99-100240 9.9 . TD c'. (yr,)
CITY OF FEDERAL WAY PERMIT NU;; ELL9v-UU34
33530 First Way South ELECTRICAL ' - PERMIT ISSUED: 03/30/99
Federal Way, WA 98003 Electrical Inspection Reque•zts 253-661.-4140 BY: FC
253-661-4000 EXPIRES: 03/23/00
ADDRESS:1305 S 312TH ST
NO. : 000006-9000
PROJECT DESCRIPTION:ELECTRICAL FOR 1 WALL SIGN
ROBERT POLOVY, DOS ADLITE SIGH SYSTEMS INC
1305 S 312TH ST PO i, X 8580
FEDERAL WAY WA 98003 LACEY WA 98503
253/839-1141 360/753-7092
ADLIT*SS022EA
.—...............—.......„ -.. ...- ,A A. •
sts COATRACTOAS, PLEASE USE 1001100 COOL 1732 ANIN REPORTING SALES IiX FOR PROJECTS ETON TIE CITY OF FEDERAL WAY. TAX RAIL : 8.6% to
* STRUCTURE INFORMATION * J < ' EEO RESIDENTIAL I $ NUBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
COAST. TYPE.: V-N NEt-S*1 FAN : ',J.:PIM:I' (IP FiFT rP ONLY: 0 0-200 aton........: 0 0-200 AMPS...: 0 ... 0
OCC. GROUP I OUt-110RDIRGS..: 0 SERVICE AND ILEDER., 1VA ,', =-, ,-; -)-,-..-, 20I:01-10PS..... : 0 - - 201-400 AMPS.: 0 ... 0
1,11,1 \ ,,,, ,
0(L OW... 0 AMA OR FEEDER trhit ,S.L1,,, i' 000600 AM r ..: 6 401-600 AMPS.: 0 .,. 0
SQUARE FEET.: 0 ,
,, ';'•,', q,, , '., )0tjhuiR REPAIR.: 0 401-000 AMPS.: 0 .... 0
- ,''`%:.''"'‘''i• '' ''''' N4' 't#:':},'3‘i,,,- -
MD Of (MUTTS: 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS 1 * TEMP SERVICE $ * MISCELLANEOUS * * COMM/IND NEN t I INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 ANS • 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 • 1 601-800 AMPS...: 0 ... 0 FINAL.. ce2e. _ DATE 1
NUN. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:YARD ME[ER LOOP: 0 i
OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 31.00 1 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0 I
PEWITS EXPIRE LBO PAYS AFTER ISSUANCE IF NO OM TS STARTED.
I CERTIFY TIM TIE INFORMATION MUD 111 NE IS TRUE AO CORRECT TO TOE BEST Or NY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIRENERIS WILL PE NET.
DATE /
OWNER OR AGENT .._.,_-,-. , .._ .
FIELD COPY
CITY OF FEDERAL WAY � L. �,, „ .,,,uu,,.q� � � � G �p PERMIT NO: ELE99-0034
33530 F i. rs t Way South !I.;;,. II,,, !I..,. ,�.. u' II���'�r�, .»il,. ,,,.. •Vii"��i L - IP I,.II°' .M JI... "1H ISSUED: 03/ 0/99
Federal Way, WA 98003 ElecLrical Inspection Requests 253-661-4140 BY: FC
253--661--4000 EXPIRES: 03/23/00
ADDRESS : 1305 S 312TH ST
NO. : 000006-.9000
PROJECT DESCRIPTION:ELECTRICAL FOR 1 WALL SIGN
= OWNER =_=:: . . -- CONTRACTOR -- -------- -- -----r- LENDER ----. -------- --.T..
ROBERT POLOVY, DDS ' ADLITE SIGN SYSTEMS INC
1305 S 312TH ST PO BOX 8580 I
FEDERAL WAY WA 98003 1 LACEY WA 98503
1
253/839-1141 360/753-7092 I
ADLIT*SS022KA 1
L - _ -.:. 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * t * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N I NEW SINGLE FAM.: ' SERVICE OR FEEDER MY: 0 I 0-200 AMPS • 0 0-200 AMPS..,: 0 ... 0 I
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER 201-600 AMPS : 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 ' SERVICE OR FEEDER (P`,`; 3 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
" ` NUMBER OF CIRCUITS: 0 801AND OVER.: 0 ... 0
{
_'
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 0 I 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 I 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 I COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 I SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 1 • 601-800 AMPS...: 0 ... 0 FINAL.. DATE
I NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
�- - - Y YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 j
TOTAL PERMIT FEES • 31.00 I OVER 600 VOLTS.: 0
1MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE ORMATION FURNISHED 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 e--.%-,-..? �h.+*o,7, .4,* II DATE 3 �'c, ---i- __
FILE COPY
• Cil r of i- BUILDING DIVISION
• �0 33530 First Way South
VV Ay Federal Way WA 98003
(253)661-4000
,iAt 1 1 iggc Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
1.,Er ,
***Federal Way Business License number: ELLt9- oasi4
Job Address 1305- �, 312* 5 1 Job Site Phone .`, KC/ d10C)
Parcel No Lot No Subdivision Name qtr
Owner/tenant DQ RDIE4Q i -Pau,' Mail Address Phone
1:)U� 13) 812 S ,ci - i i `i i
Electrical Contractor Address/ hone Electrial contractor license number (copy req'60:
AIX-AT t L_. i(::.;\.) 7l'1 SS/ l N�, PC) D,X/ SSS�D G _ z-1i)Ltrtt 5.5o L t-;r-
�►4 )e, co A l ,,U 3 Expiration Date:c..5,—/ c t /-20cC^
Use of Bldg: ❑SF Res 0 Comm 0 Other ❑Multi 0 Church/School Class of Work: [New 0 Alteration 0 Addition ❑Repair
Describe Work: INSA/fLL L(G4T€b G41giNc-( -17") (t:qS! Ll)ALL
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
plan review is req'd. Fee is 35% of (First 1300 ft2-$62;Each add'n 500 ft'-$20) —Service and feeder 67
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 ft-$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;Farh add'n sign$15) _601 -800 amp . . . . 146 78 _401 -600 182 73
Progress inspection per 1/2 hr $31 _801 and over 208 156 _601 -800 235 99
_Swimming pool,hot tub,spa 60 _801 - 1000 287 . . . . 120
_Temporary Pole 36 _over 1000 313 . . . . 167
—Yard Pole meter loops 41 _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 _#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
�`z ivt e-1- _201 -400 62
I _401 -600 83
Date: I l 141'I _over 600 94
ELEC rsjc.APP
Revisor 12/8/98
I