98-103939s' 5
CITY OF FEDERAL WRY
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PERMIT T NO = L. E 8- 12
33530 F i rs t Way South
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ISSUED: 10 / 14 / 9 8
Federal Way, WA 98003
Electrical Inspection
Requests 253--661-4140
BY: FC2
253-661-4000
EXPIRES: 10/08/99
ADDRESS:715 S 294TH PL
NO.: 515250--0060
PROJECT DESCRIPTION :ALTERING CIRCUIT FOR AIR CONDITIONER
_= OWNER = _-----�__--_--- _ _____= CONTRACTOR =__-- -_�., _� ---- -= ===__ =---= LENDER
CHUCK RADAWICK OLD TIME ELECTRIC
715 S 294TH ST 8614 BRIGGS LN SW
FEDERAL WAY WA 98003 TACOMA WA 98498
253-941-7268
f
253-588-5045
OLDTI EI021LB
sxt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% SU
-------------- ._...--_-------T
* STRUCTURE INFORMATION * `
..- - __________-���.�_.��
* NEW RESIDENTIAL
* MOBILE HOMES *
* RESIDENTIAL ALTERATIONS *
* MULTI FAMILY
NEW
*
S
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....: 0
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.: Q
MAST/METER REPAIR.:
0
601-800 AMPS.:
0
0
4
i NUMBER OF CIRCUITS:
1
801 AND OVER.:
0
O
____
*-COMM. ALTERATIONS *
* TEMP SERVICE
*
* MISCELLANEOUS
NEW *
* INSPECTION RECORD *
*
* COMM/IND
0-100 AMPS.....:
0
0
SERVICE ______V____
DATE ---------
0-200 AMPS......: 0
0-100 AMPS....:
0
i THERMOSTATS....:
0
101-200 AMPS...:
0
0
1
201-600 AMPS....: 0
101-200 AMPS..:
0
LOW VOLTAGE....:
0
201-300 AMPS...;
0
0
COVER.. ------
DATE _-__-__-
601-1000 AMPS...: 0
201-400 AMPS..:
0
SWIMMING POOL..:
0
301-600 AMPS...:
0
0
OVER 1000 AMPS..: 0
tk 401-600 AMPS..:
0
SIGNS..........;
0
f 601-800 AMPS...:
0
0
FINAL..
DATE
NUM. OF CIRCIUTS: 0
1 OVER 600 AMPS.:
0
TEMP. POLES....:
0
801-1000 AMPS..:
0 ...
0
COMMENTS:
______-_-___-__---
.--
_ YARD METER LOOP:
0
1 OVER 1000 AMPS.:
0 ...
0
i
TOTAL PERMIT FEES.......:
40.00
OVER 600 VOLTS.:
0
f
MAST/METER RPR.:
0
PERMITS EXPIRE
180 DAYS AFTER ISSUANCE
IF NO WORK IS STARTED.
I CERTIFY THAT
THE INFORMATION SHED
BY ME IS TRUE D CORRECT
TO THE BEST OF MY KNOWLEDGE AND THE APPLICA E CI OE�-E➢ERAL WAY REQUIREMENTS HILL BE NET.
OWNER OR AGENT
-
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I SETBACKS &'FCI.Q'I"1NG9 t 2",7�-
Date By
2 FOUNDATION WALES
Date By
3 PLUMBING i AbUNDWORK ...
Date By
4 SLAB INSULATION
Date By
7Fb0TINGjDOWNSPOUT!::DF[AINS;
..
Date By
7UNDEFIFLOOR FRAMING
Date By
MEN
7 SHtAR WALLS .
Date By
7PLI)MBING.:11OUGWIN
Date By
9 GAS PIpl-ta.:: .
Date By
,10 MEC"NICAL ROUGH.1N
Date By
11 FAAMINQ:::
Date By
MEN
12 .INSUC AT(Qbj:: .
Date By
13 ows • 1:ST LAYER
Date By
14 GW8 - 2HD LAYER ..
Date By
15 SUSPENDED CeILING
Date By
16 PLANNING. _FINAL
7
Date By
17 PUBZIC'WORKS FINAL
Date By
71 s FIRE FiNA�:
Date By
7BUILDINCt FINAL
Date By
20 CITHEf.'S; x.
Date
CDO193 (Rev 4/97)
r
ELECTRICAL,. PERMIT APPLICATION -
*"Federal Way Business License number:
BunmiNG DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax (253) 661-4129
ELE 98 — j) Z ]
Job Address
Job Site Phone
Pam[ No
Lot No Subdivision Name
Ownenteneot
&1 i(
Mail Address {�f
7/S— So c9�
Phaue
Ellectrioal Contracor
Addradphone A/ �—/Skv,64)
El �� w a�awA--�bu4 ►eq'a):
1ri1
Z
won Date. �, / L /�Zt7U�
Use of Bldg: /a/sF Rea o Comm o Other a Multi O Church/School
Claa of Work: 4.W o Alteration o Addition o Repair
Describe Work
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Service or feeder only ........ $40
plan review is req'd. Fee is 35% of
_ Single Family
_ Service and feeder ........... 65
permit fee +$50. Add' 1 plan review
P P
(F� 1300 its-$60; Each add'n son 9420)
Square Feet:
for other submissions is $60/hr.
MOBILE HOME/RV PARK
# of service or feeders
—Each outbuilding or garage. $25
_ (First aerA jfeeder44o; Add'n service/
feeder-=5 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MUL71-FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_ # of Thermostats (Firstt sW430; add'n,4lo ea)
Amps Service or Addn
# of Low voltage fire or burglar alarms
Service Feeder
Feeder
(Residential• first 2500 R'435; Each ad', 500 if-$10)
_ Up to 200 amp .... $ 65 ..... $ 20
0 to 100 .......... $ 65 .... $ 40
(Commercial: 1-4 zone-S28, Each add'n zone-$7)
_ 201 - 400 amp .... • 80 ....'.. 40
_ 101 - 200 ........ 80 ..... 50
_ 401 - 600 amp .... 110 ...... 55
J 201 - 400 150 60
# of Signs (Prat sign 530; Each add'n sign $ls)
601 - 800 amp .... 140 ...... 75
........ .....
401 - 600 175 70
_ Progress inspection per hr .......... $60
_
— 801 and over ...... 200 ..... 150
........ .....
601-800 225 ...:. 95
_ Swimming pool, hot tub, spa ......... 60
_ ........
801 -1000 275 .... 115
_ Temporary Pole ................... 35
_ .......
over 1000 300 .... 160
_ Yard Pole meter loops .............. 40
_ ........
_ Over 600 volts surcharge ...... 50
Mast or meter repair .......... 55
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 ................... $ 65
`
I hereby certify that I am the owner (or
_ 0 to 200 amp ................ $ 55
201 - 600 ................. 150
authorized agent) of the above named property,
_ 201 - 600 amp ............... 80
_ 601 - 1000 ................ 225
or a licensed contractor (or firm's authorized
^ over 600 ................... 120
_ over 1000 ................. 150
agent) and am making the installation or
Mast or meter repair ........... 30
_ # of circuits
alteration in compliance with all applicable
1 # of circuits .................. 40
(First 5 circuits-$50; Add'n circuit-$5 each)
city, coon , and/or state laws.
(First circuit-S40; Add'n cimit-S5 each)
Temporary Service
Applic 's Signature:
0 to 100 ................... $40
J 101-200 .................. 50
_ 201-400 .................. 60
_ 401-600 .................. 80
.
Date:
EII.CTUC.APP
Re w 7/30198