98-1040159 $- 14 ?61-6'
CITY OF FEDERAL_
33530 First Way
Federal Way, WA
2.53-661-4000
WAY _ PER NO: L_E S 13
y�uj �l� y pp
MIT - E 9
South E !liww 9��,,.d��. I R .I 0 .:• ") L. P RP1 I I ISSUED: 10/20/98
98003 Electrical Inspection Requests 255..-661--4140 BY: FC2
EXPIRES: 10/14/99
ADDRESS:2120 S 320TH 5T Unit: C-3
NO.: 242320-0050
PROJECT DESCRIPTION: altering 3 cirs
?= OWNER ----- ---_ _-_--� __--_—=====_=:- CONTRACTOR -----__--------__ _ - - LENDER
COUNTRY91DE-HOME LOANS y� ' EVERGREEN PACIFIC ELEC CO INC
2120 S 320TH ST j 10409 CANYON RD E
FEDERAL WAY WA 98003 # PUYALLUP WA 98373
539-1414
--' EVERGP061B5
— ;tx CONTRACTORS, PLEASE USE LOCATION -CODE 1732 NHEN REPORTING SALES TAX FOR PROJECTS HITHIR THE CITY OF FEDERAL MAY.
x STRUCTURE INFORMATION
CONST. TYPE.:.V-N
OCC. GROUP..:
f OCC. LOAD...: 0
SQUARE FEET.: 0
COMM. ALTERATIONS
0-200 AMPS......: 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
NUM. OF CIRCIITS_--3-
TAX RATE : 8.6% ts:
NEW RESIDENTIAL-* W ~MOBILE HOMES # —$
RESIDENTIAL ALTERATIONS
^$ MULTI FAMILY
NEW
SEV
FEED
NEW SINGLE FAM.:
SERVICE OR FEEDER ONLY: 0
0-200 AMPS........:
0
0-200 AMPS...:
0
... 0
OUT BUILDINGS..: 0
SERVICE AND FEEDER....: 0
201-600 AMPS......:
0
201-400 AMPS.:
0
... 0
SERVICE OR FEEDER (PK): 0
OVER 600 AMPS.....:
0
401-600 AMPS.:
0
... 0
MAST/METER REPAIR.:
0
601-800 AMPS.:
0
... 0
NUMBER OF CIRCUITS:
0
801 AND OVER.:
0
... 0
* TEMP SERVICE $
0-100 AMPS....: 0
101-200 AMPS..: 0
201-400 AMPS..: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES.......: 100.00
!
I
MISCELLANEOUS
COMM/IND
NEW
INSPECTION RECORD
0-100 AMPS.....;
0
0
SERVICE _____________
DATE
THERMOSTATS....:
0 101-200 AMPS...:
0
0
LOW VOLTAGE....:
0 ; 201-300 AMPS...:
0
0
COVER.,
DATE
SWIMMING POOL..:
0 E 301-600 AMPS...:
0
0
SIGNS............
0 601-800 AMPS...:
0
0
FINAL.. ----
DATE
TEMP. POLES....:
0 801-1000 AMPS..:
0
0
COMMENTS:
YARD METER LOOP:
0 i OVER 1000 AMPS.:
0
0
I
OVER 600 VOLTS.:
0
i
MAST/METER RPR.:
0
PERMITS EXPIRE 180 DAYS AFT SUANCE IF NO MORK IS STARTED.
I CERTIFY THAT THE INF I FURNISH[ S TRUE AND CORRECT TO THE BEST OF MY KNOVI-EDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS PILL BE MET.
OWNER OR AGENT _--------__� —__-_ - -_-_-- DATE `01?jo _AP&
FILE COPY
C: TT OF
F [.I bd,)`:'
ELECTRICAL L� PERMIT
NERM, T��I :1 EL >=98—]}13i3 ►'J
WFl 90(OV-3
EA.e?cL-.r•ic;a1 Inspection 1? �uc:5t^ � 3 f� l G L .�i
FyY: FC.".'
253...6(-,1. -.
4Q0L)
` .?1201'11 `.3*T" lJni C :3
PO.: 24'2 3 0-(JO'-)O
F11?OTI::C.; P�..'. `J�j'prIo[I altering 3 cirs
_ OWNER
CONTRACTOR
LENDER
COUPIRYNIDE NONE LOANS
EVERGREEN PACIFIC ELEC CO INC
2120 S 320TH ST
10409 CANYON RD E
FEDERAL WAY NA 98003
PUYALLUP NA 98373
539-1414
EVERGP061>15
=
_..�� _- :. _ - _--
=--s�: �•: ... t-_
COMIRACIORS,
_ _ �._=._a.z
PLHISL USE LOCATIN L'OOE 1732 MU 1MI1X SALES TAX FOR PROJECTS MITNIN TIE CITY OF FFIEIIAI. NAY.
TAX RATE = SA sts
-+.•:'xm.
::..rip
�:M+>.-ray+:ea---=tam.siar�-:.�-::-r..:•z-z�«s:.:=mmsm._xesnrmr...scxsn: �-�,..xrr:
-. r--_e.r- ex�._x- ��*:wreoraxazu�.sm::r xs:nu .c n �¢s-:��:.¢vsai���s=:�
.r._-
R STRUC1UItE INFORMATION
NEW RESIDENTIAL MOBILE HOMES =
e RESIDENTIAL ALTERATIONS #
; i MULTI FAMILf NEW t
SEV
FEED
CONS!, TYPE.: V-N
NEW SINSLE FAN.: SERVI(i OR Fir DU ONIV. 0
0-200 AMPS....,...: 0
0-200 AMPS...:
O ...
0
OCC. GROUP..:
OUT oultbIY6S..: 0
SERVICE AND FEEDER....: 0
20I-600 AMPS......: 0
201-400 AMPS.:
0 ...
0
OCC. LOAD...: 0
SERVICE OR FEET+ER (Pt): 0 �
OVER 600 AMPS.....: 0
401-600 AMPS.:
0
0
I
j
MAST/METER REPAIR.: 0
601-800 AMPS.:
0 ..
0
SV0ARE FRT.: 0
�f
}
NUMBER OF CIRCUITS: 0
801 AND OVER.:
0
0
e COMM, ALTEk�iTIONS
} x
TLNP SERVICE ;
MISCELLANEOUS x
f
COMM/IND NEW s0-100
AMPS.....:
0 ..
0
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
601-1000 AMPS...: 0
201-400 AMPS...
0
SWIMMING POOL...
0
:III 301 600 AMPS...:
0 ...
0
OVER 1000 AMPS.,: O
401-600 AMPS..:
0
SIGNS..........:
0
I 601-800 AMPS...:
0 ...
0
NUN. OF CIRCIITS: 3
OVER 600 AMPS.:
0
TEMP. POLES....:
0
801-1000 AMPS..:
#
0 ...
0
YARD METER LOOP:
0
OVER 1000 AMPS..
0 ...
0
TOTAL PERMIT FEE:........
100.00
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
._�ex_sax.:s.-.-.-aa_-s •--y-c`-.-=a.+e-u-��cu-
sa sn�r_�+n »ttsa�s :s==: =�-t-: zz-..¢a_aw .—cars..=Manx-=a-�.--�-.s
.:.�-++.�-.-�sxa..:x � K»r--ara.�
PERMITS EXP1sIE 180 OTIYi Al -I ISST>}AN[I:
IF NO PXK IS
SIMIED.
I INSPECTION RECORD
SERVICE w� DATE
COVER..
FINAL.. COMMENTS:
DATE
DATE
DATE
I CERTIFY TNAT IME IfffAPM10k FURNIS11 -is IN% MM CMECT TO INE KSI OF NY TJKEjU An III APPLICAILE CITY OF FIRM NAY REQUIKKIITS Mlll TIE NET.
0100 OR AGENT `f __-_-- _ _ J... __. �.._.___ _ _�_ DATE
FIELD COPY
MY OF BUR DING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ELECTRICAL PERMIT APPLICATION
* "Federal Way Business License number: ELE 98 -
Job Address L I I U J 3 z.� -V C-3 Job Site Phone
Parcel No
Lot No I Subdivision Name
Owner/tenant
Mail Address
Pl1onc��,53
L.00., tl�cr
Zllo
3zo-- --...
Electrical Contractor
Address/phone
Electrial contractor license number (copy req'd):
_FW I'r` L
!04/0
CAq YO
Expiration Date:
Use of Bldg: ❑ SF Res Comm ❑ Other o Multi
❑ Church/School
Class of Work: ❑ New
AAlteration 0 Addition 13 Repair
Describe Work:
a, C-
If service is greater than 200 amp, a
plan review is req'd. Fee is 35% of
permit fee +$50. Add'l plan review
for other submissions is $60/hr.
MISC EQUIPMENT/TEMP SERVICES
# of Thermostats (Firstt-stet-$30; add'n-$10 ea)
_ # of Low voltage fire or burglar alarms
(Residential: first 2500 W435; Each add'n 500 ft -$10)
(Commercial: 14 zone-$28, Each add'n zone-$7)
_ # Of Signs (First sign-$30; Each add'n sign $15)
_ Progress inspection per hr .......... $60
_ Swimming pool, hot tub, spa ......... 60
_ Temporary Pole ................... 35
Yard Pole meter loops .............. 40
Inspections requested before 3:30pm will be
made the following work day, 253.661.4140.
I hereby certify that I am the owner (or
authorized agent) of the above named property,
or a licensed contractor (or firm's authorized
agent) and am making the installation or
alteration in compliance with all applicable
city, county, and/or state laws.
Applicant's 5t1}6ture: _,�
Date: 16 - ?_0 - 9 &
- /�"n %.lF- ifJC41T_=
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 X-$60; Each add'n 500 If -$20)
Square Feet: _
_ 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
_ Service or feeder only ........ $40
Service and feeder ........... 65
MOBILE HOME/RV PARK
_ # of service or feeders
(First service/feeder-$40; Add'n service/
feeder-$25 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or
Add'n
Feeder
0 to 100 ..........
$ 65 ....
$ 40
__ 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
Eirc.-r uc APP
R�m 7/30198