99-100254 CITY OF FEDERAL WAY T PERMIT NO: ELE99-0048
33530 First Way South :. .... f.'"'M.,�:,,.�,,,.frit. ., M,,,; ;r'°''1� m.., ";t�i;;;•,: ';;;�,it .1E .,.�.• ISSUED: 01/13/99
Federal Way, WA 98003 Electrical jnspc-ction Requests 253-661-4140 BY: TN
253-661-4000 EXPIRES: 01/07/00
ADDRESS: 29408 21ST PL S
NO. : 422291-0020
PROJECT DESCRIPTION:INSTALLING ONE LIGHT TO EXTERIOR OF BLDG
= OWNER ---- - = CONTRACTOR -- -- -- -•• ----- • LENDER =- -- ----
LAURELWOOD GARDENS TRILOGY GROUP INC
29408 21ST PL S 114 SECOND AVE S
FEDERAL WAY WA 98003 EDMONDS WA 98020
425.778.2807
TRILOGI024QW f
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * i * NEW RESIDENTIAL * * MOBILE HOMES * t * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
I I SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: ! SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 00-200 AMPS...: 0 ... 0
} OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
9 OCC. LOAD...: 0 ! SERVICE OR FEEDER (PK): 0 OVER 600 AMPS.....: 0 ' 401-600 AMPS.: 0 ... 0
9 SQUARE FEET.: 0 ` MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 ... 0
1 1
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD
0-100 AMPS • 0 ... 0 i SERVICE DATE
0-200 AMPS • 0 i 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 I COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0 1
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 ( FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 i TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
-- ----- � ------------- ------------ YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES 41.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
-^___ -----'•--" ---------•'-"--•--_.-..----•---'----'__.. ---. '----- -'--'"'"..-----. ---. 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM ON FURNISHE+ BY MEI RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT TI DATE 4:11.. , _ __
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RECEIVED
CITY OF e---
BUILDING DIVISION
EDJAN 1 3 1999 33530 First Way South
$ IF _Ry Federal Way WA 98003
CI I Y OF FEvLrOtL vvh t (253)661-4000
BUILDING DEPT Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 04 7}j ELE;, '–
Job Address r
/1_ •Icw.,/ 3.7`I 06 f etoLCC �� r I Job Site Phone 253-g37-2.33,9
Parcel No Lot No Subdivision Name La vV c f kl t i;d Qj a h S
Owner/tenant K( rl rt/l',.(ne(,Am,,ee Mail Address (S L(5 5 6 5,t, /„,, s, Phone 206-0(- z yi- Gi aoz
L A,,,,,,• C c -1,4,4-P-7 sc,,,{it,° WI �1 1,$ I
Electrical Contractor 1-r;I o-1.7 G,�-P ?',C Address/phone 11'i SP,: f} i',S41 ke f o C Electrial contractor license number (copy req'cl):
J Ed 0.js Wq ',zo
ExpirationlD D Ilio I6P.id / 'Z.000
Use of Bldg: D SF Res D Comm D Other Multi D Church/School Class of Work: El New Alteration ❑Addition ❑Repair
Describe Work: ? , 5 u. e t,i,L -�r out( �, G 4iC 6_,I(
r
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 ft2-$20) _Service and feeder 67
Square Feet:
permit fee +$52. Add'l 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-scat-$31;add'n-$10 ea) Amps Service or Add'n
_#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 f12-$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 sig-$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 _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 Signat re: _0 to 100 $41
'� _ 101 -200 52
'� _201 -400 62
_401 -600 83
Date: `H3 `�� over 600 94
ELecraJc.APp
Revise, 12/8/98