99-101108 CI.TY 0k. FEDERAWAY 'I „„ ',..�,,,. ,,,�,,.�„''� .,Ji„. �w.,„1�!;;,� !f.,,.,. �,,,;� w;,. "'�,ill.„II„. ,.,�., PERMIT NO: ELE99-0301
33530 First WaySouth „. 'i �' �;;' ISSUED: 03/18/99
99
Federal Way, WA 98003 Electrical Inspection Requests 253--66:-.4140 BY: FC2
253--661--4000 EXPIRES: 03/11/00
ADDRESS: 31248 PACIFIC HWY S 9S,/O)102
NO. : 092104-9109
PROJECT DESCRIPTION: replacement of roof top unit connect.
f= OWNER =__________ ._-_. --_--=__._______::==v= CONTRACTOR -- T LENDER ===_-- -- ---__1
t PACIFIC CHIROPRACTIC GROUP ' LOUISE PALMER ELECTRIC
31248 PACIFIC HWY S # A-2 , 23114 SE 452ND ST
FEDERAL WAY WA 98003 ENUMCLAW WA 98022
946-6072 360-825-1743 f
LOUISPE150CL
a j 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
STRUCTURE INFORMATION�T * * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
I SEV FEED I
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 1 0-200 AMPS • 0 i 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 ' SERVICE AND FEEDER • 0 ! 201-600 AMPS • 0 I 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 i MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * R * MISCELLANEOUS * ; * COMM/IND NEW * T * INSPECTION RECORD *
I 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 • 0 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. ,- DATE __.
NUM. OF CIRCIUTS: 1 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 G COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 52.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIONFORFURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT `Lz � .._ra,....42....,._. DATE ____ _ 4/1
-''.--....--
CITY TY OF FEDERAL WAY .
ti PERMIT NO: ELE99--0301
3353O First tray South � . I � �_ ,. T R�- P R .I I ISSUED: 03/3.3/99
Federal Way, WA 93003 Electrical.1, 1r1. p 4: -:ion Pcquee�_:Ls 253 661- 4140 NY: FC2
253-661-4000 * EXPIRES: 03/11/00
ADDRESS:31248 PACIFIC HWY S
NO. : 092104-9109
PROJEr '" ' or:TON:repIacement of roof top unit connect.
a OWNER �,,,v�„�s�- a=� mx��y�-: ,mow ,� aa�a �� ..=6.= n CONTRAC,T�R :. - ��n�• A w .f :�r�� ���..�.r�_:« Wt . ,.-cam > LENDER �K : �a,r� �:x������ z�zx�:.:.� a., r�.:,: :����r �
.p IC CP' ROUP LOUISE PALMER ELECTRIC 1
I31248 PAC1Ii. riiii i A 2 23114 SE 452ND ST
FEDERAL WAY WA 98003 ENUMC.AW WA 98022
I
I 946-6072 360-825-1743
LOUISPE150CL
I:Sr5�d4safSSL«•`��i a:.]Y+xCn a9:E3Yfii Q141xTL`mM::S..^.CC$9'a,11F]C�1:JStC�.�,,...;_.._1..:.-. x..:-..s:'_ZJLY:s�CAY;.-:C:xz -J,:.,3.5.^..>'.Y.n:S...;:1:_..Z'�S:S2r=_tt.Yx�.OG.-.:..:LS:>:4:av:zr'.. .:.`-°.^.i 5s::?:5�4S:aFY$:SiaCL.?:R:r�R:,S Z:'3a1SWiAiiJ::.YM:L'..'GYOR1Ca0CS P]3aK:e'sY..'�aCVYRsaFSCr
its CONTRACTORS, PLEASE USE LOCATION CORE 1732 LINEN REPORTING SALES TAX FOR PROJECTS NITNIN THE CITY OF FEIIERAL WAY. TAX RATE : 8.6% ss*
i::eS:L5,J1*•,A.tL•nma C":gyral:'_S;l:'1C�a:GRi:PSC:.ZimS::'kn"2aA�.i S:«A�3«3SSfi,1C^Watt SYe t 7it.,`;:'_....t 4J.:.�.„^.s:.._..:..:..,CL x„812SSi3^P4H.Y::Ci,RC,F..k:'.^ki'.'St9-%,:rt ttatt:L^R4L'r.'aS"1.at SlPrCSSxxiFS�:[Tl'91.:r.: ,.:XRaGn:.,Dt:]INKT",.�u:fi:CLik:aRiM.^:
*
STRUCTURE INFORMATION * I t-tlf RESU1 BAk,A “10111LE NOME, I * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW
5£V FEED
CONST. TYPE.: V-It NEW,UNGLE FAM ' R ONLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: ow-vOINGS `x A1ttsw 0
201-600 AMPS • 0 201-400 AMPS.: 0 0
OCC. LOAD...: 0 1VK * 04f# 0 o : ,a 0#4400 , 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 n: . �� I �ME4jP�AIR4 1„0 601-800 AMPS.: 0 ... 0
�a Y i R OF 0801.AND OVER': 0 0
* COMM. ALTERATIONS * * TEMP SERVICE + * MISCELL*EOUS t i * COMMAND NEW t J * INSPECTION RECORD t
I0-100 AMPS 0 ... 0 1 SERVICE _..__..__ .___._,. DATE _..-_. .
0-200 AMPS • 0 0-100 AMPS....: 0 THERMOSTATS • 0 1 101-200 AMPS...: 0 ... 0 •
201-600 AMPS • 0 101-600 AMPS..: 0 LOW VOLTAGE • 0 1 201-400 AMPS...: 0 ... 0 COVER.. _____.___,_.____ DATE ...._..,.._..._....
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNC • 0 1 601-800 ANPS...: 0 ... 0 FINAL. -__777-_, DATFg y/Fis
NUM. OF CIRCIUTS: I OVER 600 AMPS.: 8 j TEMP. POLES 0 ) 801-1000 AMPS..: 0 ... 0 COMER @
- YARD MEIER LOOP: 0 I OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 52.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
'a7 axacin'^rrmr x:m Sxsss te¢cesY,:aax nzs mxu.:r Sae:�S�sc:lour:aGsas:xux=.acr:uwairtc6rr�a7.^axmneJC:zxasSR'xmmcr_Lrimmwr.'.i"Sux:us a..lxsaizacWXUWCtt::9teYz ta:nxuX3�r.r et.vexatt ua `c.::;:r.MainuFq+e:xmur::C�mr..ww::aJma�uArmu ::uaax.^..:aacx.S;s�:aY=m aK-'rrr
PUNTS EXPIRE 180 DAYS ATILIT ISSUANCE IF NO MX IS STARTED.
I CERTIFY THAT TNT INFORMATION IURNISNED 1Y NE IS TRUE AND CORRECT TO THE SEST Of NY KNOUT LOGE AND TML APPLICABIC CITY OF FEDERAL WAY REOUIREMENtS WILL BE NET.
OWNER OR AGENT DATE _,_._ _.:-_..�._ .'?i`
4
w- :.., . ,,..4,t- ,,4,--,4—..,.....4,40i44„.4,044-4,41- * , 0 t%,,,,,. FIELD COPY
CITY OF G BUILDING DIVISION ili
• EO REC 1‘1 33530 First Way Sputh
W Ay Federal Federal Way WA 98003
(253)661-4000
Mr
1 B Iggg Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way'Bt i#ibsS'License number: ELE9 e30/
Job Address d� / /� y 8 /i 1,,,_ J ci Job Site Phone 94 6 U y7 Z,
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
PA c i Fie e iy J 1,--R j�i7 3 i 4 5' `F-L----7) 11/-&- 9 6 --� a 7`z—.
Electrical Contractor Address/phone Electrial contractor license number (copy req'd):
3 6 (� �,2 l 1 g-3 4-001.5 fp 1�e e i-
i--
1-D v 1 S I',4/_4h 1. L e et 3 q /14 Cir, y 5"2 sr 14''cn t ,,yExpiration Date: t / 3 / / c>i
Use of Bldg: 0 SF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: 0 New CI Alteration 0 Addition 0 Repair
Describe Work:
/3 G Pi-Ad e r5 F 13 aoP 7.-3 f' (o N/7 e pN1.;=c7` 4 41_Z ,
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
(First 1300ft-$62;Each add'n 500R2-$20) _Service and feeder 67
plan review is req'd. Fee is 35% of
Square Feet:
permit fee +$52. Add'! 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 ft2$36;Each add'n 500 ft-$10) _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 _201 -400 156 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 208 156 601 -800 235 99
Swimming pool,hot tub,spa 60 —
_ 801 - 1000 287 . . . . 120
Temporary Pole 36 _
Yard Pole meter loops 41 —over 1000 313 . . . . 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 Feeders
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 j#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. 1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signature: —0 to 100 $41
_ 101 -200 52
fii-'79-7-244..."
—201 -400 62
_401 -600 83
Date: f3 /i d'/ 9� _over 600 - 94
Et ccrsjc.Ape / I
Rrnsm 12/8/98