98-102678gg -iaa &7g
CITY OF FEDERAL WAY
33530 First Way South E C T R I C A L PERMIT
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140
253-661-4000
ADDRESS:29415 21ST PL S
NO.: 422291-0020
PROJECT DESCRIPTION -ALTERING ELE CIR'S TO REPLACE HWT'S, LIGHTING, HEATERS, T-STATS
LAURELWOODS GARDENS, BUILDING C16 (ADDRESSES TO SITE 29415 AND 29417)
OWNER
LAURELWOOD GARDENS (C-16)
29415 21ST PL S
FEDERAL WAY WA 98003
CONTRACTOR =—-----___-
ELECTRICAL EXPRESS
19689 7TH AVE NE STE 133
POULSBO NA 98370
360-405-8116
ELECTE*044PT
LENDER =
PERMIT NO: ELE98-0744
ISSUED: 07/17/98
BY: KLC
EXPIRES: 07/11/99
n* CONTRACTORS, PLEASE USE ^LOCATION CODE 1732 NNEN REPORTING SALES TAX FOR PROJECTS NITNIN THE CITY OF FEDERAL MY. TAX RATE : 8.2% *n
* STRUCTURE INFORMATION *
CONST. TYPE.: V-N
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
* NEW RESIDENTIAL * i = MOBILE HOMES
NEW SINGLE FAM.:
OUT BUILDINGS..: 0
* CONN.~ALTERATIONS * HW * TEMP SERVICE
0-200 AMPS......:
0
0-100 AMPS....:
0
201-600 AMPS....:
0
101-200 AMPS..:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
OVER 1000 AMPS..:
0
401-600 AMPS-:
0
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.:
0
TOTAL PERMIT FEES.......: 65.00
SERVICE OR FEEDER ONLY:
SERVICE AND FEEDER....:
SERVICE OR FEEDER (PK):
* MISCELLANEOUS *
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
0
0
0
* RESIDENTIAL ALTERATIONS *
0-200 AMPS......... 0
201-600 AMPS......: 0
OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 6
* COMM/IND NEW
0-100 AMPS.....:
0 ... 0
101-200 AMPS...:
0 ... 0
201-300 AMPS...:
0 ... 0
301-600 AMPS...:
0 ... 0
601-800 AMPS...:
0 ... 0
801-1000 AMPS..:
0 ... 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
SERVICE
COVER..
* MUILTI FAMILY NEW
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
* INSPECTION RECORD
DATE
DATE
FINAL.. DATE
COMMENTS:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT TIE IMF TION FURNISHED BY ME IS TRUE AND CORK CT TO TIH DEST OF NY [WKlWLEDGE AND TIE APPLICABLE CITY OF FEDERAL MY REQUIREMENTS WILL DE NET.
OWNER OR AGENT DATE I
FILE COPY
Of I dF flloll F NO: U-1-1-91; -0744
C T C A I R m 1"
fiti:ALTERIK ELL CIPA TO RIFLA(FHWI'S, LIGHTING, HEATERS, I-SfATri
-j
i-A! 1,"[! 0) P4, 6AFPLHS, 1111JILDOG Ch (ADDRESSES TO SIR 1q41L AND ?Q"17)
LAINULWI,)(41 GARDENS 1(-16) CLUTFICAL EiPRISS
24415 "Irl PL S 19680 714 AVE HE STE 113
ioUR-Q, WAY WA 96003 POULSUO N 9C370
360-405-8116 -
ELIGi*0401
cojilsjKJORS, PLEASE, W tKATION (OK 1132 VK1 RUNTING ALES TAX FOR PMECFS 911011 IIE CRY Of FtKKU *-y- JAI Itfill = 8-2t
STPUCOK INK�MATIQN NEW FESULNTIAL MOBILE HOMES RES11*911AL AITFRATIONS14' N11RU FAf11L; NEW
NEW SINGLE I-Wl.: SERVICE OR FEEDER ONLY: 0 0-"00 is"K ......... 0 G-2W AHK 0 ... 0
OCC OUI BUILDINGS..:.9 1711C1 1111 '211-611 AMPS......:
4((, sipmE OR FEEDER (91): 0 O'dR 61A AMPS. -103 -1600 Amps o —
qkSTAIER REPAIR.: 0 601-ROO AMPS.: 0 —
KIMBER Of CIRCUIT;: 6 2,01 AND OVER.: 1! 0
(OH. :iLTERAINN'S f Uhl) RVICS # MISiLLI_AtIEt11tS R 1 .NEW INSPECTION RECORD
0 �100 AMPS-- 0 0 U IL
0 (i-vy') AMPS.... mps. o 0
0 101-200 AMK..: 0 i LOW VOLIA=JE— 201 30J ;Mh- Nvlp— DAI
01 1004 -1119s 0 I 01 AMPS..: swimmimc PoL, 0 j J01 -600 AMPS-
011�' lual) Aft, A Amps..- (1 6014,00 AMPS...; 0 0 I"AL.. Nil
9VER 00 AMPS.:------- -------
4 TEMP. 0 801-1000 AMPS. ,: 0
YARD METER LO�,P, 0 OVER INN AMPS.:
T1.14A ff."41T "ES.... ... Oct I OVIP 600 NO'—:
MASI jm[ I [V fI)p C
,P(I11IS EXPI14 100 Ars Afil-2 ISSUAKI If N VOK IS SIARILD-
j (GlIfy Tmr IN[ 1111010110111 FURNISIfill bf 1111, is IRK NIP URRUT To Tof mds*1 Of NY KWAILEDGE AND IRL Apptl(WL (Ali Of r[Ko'ek WAY nQuill"(NIS, 1111-1. K MO.
r.
A� 4�;j i
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FIELD COPY
CDO193 (Rev 4/97)
ctnroF G BUILDINGDIVMON
En 33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ELECTRICAL PERMIT APPLICATION
Job Address Z-9 f 1 1 z % 51t P/. -50, gql - ZO 0,C7
Parcel No —rrW 15Lot No Subdivision Name AatAfe, (W OvC( 50, D/ V +.5I 0 rn (P
Owner KC444 - LAVA4VAd00Cf Cqanfa l S Mail Address c(o -Tr; Jot, &r'o u P . Phone
I--w . PAhnersh"P ssss b+w 57...s-AF.4 afmenit NZ5) 77 8- 2'ZO?
Electrical Contractor Mail Address�l WA 9gbZ.v Phone (3 (ro) ZTj % -51 f C7
��C 1 G� E�pe-esS 7'? �'I��/(�G Expiration Lic-ense No. Date
f�
Use of Bldg: a SF Res o Comm o Other )viulti o Church/School Class of Work: o New o Alteration o Addition `Repair
Describe Work: L(jh-F nwUnq<-,,�
f C,c.t` Sta Nit- \,J AAer 49AC17-�, 7fr
ad L56A-
Type of Const: Y �/��. NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _ Service or feeder only ........ $40
Occupancy Load: _ Single Family ^ Service and feeder ...... , .... 65
Square Feet: (First 1300 fl -$60; Each add'n 500 f -$20)
MOBILE HOME/RV PARK
If service z 400 amp, plan review is req'd. Fee _Each outbuilding or garage ..... $25 T # of service or feeders
= 35% of permit fee +$50. Add'l plan review (First service/feeder440; 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-$30; Add'nthermostats-$b each) Service Feeder Feeder
# of Low voltage fire or burglar alarms _Up to 200 amp $ 65 ..... $ 20 _ 0 to 100 .......... $ 65 .... $ 40
(First 2500 n-$35; Each add'n 500 nl-$10) _ 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 sign415 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, 6614140. 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 $5 each)
city, county, and state laws. (First circuit-$40; Add'n circuit-$5 each)
Temporary Service
Applicant's Signature: 0 to 100.................... $40
101 - 200 50
�r Sa 201 - 400 60
17 401 - 600 ............. .... 80
Date: ^ over 600 90
EucnucArr �.
REvum M6/97