99-102109 9940.) /0
CITY OF FEDERAL WAY pp � ,,,,,..,» , » u U PERMIT NO: ELE99-0584
33530 First Way South ::, !I F,-��„», II-�;;;, , .1». �,,�.� ,» P ECil,, eli 1". »,ii ISSUED: 06/03/99
Federal Way, WA 98003 Electrical Inspection Requests 253--661....4140 BY: FC2
253-661-4000 EXPIRES: 05/27/00
ADDRESS: 29918 2ND AVE S
NO. : 391420 -0210
PROJECT DESCRIPTION:ELE - 1 CIRCUIT FOR AIR CONDITIONER
F= OWNER ---- T CONTRACTOR -------------------- -- -- LENDER ----. __ -. -!
DAVID KELLIHER g OLD TIME ELECTRIC
29918 2ND AVE S 8614 BRIGGS LN SW
FEDERAL WAY WA 98003 TACOMA WA 98498
fi
253-588-5045
OLDTIEI021LB
;U* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% :::
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * s * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW * f
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....: 0 j 201-600 AMPS • 0 201-400 AMPS.: 0 .. 0
OCC. LOAD...: 0 SERVICE OR FEEDER r'K : 0 OVER 600 AMPS,....: 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 'BAST/METER REPAIR.: O 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 1 801 AND OVER.: 0 .. 0
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * 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 i LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 3 ... 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:
- -' YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 41.00 ? OVER 600 VOLTS.: 0
• MAST/METER RPR.: 0
is
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIO URNISHED BY/MEMS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT G.- `�BY'� 7 DATE _ _v?
FILE COPY
----
CITY OF FEDERAL WAY , PERMI1 NO: ELE99-0584
33530 First Way South EL CTI CAL - PEFUli I ISSUED: 06/03/99
Federal Way, WA 9800.3 Electrical Inspection Requests 253-661 -4140 BY: FC2
253-661 -4000 EXPIRES: 05/27/00
ADDRESS:29910 2ND AVE S
891420-0210
PROJECT DESCRIPTION:ELI - 1 CIRCUIT FOR AIR CONDITIONER
I DAVID KELLIHER OLD TINE ELECTRIC
1 29918 2ND AVE S 8614 RIGGS LH SW
FEDERAL WAY WA 98003 TACOMA WA 18498
I
1 2S3-588-504S
I
01DTIEI02118
as* CONTRACTORS, PLEASE USE loom (04W11314041,ORTIN SALES tAX fOt PINCUS 1111811 III CITY OF FEDERAL WAY. TAX RATE = 8.6% *U
* STRUCTURE INFORMATION * * NEN RETIAL * * MOBILE HOMES I * RESIDENTIAL ALTERATIONS * * MULTI FRILLY NEN *
SEV FEED
COAST. TYPE.: V-N NEN SWE FAH.: \,. '' ,-'08VICI OR 'FEW ORLY: 0 0-200 AMPS 0 0-200 AMPS...: 0 ... 0
KC. GROUP..: OUT ILTILDINGS..: 0 04TABY4 10*I `,,- *A-A-A.0 , -1 kAv 204**„.0**,..,..,..; 0 , 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 044jo,“$ ,,IER (PK);*-_ )), ,,, , t$60t/4"....4 4 „, ;#\ , 401 600 AMPS.: 0 ... 0
-' k.4 "'
SQUARE FEET.: 0 \- ‘`: , .- ,4, TT/METERAIMUL4 0 - 601 800 AMPS.: 0 ... 0
AO•kg„ ,, *.',NUMBER of cRocint, 1 001 AND OVER.: 0 ... 0
I .
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * 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..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 ANS..: 0 401-600 AMPS.,: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. lic..a_ _. DATE 4 1_1$1_11 I
I NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
..._ ...., ... ...., YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 1
1 TOTAL PERMIT FEES • 41.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE IRO DAYS AFTER ISSUANCE IT NO MORE IS STARTED.
I CERTIFY THAT THE INTIMATE FURNISHED DT Mt IS TRUE AIM CORRECT 10 IMF BEST Of MY ENCNLEDGE AND IRE APPLICABLE CITY 4W FEDERAL MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT ',-,-- 1C7 DATE
FIELD COPY
CITY OF G BUILDING DIVISION
• ED 33530 First Way South
N,N) Fiy Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELE°1' - 0 ej11
Job Address ,6;2(15". / Z' — 2'J=-3 /}-e t Job Site Phone
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
0/44%Je- he/Z— 25'�/5 - . '/ w -
Electrical Contractor Address/phone Electrial contractor license number (copy req'd):
may' n �� [ /- QO o-, 3s7,-75"
��p O c 4)77� / CO_r 1-,'
(1 3 ?Z2zs> G-CX �GL T/7c Crr»Gk, C..,�: c'J 7'3 Expiration Date:e16 / Q e__ / Zi