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CITY OF FEDERAL WAYPERMIT NO: ELE99-0593
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33530 First WayISSUED: 06/07/99
Federal Way, WA 98000 Electrical Inspection Requests 253-•661-4140 BY: ND
253-661-4000 EXPIRES : 05/31/00
ADDRESS :28912 19TH AVE S
NO. : 422300-0190
PROJECT DESCRIPTION:L/V ALARM
— OWNER ---- -- T CONTRACTOR ,---,==',-.-,-,---- -- LENDER ---------
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'ASBJORN AARRESTAD GAYLORD INDUSTRIES
28912 19TH AVE S 1 1112 INDUSTRY DR
FEDERAL WAY WA 98003 1 TUKWILA WA 98188 !�
253-839-8534 575-4939
s GAYLOII055JG
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WiiEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% xxx
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* STRUCTURE INFORMATION * * NEW RESIDENTIAL * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI 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
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER. .. ,: U i 201-60? AMPS.... ..: 0 201-400 AMPS.: 0
OCC. LOAD...: 0 SERVOCE 3R FEEDER A: OVER ,,C0 'IPS.....: v 50C AMPS.: 0 ... 0
SQUARE FEET.: o
MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
1
* COMM. ALTERATIONS * * TEMP SERVICE * 1 * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 ' 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 • 1 201-400 AMPS...: 0 ... 0 : COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 1 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 t FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 j TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 36.00 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 ME 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
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: ELE99-0593
33530 First. Way South ELECTRICAL PERMIT 3.SSULD: 06/07/99
Federal Way, WA 9000:I Electrical. Inspection Reque=sts 253-661 -4140 BY: ND
253-661 -4000 EXPIRES: 05/31/00
ADDRESS:28912 19TH AVE S
NO., : 422.'300_-01.90
PROJECT DESCRIPTION:L/V ALARM
f OWNER ==maattaxaxassx> �mw�,�>~t��� � � WM� .wx�_u ��y:y�sa�� CONTRACTOR n�. ¢ �x��su Baa � ��v a4a.�arg ' wa,x .<aa��� ,x LENDER wxr���g���x� � ra�as, � ��a�� axu � ���:.�:a�
ASBJORK AARRESTAD GAYLORD INDUSTRIES
28912 19TH AVE S 1112 INDUSTRY DR
FEDERAL MAY WA 98003 TUKWILA WA 98188
253-839-8534 515-4939
GAYLO11055JG
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tt* CONTRACTORS, PLEASE USE LOCATIOR COLI 1tQ WHEW REPOMING SALES TAX FOR PROJECTS WITRIN TRE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
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* STRUCTURE INFORMATION * * MEW RESIDENTIAL : ; t'i . [ E HOMES t 1 * RESIDENTIAL ALTERATIONS t * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-H NEW SI't.0 FAM.: : SERVICE OR FLLDEP ONLY: i' ,...;:, . 0-200 AMPS...: 0 .., 0
OCC, GROUP... OUT BUILMARS..: 0 1 SERVICE ARO FUR: • U *4004*... ,as 201-400 AMPS.: 0 ..• 0 P
OCC. LOAD...: 0 !Lk ILL ilii FEELER T,k'A : , 0 >rt 600 Apsx ., 0 411-6O0 AMPS.: 0 ... p
SQUARE FELT.: 0 « MAS1/METER REPAIR. 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 .,. 0
i I
* COMM. ALTERATIONS * / TEMP SERVICE t ' MISCELLANEOUS * t CONN/IND NEW * * INSPECTION RECORD t
0-100 AMPS • 0 ... 0 SERVICE __ _______ DATE ....._ ___..
0-200 AMPS • 0 0.100 AMPS....: 0 t THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 1 201-400 AMPS...: 0 ... 0 COVER.. ___________ DATE
601-1000 AMPS...: U I 201-400 AMPS..: 0 SEMITIC POOL..: 0 f 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS,.: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. _�.Jl - :d__ DATE to ,ji i f
NUN. Of CIRCTUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
_.._._.__ ___......... ...._.._... .__._._.__,_...._.._ __...__..._._.______._.. YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 36.00 I OVER 600 VOLTS.: 0 1
MAST/METER RPR.: 0
.-St:x:O:xEY:*It XIfl tt5laaflajt(staaa9a=:CM,4ItIt:ItM5Aq.'JaIt E,,X:mGaav6;tM,,WWt.t:.MMflY.ms .iGMt}:i>.M:Jas«:xaxafa;Ls::A t I ML'. ..?+ SSGFiCLWmIaL+daItItR:tLS MM Y.*ItIt5t.51'�•z.aMr:aa =3c.,,at zs?S.amt�nNSAas 3laemCa ItIt,R.'C G;i9ItMM.Ra:Z:tm^Sa:'EMSIttM
PERRITS EXPIRE 180 DAYS ATTER ISSUANCE IF WO RORK IS STARTED.
I CERTIFY TWAT TOE INFOP$MION 11*UISNt.D BY ME IS TRUE AND CORRECT TO TRE REST Of WY BROElEEDGE AMD THE APPI.KAKI CITY Of FEDERAL RAY REQUIREMENTS WILL if NET.
OWNER OR AGENT __..__..._.._
FIELD COPY
CirYOF ( BUILDING DIVISION
• =I 33530 First Way South
V\> RY Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION 653
***Federal Wa Business License number: ELE
iti Job Address Job Site Phone
Parcel No Lot No Subdivision Name A
Owner/tenant Mail Address .2E)91 e( 9 v2s Phone
Asb-lain t, 0114-- Ao-v,tes- 4 ceck'e is gi ;,C'v 3 as 3 -2.s5 - g.-y
Electrical Contractor Address/phone 1 I I a1 I'\ ,c, ,r,i j)./, Electrial contractor license number (copy req'ce:
��A`� 0 /` ;,),40 b - S S 93 Expiration Date y/ 0 .7 / 0 I
Use of Bldg: li4F Res ❑Conlin o Other ❑Multi o Church/School Class of Work: ❑New D Alteration ❑Addition O Repair
Describe Work: L ont Vo I.--'4°&?-- !S S`f S'te't
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
review is re 'd. Fee is 35% of (First 1300 ft-$62;Each add'n 500112-$20) Service and feeder 67
plan9 _Square Feet:
permit fee +$52. Add'I 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)
I
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) •
#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
I#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 57 _201 -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 V2 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 Signature: - _0 to 100 $41
_ 101 -200 52
j/��c { /a �. _201 -400 62
h J _401 -600 83
Date: 6 . -_S S _over 600 94
ELwrIIC.API,
REVIsm 12/8/98
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