99-100260 e14.1 2 91 /004D61S
CITY OF FEDERAL WAY . PERMIT NO: ELE99-0044
33530 F i rs t Way South F.Lf:M,;,,,':., T t I MC,:::it41E>E P ff ft PI I 11. ISSUED: 01/13/99
Federal Way , WA 98003 Electrical Inspection Requests 253--661-4140 BY: TN
253-661-4000 EXPIRES: 01/07/00
ADDRESS :294:1.7 21ST PL S
NOW : 422291-0020
PROJECT DESCRIPTION : INSTALLING ONE LIGHT ON EXTERIOR OF BUILDING AND REPAIRING METER BASE FITTING
r OWNER -- - __ -- _ .1. CONTRACTOR __._.-_-- -___-.- _.__ _ LENDER __._
LAURELWOOD GARDENS ; TRILOGY GROUP INC
29417 21ST PL S 1 114 SECOND AVE S
FEDERAL WAY WA 98003 I EDMONDS WA 98020
425.778.2807
1 TRILOGI024QW
*** 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 * I * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: i SERVICE OR FEEDER ONLY: 0 k 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 I SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
j
_-__.____.....___._..--.____._____.___..__.-_ -.._.____.... _ _..__..__e___.____._._ 1 -----____..__.-_.__- -___--
* 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 • 0 101-200 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 j FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 i 801-1000 AMPS..: 0 ... 0 ; COMMENTS:
__ _ ..____..._._ _-__......_.....__..._ YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 72.00 ( OVER 600 VOLTS.: 0
1MAST/METER RPR.: 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED_
I CERTIFY THAT THE INFORMAT FURNISHED ; ME IS TJ E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT i
DATE 1
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CITY OF
•
BUILDING DIVISION
EID 33530 First Way South
'' Ry Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 0, }j a ELECT'!– t- -
Job Address M ti ` <-i P/I L f t S l Job SitepPhone 2.5 3-g5`�-zj3 jv
Parcel No ' ` 1 7 J Lot No Subdivision Name J Z t./YC'Iv t e d Qj a e r,S
Owner/tenant K6/-/ 6.,.4 s d 0 Mad Address �5`l5` [ 5? ^ Q-2_ s 4(J Phone L
6- Z Ul' (l2 oZL,ln ,- ' ( pctr 4-,-4,44Q7C'.0..•{f!' w/ /NIZ
Electrical Contractor Tr;+Oj y Ci-x,1 7`,G Address/phone )/Li se o-rJ 4,es,5�,k 116 Electrial contractor license number (copy req'd):
Ec) c.....v s Wf{ ULv r R I LOG TOLzI �
Expiration Date: I i / l 6 / 2 00C,
Use of Bldg: 0 SF Res 0 Comm
0 Other Multi 0 Church/School Class of Work: 0 New ( 'Alteration 0 Addition 0 Repair
Describe Work: -I-'s5 T'`. C' t I I c'�` w
1` v , 4„rlcn c Sy�,
-kl...egv4 09r
remit,, `.1, `, .e..
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 ft'-$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(Firstt-Brat-$31;add'n-$10 ea) Amps Service or A' "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 57201 -400 156 62
—#of Signs (First sign-$31;Fa _rh 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
e 1 (� —Over 600 volts surcharge 52
��( /m-h
\ � —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
ora 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: _ r _0 to 100 $41
j,e- 1?..-. " ,' — 101 -200 52
_201 400 62
1 13 _401 -600 83
Date: _ 1 _over 600 94
Er ecr,uc.Aee
Revisrn 12/8/98