99-101437 99- 1011-1 &-7
CITY OF FEDERAL WAY +J - s PERMIT NO: ELE99-0395
., H„. ;::��;;u,: „,�„'. .��II,. f;1„ II"'i�i L.. ;�,..:w R:, w ii :::it „,H.,, i ssu E D: 04/14/99
33530 First Way South ! . ! i"+�, !„
Federal Way, WA 98003 Electrical Inspection Requests 253--66:L-4140 BY: ND
253-661-4000 EXPIRES: O4/07/00
ADDRESS : 104.5 S 308TH ST
NO. : 082104-9042
PROJECT DESCRIPTION:CIR ALTERATIONS AND FEEDERS TO HAVAC13 CIR AND 2- 7OAMP FEEDERS 1 FEEDER AT I50
T—• CONTRACTOR =- - -- , LENDER -- --
- OWNER -:___.__...__..___.__:._ --..__.. .•----
LIFE CARE CENTER ! ECONOMY ELECTRIC
1045 S 308TH ST 1 4842 S ADAMS
FEDERAL WAY WA 98003 i TACOMA WA 98409-2821 1
i423-272-9585 473 7660
1 1 ECONOE1268LD I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% *x*
* STRUCTURE INFORMATION * * NEW RESIDENTIAL x s * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE TAM•: SERVICE OR FEEDER ONLY: 0 3-200 AMPS • 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • C ' 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 iSERVICE OR =EEDER (PK): _0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
j ' NUMBER OF CIRCUITS: 0 ' 801 AND OVER.: 0 ... 0_ _-- --_-__.____-..___. __-k.-._ .. i COMM/IND NEW _ __._.- --.__--_i
* COMM. ALTERATIONS * - * TEMP SERVICE * * MISCELLANEOUS * * I
* INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE __________
0-200 AMPS • 3 4 0-100 AMPS • 0 THERMOSTATS • 0 1 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 j 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 i 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. 14,K=7_,... DATE(4.1. 1
NUM. OF CIRCIUTS: 13 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS: I
' -- -- - ! YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 220.00 ! OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE
FILE COPY
. .
. - ,
CITY OF FEDERAL WAY
:.3530 First Way South ELEC TR PERMIT NO: ELE99, -0395
I1.,. PERMI T
ISSUED: 04/14/99
: '
Federal Way, WA 98003 . Electrical Inc.t."
sptp,
-, ' - it Rri
wu ..e;>1.c... 25:3 •661 4 L i,(") BYND
253-661 -4000
EXPIRES: 04/07/00
k
ADDRESS:1065 S 308TH Si
NO. : 082104 -9042 ,
PROJECT DESCR1PT ION:CIR ALTERATIONS AND FEEDERS TO HAVAC13 CIR'ARD 2- 7OAMP FEEDERS 1 FEEDER Al 150 ,, _ _me ..,...._,..........,..„..,,,,,_,.......,,.. ..._
u OWNER v=WW,Mat=r4=w12,14,11=Ma4m4WWWW.t.fttruNot===MM..., E.CONTRACTOR0.014ya',,c1 ;; *2 ,0"70.7.0417V".".",'.."*..4 .. . . LE
LIFE CARE CENTER
1045 S 308TH ST 4842 S ADAMS
FEDERAL NAY WA 98003 ) IACOMA WA 98409-2321
423-212-9585 411 7660
ECON0f126810
I1
. ..:1
- ,,- .....0.--,4="4a2==,4,-..-=m=et, SALES la fel pRojEci
, '',., ' 400004INGS 11I0IN INF CITY Of FEDERAL NAY. TAX - 8.6%
* a a, amw.===almn=mraw..4=ACM=MMWilmUxuMftZMJI
*,. ,1041000"- —j,' ;j1;1 ,,,r'T'41/
reou,11tAiralUs=14140.10.4.1...tlitaxma.,.==,=,......31.e*......*mt*StainlItUuKs= .,„ ,,. t tont Hots t
* STRUCTURE INFORMATION I
CORSE. TYPE.: V-N
* 114"1/ESIDERTIA t
* RESIDENTIAL ALTERATIONS t
* NOW FAMILY NEW I
SEV FEED
. 1.-1, - ,..v 0-200 AMPS...: 0 ... 0
' ' ' ' ' ' ' -*'' '''' ° '''''' ''' '''''''164'1$1,1rIe**-- - - 201-400 AMPS.: 0 ... 0
0EIVI*E FAN.:',.:, "a .ii:" -'--, ' ''
,AMD' 1 DER i. ft- -,,,,,,,,joi -44i Wtiuv mon—— f ' , 401-600 AMPS.: 0 .— 0
OC . GROUP::-.1„ , ,,,,, ,,:fi,A,'\ c' - , . ;it -,.44, , I, ,",i ', ' , ,1°)•* ...,VAA ..-- ,. :. 0
etttlfftVitt.:1 ,.:,'; s-4',4444-17,- 1,- •••• , OVER 600 AMPS.....; 0 ' ' ' ' 40.1 800 AMPS.: 0 ,,,, 0
OCC. LOAD...: ' 0
17 .°,-'-- ----'-'-- MST/METER REPATR •
SQUARE FEET.: 0 ''C'
, -
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
-- ..--- _ 1 '
,„. ... -- -
' * COMM. ALTERATIONS * 1 TEMP SERVICE * t MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS.....: U ... 0 SERVICE DATE
0-200 AMPS • 3 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 I 601-800 AMPS...: 0 ... 0 FINAL.. t.,), k L Dart 4,12_iii
-
MUM. Of CIRCIUTS: 13 OVER 600 htiPS.: 0 TEMP. POLES : 0 801-1000 AMPS..: 0 ... 0 COMMENTS: ,.
---------- ------------------ ----------------------- YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 220.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 100 DAYS AFTER ISSUANCE IF NO NORK IS STARTED.
I CERTIFY INA! TIE INfORNATION f1RNIS111 BY NE IS TRUE ANA CORRECT TO TIE BEST Of NY KNOWLEDGE ANO HE APPLICAILI CITY Of FEDERAL NAY KEQUIRENENTS WILL If MEI.
OWNER OR AGENT , _ _ , ___ ..._ .. .....___ DATE
• FIELD COPY
•
1s c 8r'PL tnINGS w 1— ,
Date By G;r-; /e' /44.}-
4'/ �'`• G"
2 FOUNt•ATION WALLS ...: v;' - !y>' c"--2_7
Date By
3 PLUMBING GROUNDWORK
Date By
4 SLAB INSLZLAflcN
Date By
5 FOOT t111DQWNSPO.I)T DRlilS:
Date By
............................................................................. ... .. ... .... .
6 ..................................................................................... . ........
................................................................................................
Date By
7 SHEAR:Vi1AL $
Date By
8 PLUMBING>.ROUGH-IN
Date By
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.................................................................................................
9
Date By
.................................................................................... .........
............................................................................. .......... . . .
10 MGEiAN[ A1`RUQE[1.:.
Date By
k.
fi, r ► >ita
Date By
12
Date By
..............................................................................................
13 GWB - ,SC LIfl ?::; : >::>.<
Date • By
14 GWB -2ND LAYER
Date By
.................................... .............................................. .. ... ...
15 SUSPENtED:CEILING
Date By
16 PLANNING;FIINAL 1.
Date By
17 PUBLIC WORKS:::FINAL :: ::::
Date By
18 FtFi lNA1
Date By
19 BUILDING FINAL
Date By
120
•
Date By
CD0193(Rev 4/97)
Or r---',•
RECEF,,, 335First Way South
[� Federal 'tVay WA 98003
vv Phone (206) 661-4000
APR 0 9 1999
ELECTRICAL PERMIT APP lei- SERVICE ' ,.....,-
CITY OF FE_ ' LA NAY_ 0375
Job Address Job Site Phone
1045 S "10Rth Si-
Parcel No Lot No Subdivision Name
Owner Mail Address Phone
LIFE CARE CENTERS of AMFRTCA 1045 S. 308th. St
Electrical Contractor Mail Address Phone 253 473-7660
4842 So. Adams St. License NO.ECONOE1268LD
ECONOMY ELECTRIC INC. Tacoma, WA 98409 Expiration Date 06/30/00
Use of Bldg: OSF Res °Comm ❑other ❑Multi °Church/School Class of Work: ❑New °Alteration ❑Addition ❑Repair
Describe Work: ,
REVISE EXISTING ELECTRICAL FOR NEW HVAC UNITS
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _ Service or feeder only . . . . $40
Occupancy Load: _ Single Family _ Service and feeder 65
Square Feet: (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
If service >_400 amp, plan review is req'd. _# of service or feeders
Fee = 35% of permit fee +$50. Add'!plan —Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
review for other submissions = $60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
_ #of Thermostats (Includes three units or more) Amps Service or Adc"
(First thermostat-$30; Add'n thermostats- Service Feeder Feeder
$10 each) _ Up to 200 amp . . $ 65 . . . $ 20 2 0 to 100 $ . . x($ 4 )0
— # of Low voltage fire or burglar alarm _ 201 - 400 amp . . 80 . . . . 40 _t_ 101 - 200 80 . . : 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) _ 401 -600 amp . . 110 . . . . 55 _ 201 - 400 50 . . . 60
_ #of Signs _ 601 - 800 amp . . 140 . . . . 75 _401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _ 801 and over . . 200 . . . 150 _601 - 800 225 . . 95
— Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
— Swimming pool, hot tub, spa . . . . 60 over 1000 300 . . . 160
_ Temporary Pole 35 _— Over 600 volts surcharge . . . 50
Yard Pose meter loop:, 4u
``er l"
p' _ Mast or meter repair 55
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _0 to 200 $ 65
services.) _201 -600 150
I hereby certify that I am the owner (or Service or Feeder _601 - 1000 225
authorized agent) of the above named _ 0 to 200 amp $ 55 _over 1000 250
property or a licensed contractor(or firm's _ 201 - 600 amp 80 a #of circuits
authorized agent) and am making the _ over 600 120 (First 5 circuits-$50; Add'n
installation or alteration in compliance with — Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. # of circuits 40 Temporary Service
(First circuit-$40; Add'n circuit- _0 to 100 $40
Applicant's Signature: $5 each) _ 101 - 200 50
. % !_ — 201 - 400 60
_401 - 600 80
over 600 90
Date: 04/06/99 i,r.e.2„ ,....z,-
L.,/ . „, 5 �)
:1FMI.Arr
REVISED I/17/96