01-101561 1
City of Federal Way Electrical Permit #:01 - 101561 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BEVERLY HEALTH
Project Address: 135 S 336TH Parcel Number: 926504 0110
Project Description: EL-Install(13)low-voltage thermostats.
Owner Applicant Contractor
BMO LEASING(US)INC NONE SUNSET AIR INC
111 W MONROE ST 5210 LACEY BLVD SE
CHICAGO IL LACEY WA 98503
60603-4096 NONE (360)456-4956
Electrical Fixtures
tion A?1, 0400ticm De ieil g 7 Ittliardity
Thermostat 13
PERMIT EXPIRES October 16,2001,IF NO WORK IS STARTED.
Permit issued on April 19,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /Le141., Date: 4 /9 2-e0/
01 27 r10 I"HU 15:30 FAX 2530014129
C'' ''1 OF FEDERAL WAY 002
arror -�1
- CEIVED
trUU.DrN lilts/moll
VV FTYi
APR•
33530 First Way South
1 9 20131 Federstl WRY WA 98003
(253)6161-4000
ELECTRICAL PERMIT APPLtIe ON Fax(253)661-4129
r-- •w____ __rel Way Business Licence number: FLE O i ____2_,;1/
e loh At 7 -j Joh Site rbotte a5- y . `/ �
Nn T �q ya_ 7(pE7S
Lot No 1 Sulvlivivinn Name
Ownreiennnt l
MRiI Addn:'ca Phone
Electrical contractor 36,0 Y_5�_ ..s-6. Addre.n/phrne !2/OC O ElecmcalU wN ctor'lons:'nomtf C. ,rL th,i, 9^- C . �ee (..-e..1,1 9 850 el/SEA o0!,-05'
„.42
retion nate: 2/
3 /O 2_
Use of Bldg: U SF Rea 't;emnt 0 Other 0 Multi 17Chareh/Sch/w1
CLnr of Work! Cl New ❑Alteration Cl Addition O Repair
Description of work::
13 Low \/01+ st-sl
vi /s9sa
NE . ' NTI, SERVI t' OBILE H r ES
If service is greater than 200 amp, , _ •IY
Squa Sem - feeder. only
plan review is raga. -e is %of .7.00. ate n soo 21,50) . . . • 544.25
permit fee+$56.25. • t 1 q _ Serv' and feeder $72.25
preview Fa in);d arage . $ 00
for other fissions 1 i.67. r. E NOME/RV PARK
(in• se )
,a� or 8e. .S4 o service or feeders
a cep, telV) service/fbeder-544.25;Add•n service
feeder-S2R each)
MIS. IPMPNT EMP RVI I N UL ,MU!_v
1411,
COMMERCIAL/INDUSTRIAL
(Inch , throe a or,
/.5#of Th, ' osta ,ren-s13.so d•n-SI r Amps S or Add'n
--#of Lo .l flee or burg alarm' Semit.•e Feeder
Up 2(10 p 5 72.75 _ S 21.50 F er
Fitvt 25., t .75:Each/Aro 2 1.510. S 25 . S 44.25
* 400 snap 89.75 . . . 44.1.5 - in
Per 96-46.910(50)6 It i 401 - 00 amp 12.3.25 . . 61.50 75 56.25
#of Sign.. sign-533.50;ad, sign --601 - 0 a . •8.0 . . 84.25- -4 600 . 1 .00 67.00
$16.00 y. ) -
Over 4 -600 1 00 78.75
__Progress in ,,.• 'on per'r4 hr. . . . $33.50
Swimming2 50 . 107.25
poo of tub,spa `8 ' 100' . 3 .75 . 129.75
Temporary Pole to 60 . 3 Ov 3 00 181.00
Yard Pole meter loops 4 _Over 600 voltssnrch e . . 56.25
r` Matt or meter repair 61.50
Inspections requested before 3:30p Ill he. ERR) GLE FAMILY MMERCIAL/INDUSTRIAL -L^
made the following work day,253.6 140. en in. sepa -' y from the Altered Service or Feeders
'cess) 0 to 200 3 72.25
I hereby certify that I am the owner(ora ory _201 _.A.16
600 169.00
agent)of the above named Service or Feeder 601 -1000 254.50
Ply.ora sed 0 to 200 to 4 61.50 over 1000
contractor(or firm's authorized agent)an am - 28)..75
making the iretal]ation or alterrlrion i» --201 -6(10 eerup' . 89.75 aY of cirztlika -
-over d00 ' ' '' '' 135.25 (1-S circuity-556.25;Add'n circuits,35 ex)
encVor state laws. _
compliance with all applicable city,county, mast or Or meter repair 33.50
_ #of circuits Temporary Service
Applicant's Signature: (1-4 circuits-344.25:Add'ncirc,eity S5 ea) _0 to 60 - 338.75
61-100 4475
.. „.,,,,,==1,..64(t. _c_.47.2..
101 -200 56.25
201-400 67.00
Date _
: 401 -600 89.75
n..., e:
► _. ___�.�- over 600 97.75Pron.,'Ilnv, -- -!