99-100914 City of Federal Way
Community Development Services Electrical Permit #:99 - 100914 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day`` `` inspections)
Project Name: BEVERLY HEALTH e(& ' 9
Project Address: 135 S 336TH Parcel Number: 926504 0110
Project Description: INSTALLING NEW 2000 AMP SERVICE WITH 8 200-400 AMP SUBPANELS **NOTE:
EXPEDITED REVIEW! **
Owner Appli..nt Contractor
BEVERLY ENTERPRISES INC BEVE Y EN '• 'RISES INC UNITY ELECTRIC CONST INC
1000 BEVERLY WAY 1000 EV 'd Y W. ' 3570 IRON COURT
FORT SMITH AR 72919 FO' ,ITH AR '19 SHASTA LAKE CA 96019
(530)275-3000
Electrical Fixtur•
L Description ;Quantity Description Quanti Description a*uant�
Service/Feeder:201-400 amps-Coll 8 Service/Feeder:over1000 amps-Corr- 1 1
PERMIT E 'IRES July 7,2001,IF NO WORK IS STARTED.
Permit ' sued on January 8,2001 7
•
Fbweby certify that the above information is correct a that the truction on the above described property and i .
the occupancy and the use will be in accordance wit i e laws, vv es egulations of the State of Washington and
the City of Federal Way.
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Owner or ag-410111.
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City of Federal Way
Community Development Services C\`‘,/i Electrical Permit #:99 - 100914 - 00 EL
33530 1st Way Scr -
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BEVERLY HEALTH
Project Address: 135 S 336TH Parcel Number: 926504 0110
Project Description: INSTALLING NEW 2000 AMP SERVICE WITH 8 200-400 AMP SUBPANELS **NOTE:
EXPEDITED REVIEW! **
Owner Applicant Contractor
BEVERLY ENTERPRISES INC BEVERLY ENTERPRISES INC UNITY ELECTRIC CONST INC
1000 BEVERLY WAY 1000 BEVERLY WAY 3570 IRON COURT
FORT SMITH AR 72919 FORT SMITH AR 72919 SHASTA LAKE CA 96019
(530)275-3000
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder:201-400 amps-Comr 8 Service/Feeder:over1000 amps-Com 1
PERMIT EXPIRES July 7,2001,IF NO WORK IS STARTED.
Permit issued on January 8,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and •
the City of Federal Way.
Owner or agent: Date:
CC PY aIN
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Q�` �'Sta\t DATE
E D G DIVISION
.„,-in ► V 1 r 33530 First Way South
N>N> Fiy + eral Way WA 98003
*�� n 2 1999 253)661-4000
H It /Q�/'1 Fax(253)661-4129
ELE RICAL PERMIT AP N /`'�\
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__
..*Federal Way Business License number: _ ELE - 0 Vift7
Job Address 140 South 340th Street Federal Way, WA Job Site Phone No Phone # Issued
ParcelNo 926504-0080, 926504-0110, Lot No 8, 11, Subdivision Name West Campus Office Park No.5
Owner/tenant 926504-0120 Mail Address 12 Phone (501) 484-8953
Beverly Enterprises-Washington, 5111 Rogers Ave. Suite 40-A Fax: (501) 484-8497
Inc. Fort Smith, Arkansas 72919
Electrical Contractor Address/phone Electrial contractor license number (copy req'd):
Unity Electric Construction, Inc. 3570 Iron Ct.
Lake Shlsta. CA 96019 Expiration Date: / /
Use of Bldg: ❑SF Res I(7 Comm ❑Other ❑Multi ❑Church/School Class of Work: )10 New ❑Alteration ❑Addition ❑Repair
Describe Work: Construction of new Skilled Nursing Facility. Work includes site lighting,
off-site lights (at street) and building power & lighting. Bldg. has back-up generator.
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family __.Service or feeder only $41
(First 1300 ft2-S62;Each add'n 500 ft2-$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)
lea#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
It#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 ft-S36;Each add'n 500 ft2-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $4l
(Commercial: 1-4 zone-$36,Each add'n zone-$l0) 201 -400 amp . . . . 83 41 101 -200 83 <,2
401 -600 amp . . . 114 57 tj 201 -400 156 ',2
2..#of Signs (First sign-$31;Each add'n sign$15) _601 -800 amp . . . . 146 78 _401 -600 182 73
Progress inspection per'A hr $31 801 and over 208 156
—Swimming pool,hot tub,spa 60 — 601 800 X35 99
—Temporary Pole 36 _over801 - 1000 287 . . . . 120
—Yard Pole meter loops 41 l 1000 31.. . . . . 167
_Over 600 volts surcharge 52
_Mast or meter repair 57
ALTERLD 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'lereby 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 Z,e.ier repair 31 _#of circuits
alteration in compliance with all applicabk. _#of cir u;1s (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 c
101 -200
d{ ti,. 147(ez 1a _201 -400
Robert Portillo _401 -600
IIDate: 7/29/99 _ i -- �_ _ _over 600
ELECrNc.Ar,' tr /)•
la ''REVISED 12/8/98 Etii a '
- -- 1 __ _ _
CITY OF i_ . . BULLDINGDIVISION
'E333530 First Way South
\)� FlY Federal Way WA 98003
(253)661-4000
`I "C"EIVEE' Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELEG - 0 G 3)
Job Address f 'Z " , jbt ( Job Site Phone
Parcel No Lot No Subdivision Name(1,?-i��,K;Z r, (.....#77.c /-2-4,-- ;;, ;Dv- Ai�_ 5—:
owner/tenant •tMail Address 3 / J '> , it !'A/ Phone
ek-ly bier-i 'y f j :9, Lffil, /t1 7.7.-M ecc s y%
.
Electrical Contractor Address/phone Electrial contractor license number (cc%y req'd):
/\` Expiration Date: / /
Use of Bldg: ❑SF Res Comm 0 Other 0 Multi ❑Church/School Class of Work: YNew 0 Alteration 0 Addition ❑Repair
Describe Work:
CC-"2�gyz'c l =s.; / LP *t_ Work: ,
le 41.4- 7 e-7 F-----47,-t7
— —
NEW RESIDEN-TIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
(First 1300 ft-$62;Each add'n 500 ft-$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(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
_#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 ft-$36;Each add'n 500 ft-$lo) _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 j 201 -400 6 156 . . ;'-. 62
—#of Signs (First sign-$31;Each add'n sign$15) _601 -800 amp . . . . 146 78 _401 -600 182 73
_Progress inspection per hr $31 801 and over 208 156
—Swimming pool,hot tub,spa 60 — _601 800 235 99
Temporary Pole 36 801 1000 287 . . . . 120
—Yard Pole meter loops 41 over 1000 V313 . . . . 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 Feeaers
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 #of circuits 40 (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (14 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signature: _0 to 100 $41
_ 101 -200 52
c---/,:-.•, L � • "'n, 'sic .-?,/1 _201 -400 62
_401 -600 83
])ate: _ —over 600 94A
E:ecrxic.Arr
REVISED 12/8/98