98-1043009 S - /0 V30 a
CITY OF FEDERAL_
33530 First Way
Federal Way, WA
253-661-4000
WAY _ _ L.
PERMIT NO: ELE98-1229
South �"�`. L E (," „ ,. R �,. �...� A !f.... P E R �1 �_ ",�,. ISSUED: 11 / 09 / 98
98003 Electrical Inspection Requests 253--661--4140 BY: ND
EXPIRES: 11/03/99
ADDRESS:222 SW 292ND ST
NO.: 119600--0066
PROJECT DESCRIPTION:INSTALL 3 RECESS CAN LITES
;= OWNER - ------ ---- — -_==------
JERYY KNUTZEN
{ 222 SW 292ND
FEDERAL WAY WA 98023
946-0323
CONTRACTOR =_=�
GRIFFIN ELECTRIC INC
1427 SW 306TH ST
FEDERAL WAY WA 98023
253-529-2923
GRIFFEIO44QK
LENDER
-#s# CONTRACTORS, PLEASE USE LOCATION CODE 1732 NHEH REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
STRUCTURE INFORMATION NEW RESIDENTIAL f MOBILE HOMES RESIDENTIAL ALTERATIONS
CONST. TYPE.: V-N 1 NEW SINGLE FAM.:
OCC. GROUP..: OUT BUILDINGS..: 0
OCC. LOAD...: 0
SQUARE FEET.: 0
� COMM. ALTERATIONS � rr— �—� TEMP SERVICE #
0-200 AMPS......:
0
0-100 AMPS....;
0
201-600 AMPS....;
0 ,
101-200 AMPS..:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.:
0
TOTAL PERMIT FEES.......: 40.00
SERVICE OR FEEDER ONLY:
SERVICE AND FEEDER....:
SERVICE OR FEEDER (PK):
* MISCELLANEOUS x
a 0-200 AMPS........: 0
0 201-600 AMPS......: 0
0 OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 1
TAX RATE : 8.6% t:x
MULTI FAMILY NEW $
SEV FEED
0-200 AMPS...: 0 . 0
201-400 AMPS.: 0 0
401-600 AMPS.: 0 0
601-800 AMPS.: 0 0
801 AND OVER.: 0 0
—_--y-_---.-------.._-.._----T
—
� w �_-----
x COMM/IND NEW *
E
* INSPECTION RECORD $
0-100 AMPS.....; 0 ...
0
SERVICE
DATE _
101-200 AMPS...: 0 ...
0
201-300 AMPS...: 0 ...
0
COVER..
DATE _
--------- DATE
301-600 AMPS...; 0 ...
0
601-800 AMPS...: 0 ...
0
FINAL.. —_
DATE _
801-1000 AMPS..: 0 ...
0
COMMENTS:
OVER 1000 AMPS.: 0 ... 0
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 WORK IS STARTED.
I CERTIFY THAT THE INFOMATTOK FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF NY CWOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _ 4 ____ DATE __LL
k-
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS.......... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
FILE COPY
vq
PERMI'll' NO: ELI-19812219
ELECTRICAL-
PERMIT
f ederal WW,'
Elc%ctrical InspectJon
f,.equest-:-
.-Ay,
f VF'4_'cvJ PI'l lIN: INSTALL 3 RECESS CAN LITES
OWNER
CONTRACTOR
LENDER
JEP';'Y KIWIZEN
GRIFFIN LLEORK IK
222 ',W 292ND
1421 SW 306TH 'if
' r(KRAL MAY WA 99023
FEDERAL WAY VA ?8023
446-0323
253-529-2923
GPIFFE10440
VSE LOCATION COPE im Vm ]REPORTING SALES TAX FOR PMECTS VITNIN IK CITY Of FEDERAL NAY.
TAX 011 7 BA
sts CONTRACTORS,
pum
PESfDENTIAL ALTERATIONS
M)tfl FAMILY NEW
STPIKIURE INFORMATION
NEW RES11INTIAL
MOBILE HOMES
SEV FEED
or'.. TYPE.: V-K
HER SINSU FAR.:
SERVICE OR FEEDER ONLY:
0-200 AMPS........: 0
0-260 AMPS...: 0 0
qpl,-(, CROUP
OUT BUILDIKS..: 0
SERVICE AND FUDER.... : 0
201-600 0
201-400 AMPS.: 0 0
.:
00'. LOAD...: 0
SERVICE OR FEEDER (P* 0
00 600 AMPS.....: 0
401-600 AMPS.: 0 0
NAST/METER PEPAIR-! 0
601-800 AMPS.: 0 0
ioliAPI FEET.: 0
NUMBER Of CIRCUITS: 1
801 AND OVER.: 0 0
t (OMN. AITERATIONS
TEND SERVICE
t MISCELLANEOUS
# CONM/IND NEW t
I INSPECTION RECORD
0-100 AMPS--: 0 0
SERVICE
DATE
AMPS....... 0
0-100 AMPS....: 0
THERMOSTATS....: 0
101-200 AMPS...: 0 0
DATE
10' 600 AMPS....: 0
101-200 MPS..: 0
LOW VOLTAGE....: 0
201 -3DO AMPS...: 0 ... 0
COVER..
------
601-1000 AMPS...: 0
201-400 AMPS-: 0
SWIMMING POOL..: 0
0
301-600 AMPS...: 0 ... 0
601-800 AMPS...: 0 0
IIIAI*,
DATE
OVER 1000 AMPS..: 0
401-600 AMPS..: 0
SIGNS..........:
...
MCI.. Of (IRQUIS: 0
OVER 600 AMPS.; 0
TEMP. POLES—.: 0
801-1000 AMPS..: 0 ... 0
COMMENTS -
YARD METER LOOP: 0 t
OVER 1000 AMPS.: 0 — 0
TOTAL PERMIT FEES.......:
1110.00
OVER 600 VOLTS.: 0
HASTJNIER RPR.: 0
!KZ -
c= - .
KINITS EXPIRE 180 PAYS AFIE? J.S(lWl IF ID VORK IS SIAR111.
I CERTIFY INAT Iff InFok"I ION Fans" By K is Im Adp CLUEE, IS THE BEST 0 My KNVLEKL An THE MKIME CITY Of foM OkY REQUIREKtIS HILL BE NET
1NER OR A101 DATE
FIELD COPY
CIrY OF y- •r
vu ►Fn•
ELECTRICAL PERN�y`�� �'#��' I, ATICN
***Federal Wav Business License number:
BU11MlNG DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax (253) 661-4129
F.T.F. 9R _
Job Address 22-2-
r _
Job Site Phone
D ��
Parcel No
Lot No
Subdivision Name
O�vne
/tenant
Mail Address
Phone
Electrical Contractor �y
6
Ad/dress/phone
.1 Si J
-k5 - SL'i —�j7�
�} .
lpel � contractor limn a
Z,7247
(EpirationDato:
{Copy req'c):
/
l QC3
Use of Bldg: -3jSF Res ❑ Comm t7 other o Multi ❑ Church/Sehool Class of WerlL ❑ New o Alteration o Addition t7 Repair
Describe Work:
�1-6. 2 v.&ss n7_n
L� 1 /z, ivns"^c�
)s Amo )2,0 V. &r
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
(First 1300 fe-$60; Each add'n 500 f -$20)
Square Feet:
for other submissions is $60/hr.
MOBILE HOME/RV PARK
# of service or feeders
— Each outbuilding or garage ..... $25
— (First servicelfee&-r-$40, Add'n servicet
feeder-$25 each)
UIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
ermostats (Firstt star-$3o; add'n-$lo ea)Amps
Service or
Addn
w voltage fire of burglar alarms
r(Comme-miql:
Service Feeder
Feeder
first 2500 fe-$35; Each addn 500 W410)
Up to 200 amp _... $65 ..... $20
0 to 100 $65
l: 1-4 zone-$28, Lash add'n zone-$'7)
201-400amp .... 80 ...... 40
.......... _...$40
101-200 ........ 80 _ ....
50
nS (First sign-$30; Each add'n sign $15)
_401-600amp .... 110 ...... 55
601 - 800 amp 140 75
—201-400 ........ 150 .....
—
60
_s inspection per hr .......... $60
.... ......
801 and over ...... 200 ..... 150
401-600 ........ 175 ..... 70
601 - 800 225 95
Swimming pool, hot tub, spa ......... 60
_ ........ .....
_ Temporary Pole ................... 35
_ 801 - 1000 ....... 275 ....
115
_ Yard Pole meter loops .............. 40
over 1000 ........ 300 ....
160
_ 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
4
601 - 1000 ................
225
or a licensed contractor (or firm's authorized
_ over 600 ................... 120
_
over 1000 .................
250
agent) and am making the installation or
_ Mast or meter repair ........... 30
` # of circuits
alteration in compliance with all applicable
# of circuits .................. 40
(First 5 circuits-$50; Add'n circuit-$5
each)
city, county, and/or state laws.
(First circuit-$40; Add'n circuit-$5 each)
Temporary Service
Applic is Signature:
_ 0 to 100 ...................
$40
_ 101-200 ..................
50
_ 201 - 400
.. 60
A 61 7
_ 401-600 ..................
80
Date: — —
over 600 ...................
90
ELrcmc.APP
Remm 7/30/98