99-100251 g9, ibas/
CITY OF FEDERAL WAYPERMIT NO: EL.E99-0046
33530 First Way South t,.. / >rf. (,. ..i,,.. ''t ...Ny 1.. R",.,:et 11 F.''''' .:irri 14.,,i. 11... ISSUED: 01/13/99
Federal Way, WA 93003 Electrical Inspection Requests 2.53- 61-4140 BY : TN
253-661-4000 EXPIRES: 01/07/00
ADDRESS: 29422 21ST PL S
NO. : 422291-0020
PROJECT DESCRIPTION: INSTALLING ONE LIGHT ON EXTERIOR OF BLDG
E= OWNER __________..__.____.__;= CONTRACTOR ----- -- T LENDER
-
LAURELWOOD GARDENS TRILOGY GROUP INC
29422 21ST PL S I 114 SECOND AVE S 1
FEDERAL WAY WA 98003 EDMONDS WA 98020
I
1 425.778.2807 i
TRILOGI024QW I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.6% ***
NEW RESIDENTIAL r
* STRUCTURE INFORMATION * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM. I SERVICE OR FEEDER ONLY: 0 0-200 AMPS..;.,....: 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: v.
OUT BUILDINGS.. 0 SERVICE AND FEEDER • 0 201-600 AMPS ' 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 f SERVICE OR FEEDER (PK): 0 OVER 600 AMPS 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 z MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
1 NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
! -.
* COMM. ALTERATIONS * ! * TEMP SERVICE * * MISCELLANEOUS * i * COMM/IND NEW * 5 * 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 i 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: 0 i OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 j COMMENTS:
3 - ----- ` YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 41.00 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 Al IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - - — DATE ----I -- 13 - ( 7
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CITY OF `---- 'F"
Y��`.*V661-1.'0 D�Pj BUELDING DIVISION
0 01.01t4 33530 First Way South
S S Ry Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: &a $ ELE
Job Address } k,c�12(-7 /t ). z(.5 i iv s Job Site Phone 25 3- 3) DParcel No 1 Jl Lot No Subdivision Name La 0'4 4r c c 4 6 a je h
Owner/tenant K6 r-/// .et.ve w., ' 6444 Mail Address is-`(5 5 6 5r4 r).2- s Phone 7 06' a U r- t y 2 oz
Electrical Contractor f r;(o y G,-,7) -I'+C. Address/phone 1)`i Se�43-41 4 4..5"... 1 of Electrial contractor license number ( PY req 9V):
E�c...c� s i.,l/l LC 1 l 1 OG 7OLy �
Expiration Date: i, / i 6 / 'Z poo
Use of Bldg: 0 SF Res 0 Comm 0 Other Multi 0 Church/School Class of Work: 0 New ?4,Alteration 0 Addition) 0 Repair
Describe Work: -7,4sd [ cwt (, c,--. ex:- ,-- L b.,:lc
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 5001e-$20) —Service and feeder 67
Square Feet:
permit fee +$52. Add'1lan review MOBILE HOME/RV PARK
p _Each outbuilding or garage $26
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)
I
_#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
f _ #of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500111-$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) 201 201 -400 amp . . . . 83 41 _ 101 -200 83 52
401 -600 amp . . . . 114 57201 -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 Y2 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 _#of circuits
alteration in compliance with all applicable _#of circuits 461 (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each) 1
Temporary Service
Applicant's gnature: 0 to 100 $41
—
101 -200 52
(j'(,) , .
_201 400 62
401 -600 83
Date: /-j 3 - 77 over 600 94
ELECTRIC APP
Resnsm 12/8/98