / 0- / z 000
Use of Bldg: OF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: Iew 0 Alteration ❑Addition CI Repair
Describe Work: /— Ci%411-.e X: /Gietj A "01 )4;i.
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
(First 1300 ft2-$62;Each add'n 500 f2-$20) _Service and feeder 67
plan review is req'd. Fee is 35% of
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 SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
/
_# •
of Thermostats(Firstt-stat-$31;add'n-$10 ea) Amps Service or Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder .
(Residential:first 2500 ft2-$36;Each add'n 500 ft2-$l0) _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
_Temporary Pole 36 _801 1000 287 . . . . 120
—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 L#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)
Temporary Service
Applicant's Signature:. _ 0 to 100 $41
101 -200 52
' ;;. 7 - ( _201 -400 62
401 -600 83
Date: over 600 94
EircrRic APPJ 1-h P
ftawism 1218198 IJ �C
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