98-103385CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253--661-4000
Electrical Inspection Requests 253-661-4140
ADDRESS:2611 S 288TH ST Unit: 22
NO.: 283920--0000
PROJECT DESCRIPTION: ELECTRICAL FOR SERVICE AND FEEDER, FOR MOBILE HOME SETUP Parkuood Lane, Lot #22,
OWNER-----_----------w_ __-----_ w .__------- _�� CONTRACTOR -------�_-----==—-----r- ====w—
GARY AVERY - _.__,.��____�_�....._.� EVERGREEN STATE ELECTRIC INC
2611 S 288TH ST #22 PO BOX 1448
FEDERAL WAY WA 98003 ORTING WA 98360
425-885-1392
770-0656
EVERGSE066JA
LENDER
PERMIT NO: E:L_E=98-0971
ISSUED: 09/02/98
BY: FC2
EXPIRES: 08/27/99
to CONTRACTORS, PLEASE USE LOCATION CODE 1732 WIEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.2% m
STRUCTURE INFORMATION NEW RESIDENTIAL MOBILE HOMES RESIDENTIAL ALTERATIONS * MUILTI FAMILY NEW
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 0-200 AMPS........: 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER....: 1 201-600 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 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
# COMM. ALTERATIONS $ TEMP SERVICE x 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
201-600 AMPS....: 0 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-300 AMPS...: 0 0 COVER.. _
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.. _
NUM. OF CIRCIUTS: 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........ 65.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
DATE
DATE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK 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 MY REQUIREMENTS MILL BE MET.
OWNER OR AGENT s'ti..t� r ,( ? �'a " .... - - - - DATE
FILE COPY
F- F- E t') E R —)1. w Cl 11'
PERMIT NO: ELL98-0971
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E L E C TR IC AL
PE M I F
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fn�-:,perction
1"equests
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tlO� ., 2,83920 -1 0000
!:)PC).J E-('T 1)[-`` "(-RI P f l0t,l: ELECTRICAL FOR SERVICE AND FEEDER, FOR MOBILE HOME SETUP Parkyood Lane, Lot 122,
OWNER
CONTRACTOR
LENDER
GARY AVERY
EVERGREEN STATE ELECTRIC IN(
1 2611 S 298TH ST t22
PO BOX 1448
FEDERAL WAY WA 38003
OPTING WA 98360
770-0656
EVERGSE0663A
CONIKKIOU, PLEASE USE LOCAIIIA COIL 1732 NOW Kw)ING SALES TAX FOR PROJECTS VITNIN INE CITY Of FEDERAL WAY.
TAX RATE = 8.2% Us
STRUCrUPE INFORMATION 1 I
NEW RESIDENTIAL f
T 1011LI! HOMES
# RESIDENTIAL ALTERATIONS x
MUILTI FAMILY NEW
SE;' FEED
CONSI. TYPE.: V-H HEN SINGLE FAM.:
SE"KE OR FELKA ONLY: 0
0-200 AMPS........: 0
0-200 AMPS---: 0 0
Occ. (,ROUP..: WT oultoliKs.. -. 0
SERVICE AND FEEDER.... 1
201-600 AW.—...: 0
201-400 AMPS,: 0 0
OCC. LOAD...: 0
SERVICE OR FEEDER. (PK):, I
9VER 600 AMPS.....: 0
%31-600 AMPS.: 0 0
SQUARE FEET.: 0
%T/METER REPA7.: 0
601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0
801 AND OVER.: 0
COMM. ALTERATIONS
ffllp SERVICE x
1 MISCELLANEOUS
COMfl/IHD NEW I
INSPECTION RECORD
0-100 AMPS.....: 0 ... 0
SERVICE
DATE
0 200 AMPS......: 0
0.100 kmv.—: 0
THERMOSTATS....: 0
101-200 AMPS...: 0 ... 1
201-600 AMPS....: 0 101-200 AMPS-: 0
LOW VOLTAGE....: 0
201-300 AMPS...: 0 ... 0
COVER..
DATE
601-1000 AMPS—: 0 r ?111.400 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
HUM. OF CIRCIUIS- 0 OVER 600 AMPIP.: 0
TEMP. POLES....: 0
801-1000 AMPS-: 0 ... 0
COMMENTS:
- - - .. . -- - - .- .... - - - -- - . - . -- - - . _
__
I YARD METER LOOP: 0
OVER lbOO AMPS.: 0 ... a
TOTAL PERMIT FEES.......: 65.00
OVER 600 VOLES.: 0
MAST/METER RPR.: 0
-.�-a=U- TZ Z.
Knils EXPIRE 180 DAYS AFTLk ISSUANCE If NO VORK IS STARTED.
I CFlIlfY ]NAT THE IKFORNATION FURNISOLD NY NE IS TRUE AND CORRECT TO THE PEST Of NY KNOWLEDGE AND THE APKICAKE CITY Of FEDERAL MAY REQUIREMENTS PILL BE MET.
(,NNEF OR AGENT
DAIL
FIELD COPY
c rr or BUR DING Dn moN
_ 33530 First Way South
4\>w
-. , G•. `P., Federal Way WA 98003
(253) 661-4000
Gff'/ GF f--EMENAL VVAY Fax (253) 661-4129
HUll,MN mm--
ELECTRICAL PERMIT APPLICATION
ELE --
Job Address 2611 So. 288th St. Lot#22 Parkwood Lane Job Site Phone
Parcel No i Lot No Subdivision Name
Owner Gary Avery Mail Address Phone
(425)885-1392
Electrical Contractor Mail Address P. O. Box 1448 Phone (2 5 3) 7 7 0- 0 6 5 6
Evergreen State Electric Orting, WA. 98360 Li,,mcNo.EVERGSE066JA
Expiration Date 4/ 01 / 2 0 0 0
Use of Bldg: V`SF Res ❑ Comm ❑ Other ❑ Multi o Church/School Class of Work: mNew ❑ Alteration ❑ Addition ❑ Repair
Describe Work: Mobile Home Hookup. 2 0 0 amp .
Type of Const:
Occupancy Group:
Occupancy Load:
Square Feet:
If service z400 amp, plan review is req'd. Fee
= 35% of permit fee +$50. Add'l plan review
for other submissions = $60/hr.
MISC EQUIPMENT/TEMP SERVICES
# of Thermostats
(First thermostat-$30; Add'nthermostats-$10 each)
_ # of Low voltage fire or burglar alarms
(First 2500 f -$35; Each add'n 500 IF-$10)
_ # of Signs
(First sign-$30; Add'n sign-$15 each)
_ Progress inspection per hr .......... $60
_ Swimming pool, hot tub, spa ......... 60
_ Temporary Pole ................... 35
Yard Pole meter loops .............. 40
Inspections requested before 3:30 will be
made the following work day, 6614140.
I hereby certify that I am the owner (or
authorized agent) of the above named properly
or a licensed contractor (or firm's authorized
agent) and am making the installation or
alteration in compliance with all applicable
city, county, and state laws.
Applicant's Signature:
I Date: ' -4 Z_� -
NEW RESIDENTIAL SERVICES
Single Family
(First 1300 ft -$60; Each add'n 500 fl -$20)
Each outbuilding or garage ..... $25
NEW MULTI -FAMILY
(Includes three units or more)
Service
Feeder
_ Up to 200 amp
.... $ 65 .....
$ 20
_ 201 - 400 amp
.... 80 ......
40
_ 401 - 600 amp
.... 110 .......
55
_ 601 - 800 amp
.... 140 ......
75
801 and over ......
200 .....
150
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the services.)
Service or Feeder
_ 0 to 200 amp ................ $ 55
_ 201 - 600 amp ............... 80
over 600 ................... 120
_ Mast or meter repair ........... 30
_ # of circuits .................. 40
(First circuit-$40; Add'n circuit-$5 each)
MOBILE HOMES
21ervice or feeder only ... ... $40
service and feeder .T... -..6-5-
MOBILE HOME/RV PARK
_ # of service or feeders
(First serviceJfeeder-$40; Add'n service/
feeders-$25 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or
Add'n
Feeder
0 to 100 ..........
$ 65
.... $ 40
f 101-200
........ 80
...... 50
_ 201-400
........ 150
..... 60
401-600
........ 175
..... 70
_
601-800
........ 225
...,. 95
^_ 801-1000
....... 275
.... 115
over1000
........ 300
.... 160
_
Over 600 volts surcharge .......
50
_
Mast or meter repair ..........
55
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
_ 0 to 200 ................... $ 65
201-600 ................. 150
601-1000 ................ 225
_ over1000 ................. 250
# of circuits
(First 5 circuits-$50; Add'n circuit-$5 each)
Temporary Service
_ 0to 100................... $40
101-200 .................. 50
— 201-400 .................. 60
401 -600 80
-- over 600 ................... 90
ELFCMCAPP
Re m M6/97