98-101904 98'1°) 90y
CITY OF FEDERAL WAY PERMIT NO: ELE98-0525
33530 First Way South 1 L ;:,:'K,., T h kms„.:v'1 .....• P ,. it 1'" . ,,.�,, ISSUED: 05/28/98
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: RT
253-661-4000 EXPIRES: 05/22/99
ADDRESS: 29407 21ST AVE S
NO. : 422291-0020
PROJECT DESCRIPTION:ELE - REPLACE BASE HEAT,WATER HEATERS, LITE FIXTURES, T-STATS
LAURELWOOD GARDENS, BUILDING A-3
r= OWNER ----•---•- r CONTRACTOR =_= LENDER --------
LAURELWOOD GARDENS (A-3) { ELECTRICAL EXPRESS
29407 21ST AVE S 19689 7TH AVE NE STE 133
FEDERAL WAY WA 98003 POULSBO WA 98370
360-405-8116
ELECTE*044PT
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
* STRUCTURE INFORMATION * ! * NEW RESIDENTIAL * * MOBILE HOMES * I * RESIDENTIAL ALTERATIONS * * MUILTI FAMILY NEW
SEV FEED
CONST. TYPE.: V-N ; NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
i OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 : SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 j MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 4 801 AND OVER.: 0 ... 0
T I
-
* COMM. ALTERATIONS * ( * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * I * INSPECTION RECORD * i
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 1 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-300 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 ( 201-400 AMPS..: 0 SWIMMING POOL..: 0 i 301-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 , 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 ( TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
1 YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 85.00 i OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
= .. 1 ! a
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 MET.
‘ OWNER OR A /�I7,,0. DATE ¶/4L4 b
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CITY OF G BUILDING DIVISION
•
RECEIVED 33530 First Way South
VV m/ Federal Way WA 98003
40PC. (253)661-4000
4Y 2Fax(253)661-4129
ELECTRICAL1 ?SIT APPLICATION
EUILDiNG LA:, ,(�v4e,c dvov,p ELE !8 - (')5rd sr"
I Job Address 044/0 7 Aim a/ s7- £.. / )40, 74s Job Site Phone(a --)9 y/ -a oo
Parcel No "' f At z,CLot No Subdivision Name !,armee ie,04 .,4i./1),✓fes/oiv (p
Owner XC//A- ✓Rf,�Woo3 £A,ep&/f Mail Address C o 7-Rie_o y �'e,,vP Phone
,Cro. P/ikr/Videsr/i!' ��s O/9V1VA/ <T. A E,o/rkorvq (`
' jam 778 28o 7
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Electrical Contractor Mail Address W/9- Phone �o `2 97- S/1/0
`/8020 License No. ELe CTE*O•i /T
4ecrt/G/9'L UXPj ess /96.39
2'`441/. N.e_ Expiration Date �/
Use of Bldg: 0 SF Res 0 Comm 0 Other )(Multi 0 Church/School Class of Work: 0 New 0 Alteration 0 Addition /..Repair
Describe Work: '414 fir YiXTt/RES' < ,
��ome
L Rf,P6.6,cE Gv'A-7-6e .97 s RfPu)-ce 66fsLB0/9-'- i-/cdx_f TvE/0"IOX77 -n-- fhvo -1
Type of Const: j/-/'J NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _Service or feeder only $40
Occupancy Load: _Single Family _Service and feeder 65
Square Feet: (First 1300112-$60;Each add'n 500 ft-$20)
MOBILE HOME/RV PARK
If service z 400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders
=35%of permit fee+$50.Add'l plan review (First service/feeder-$40;Add'n service/
for other submissions=$60/hr. feeders-$25 each)
:
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
- #of Thermostats Amps Service or Add'n
(First thermostat-$30;Add'n thermostats-$10 each) Service Feeder Feeder
_#of Low voltage fire or burglar alarms _Up to 200 amp . . . . $65 $20 _0 to 100 $65 . . . . $40
(First 2500 ft-$35;Each add'n 500 111410) _201 -400 amp . . . . 80 40 _ 101 -200 80 50
_#of Signs _401 -600 amp . . . . 110 55 201 -400 150 60
(First sign-$30;Add'n sign-$1S each) _601 -800 amp . . . . 140 75 —401 -600 175 70
_Progress inspection per hr $60 _ _801 and over 200 150 _601 -800 225 95
_Swimming pool,hot tub,spa 60 _801 - 1000 275 . . . . 115
_Temporary Pole 35 _over 1000 300 . . . . 160
_Yard Pole meter loops 40 _Over 600 volts surcharge 50
_Mast or meter repair 55
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be (When inspected separately from the services.)
made the following work day,661-4140. Altered Service or Feeders
Service or Feeder 0 to 200 $65
I hereby certify that I am the owner(or _0 to 200 amp $55 _201 -600 150
authorized agent)of the above named property _201 -600 amp 80 _601 - 1000 225
or a licensed contractor(or firm's authorized _over 600 120 _over 1000 250
agent)and am making the installation or _Mast or meter repair 30 _#of circuits
alteration in compliance with all applicable #of circuits 40 (First 5 circuits-$50;Add'n circuit-55 each)
city,county,and state laws. (First circuit-$40;Add'n circuit-$5 each)
Temporary Service
Applicant's Signature: _0 to 100 $40
C /� 1 . _ 101 -200 50
_201 -400 60
401 -600 80
Date: S•20 • 9 63 over 600 90
&P.cnuc.APP
Revism 8/26/97