98-1033459g, )a334'!�
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1045 S 308TH ST
NO.: 082104-9042
PROJECT DESCRIPTION:SIX T-STATS
OWNER — --- - ---_- --
LIFE CARE CENTER
1045 S 308TH ST
FEDERAL WAY WA 98003
423-272-9585
Electrical Inspection Requests 253--661-4140
CONTRACTOR==�—===-
AIR SYSTEMS ENGINEERING INC.
909 S 28TH ST
TACOMA WA 98409
572-9484
AIRSYE$229KN
LENDER
PERMIT NO: ELE98-0953
ISSUED: 08/31/98
BY: FC2
EXPIRES: 08/25/99
US CORTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALESTAXFOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% _n
$ STRUCTURE INFORMATION
CONST. TYPE.: V-N
OCC. GROUP..:
OCC. LOAD...; 0
SQUARE FEET.: 0
* COMM. ALTERATIONS *
$ NEW RESIDENTIAL *
NEW SINGLE FAM.:
OUT BUILDINGS..: 0
TEMP SERVICE
0-200 AMPS......:
0
0-100 AMPS....: 0
201-600 AMPS....:
0
101-200 AMPS..: 0
601-1000 AMPS...;
0
j 201-400 AMPS..: 0
OVER 1000 AMPS..:
0
401-600 AMPS..: 0
HUM. OF CIRCIUTS:
0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES.......: 80.00
MOBILE HOMES i RESIDENTIAL ALTERATIONS #
SERVICE OR FEEDER ONLY: 0 0-200 AMPS........: 0
SERVICE AND FEEDER....: 0 201-600 AMPS......: 0
SERVICE OR FEEDER (PK): 0 OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 0
MUILTI FAMILY NEW $
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-BOD AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
MISCELLANEOUS
COMM/IND NEW #
INSPECTION RECORD
0-100 AMPS.....: 0 ...
0
SERVICE
DATE
THERMOSTATS....:
6 1
101-200 AMPS...: 0 ...
0
LOW VOLTAGE....:
0 {
201-300 AMPS...: 0
0
COVER..
DATE --_----__—
SWIMMING POOL..:
0
301-600 AMPS...: 0
0
SIGNS..........:
0
601-800 AMPS...: 0
0
FINAL..
DATE
TEMP. POLES....:
0
801-1000 AMPS..: 0
0
COMMENTS:
YARD METER LOOP:
0
OVER 1000 AMPS.: 0
0
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 "E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT Ate _ DATE-�_�_�_�
FILE COPY
C 'II'e OFFEDEPAt- WO'e E P -[ PERMIT NO: ELE98-1
095(3
3
3'-3530 First 14ay Soutf) L 11 RM..TISSULD: Oft; -J2/9
Focleral wa"s?, tjp1-lectrical Lnspectior) POqUesits '2,53-661-41-40 L31,: I--!�53-6"61-4000 08/25/99
li
ADL)RE�31,3:10'15 S 30'01-ti S�T
082104-904
P.,,?OJECJ 11ESCRI fl I ION SIX T-STATS
OWNER.......
LIFE CARE CENTER
1045 S MTH ST
FEDERAL WAY WA 98003
423-272-9585
-1 CONTRACT LENDER
AIR SYSTEMS ENGINEERING
901 cl 28TH ST
TA("A WA 98409
572-9484
AIRSYE*229XN
$sl CONTRACTORS, KEW 0 LOCATION CODE 1732 OU WKIING SALES
STRtKlugc INFORMATION NEW RESIDENTIAL
CONST. TYPE.: V-P NEW SINGLE FAN.:
O(C. GROUP..:
OCC. LOAD...:
SQUARE FEET.:
My bultolw-.:
INC.
TAX FOR PROJECIS VITNIN TOE CITY OF FEDERAL MAY. TAX RATE : 8-2t sss
S'NITLE HOMES
RESIDENTIAL ALTERATIONS
x
NUILTI FAMILY NEW
SEV
FEED
SWICE OR FIEDER ONLY: 0
0-200 mps ........ :
0
0-20 Amps....
0
SERVICL AND FEEDER.... 0_
M-600 AARE -...:
0
201-400 AMPS.:
0
SERVICE OR FEEDER (PK).',O
00 600
0
40;-600 hops.:
0
0
RASTIMETER PLPRIR.'.
0
601-800 Amps.:
0
0
NUMBER OF CIRCUITS:
0
801 AND OVER.:
0
0
CONN. ALTERATIONS TEMP SERVICE MISCELLANEOUS COWIND NEW
0-100 AMPS.....: 0
0-200 AMPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: 6 101-200 AMPS...: 0
201-600 AMPS....: 0 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-300 AMPS...: 0
601-1000 AMPS...: 0 201-400 AMPS-: 0 SWIMMING POOL..: 0 301-600 AMPS...: 0 ...
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS..........: 0 i 601-800 AMPS...: 0
NUN. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES....: 0 i 801-1000 AMPS-: 0
I— YARD METER LOOP: 0 OVER 1000 AMPS.: 0
TOTAL PERMIT FEES.......: 80.00 OVER 600 VOLTS.: 0
MAST/MITER RPR.: 0
INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL.. DAI 1 77
COMMENTS:
PERMITS EXPIRE iso DAYS AFTER IS%WE IF 0 WE IS STARTED. of DU NA RfW ENL
I CERTIFY THAT THE INFORMATION FURNISHED V-JNE IS TRUE FL AL T 11 NIS VILL BE NET.
111 TO TIE BEST OF MY KNOILEDGE AND IN[ APPLICABLE CITY
OWNER OR 991 DATE
FIELD 00FY
— — — — — — — — — — — ---
CDO193
ELECTRICAL PERMIT APPLIC4,T,ION
* "Federal Way Business License number:
BUILDING DwmoN
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ELE 98
Job Add— I V L� j � � C)
Job Site Phone
Parcel No
Lot No
Subdivision Namo
ownor/tea,d L Ft7 C v9 �4� C G N ._r Z
Mail Add. 2q G 5_ Ke I TO 5 T NV
pjone gZ� Z7Z asSS
OF �1 �t;lZ►c"4
cL�tV t-aNe TN
Eleotrioal Conlrsotor � I K S * STD, Yi'1
Addradphono log S - Z Q T4
Meetcial contractor liocase number PYre4'dl:
1 ht E j�IN C7
-TvICO.M11 -I� lc`"
z s 3 57 2 1� 0�
d�if�`jNt- I - l2zl-
Expiration Date: 1;8/ .21 / o 0
Use orRidg: D U Res MC. D other D Multi D fhuroh/Sohool Class of Work: D New D Alteration D Addition D Repair
Describe Work: (C.) T 5 T A 7 S r 0 R v 0 i& 2-AP e
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Service or feeder only ........ $40
plan review is req'd. Fee is 35% of
_ Single Family
_ Service and feeder ........... 65
permit fee +$50. Add'l plan review
S u� F3000 ft 460; Eaehadd'n 500 fe—M)
q
for other submissions is $60/hr.
MOBILE HOME/RV PARK
# of service or feeders
_ Each outbuilding or garage ..... $25
(Furt m vicafeeder440; Add•n service,
feeder-$25 each)
MISC EO.UIPMENTlTEMP SERVICES
# of Thermostats (Fustt-stat-$30; add'n410 ea)
_ # of Low voltage fire or burglar alarms(ltrsideatial: Srst2500 ft=.S 35; PAch add'n 500 fe410)
(CommercW: 1-4 zonc,=S. Each add'n zm*47)
_ # of Signs (First sign-$30; Each add'n sign $15)
_ Progress inspection per hr .......... $60
_ Swimming pool, hot tub, spa ......... 60
_ Temporary Pole .............. . . ... 35
_ Yard Pole meter loops .............. 40
Inspections requested before 3:30pm will be
made the following work day, 253.661.4140.
I hereby certify that I am the owner (or
authorized agent) of the above named property,
or a licensed contractor (or firm's authorized
agent) and am making the installation or
alteration in compliance with all applicable
city, county, and/or state laws.
Applicant's Signature:
Date: �j I
NEW MULTI -FAMILY
(Includes three units or more)
Service Feeder
_ Up to 200 amp ....
$ 65
..... $ 20
_ 201 - 400 amp ....
.80
....... 40
_ 401 - 600 amp ....
110
...... 55
_ 601 - 800 amp ....
140
...... 75
_ 801 and over ......
200
..... 150
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the services.)
Service or Feeder
_ 0 to 200 amp ................
$ 55
201 - 600 amp ...............
80
_ over 600 ...................
120
Mast or meter repair ...........
30
# of circuits ..................
40
(First circuit-$40; Add'n circuit-$5 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or
Add'n
Feeder
_ 0 to 100 ..........
$ 65
.... $ 40
101-200
........ 80
..... 50
201-400
........ 150
..... 60
_ 401-600
........ 17S
..... 70
_ 601-800
........ 225
..... 95
_ 801-1000
....... 275
.... 115
_ over1000
........ 300
.... 160
_ Over 600 volts surcharge ......
50
Mast or meter repair ..........
55
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
0 to 200 ...................
$ 65
r
201-600 .................
150
601 - 1000 ................
225
_ over1000 .................
250
# of circuits
(First 5 circuits-$50; Add'n circuit-$5 each)
Temporary Service
0to 100...................
$40
101-200 ..................
50
201-400 ..................
60
401-600 ..................
80
over600 ...................
90
ELumcArr
aim MOM