98-103068et�,b3a&s
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 9e003
253-661-4000
Electrical Inspection Requests 253-661-4140
ADDRESS:30019 2ND AVE SW
NO.: 513700-0230
PROJECT DESCRIPTION :INSTALLING L/V BURGLAR ALARM SYSTEM.
OWNER CONTRACTOR
�~ GARY/ANNE MESICK ; GAYLORD INDUSTRIES
30019 2ND AVE SW 1112 INDUSTRY WAY
FEDERAL WAY WA 98023 TUKWILA WA 98188
253-839-3762
575-4939
GAYLOII055JG
ng CONTRACTORS, PLEASE -USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS NITNIN THE CITY OF FEDERAL NAY.
$ STRUCTURE INFORMATION $
; NEW RESIDENTIAL =
CONST. TYPE.: V-N
NEW SINGLE FAM.:
OCC. GROUP..:
OUT BUILDINGS..: 0
OCC. LOAD...: 0
SQUARE FEET.: 0
---- -------- -------__---�--__
* COMM. ALTERATIONS
= 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.......: 35.00
* MOBILE HOMES *
SERVICE OR FEEDER ONLY: 0
SERVICE AND FEEDER....: 0
SERVICE OR FEEDER (PK): 0
RESIDENTIAL ALTERATIONS *
0-200 AMPS......... 0
201-600 AMPS......: 0
OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 0
PERMIT NO: ELE98-0864
ISSUED: 08/12/98
BY: KLC
EXPIRES: 08/06/99
TAX RATE : 8.2% US
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
MISCELLANEOUS
COMM/IND
NEW #
$ INSPECTION RECORD $
0-100 AMPS.....:
0 ...
0
SERVICE
_ DATE _
THERMOSTATS....:
0
f 101-200 AMPS...:
0 ...
0
LOW VOLTAGE....:
1
201-300 AMPS...:
0 ...
0 EE COVER..
DATE _
SWIMMING POOL..:
0 301-600 AMPS...:
0 ..
0 I
SIGNS..........:
0
601-800 AMPS...;
0 ..
0 lFINAL.. ____
DATE _
TEMP. POLES....:
0
801-1000 AMPS-:
0 ...
0 I 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 NORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TIE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS HILL BE NET.
OWNER OR AGENT ________ _ ___ �-m_____ _ DATE
FILE COPY
r
i_ .1; F ( I I l_?E 1?�31_ 6-!(,ly F)ERMIT NO: ELf�`38-08.5��
:2.35'?(.1 F= i I '_, i� W; y' r..)uJ,I'i �.. �.0 T R I C i`- ,.. P E ��"'�M .j r, 0»;'1 _,/98
i rc r1 l4,_17', •.JA 9i3()173 EfectricaL Inspect -ion Ilegue�.t., f3Y': t_c:
PfF ():I E: C l _ ON : INSTALLING L/V BURGLAR ALARM SYSTEM
OWNER CONTRACTOR LENDER
GARY/ANNE MESICK GAYLORD INDUSTRIES
30019 2ND AVE SW 1112' INDUSTRY WAY
FEDERAL NAY NA 98023 TUK4ILA NA 98188
253-839-3762 575-4939
i GAYLOI10553G
T::::...aa�:S%a�__•e::S:sx.".asZ_s:.^s���:==�Es:.s::::u.G_.11:;�`'C..sJLws¢:'-.::.____�:—.:=��Si���.:s�__:.�4s:_�=�==2Y_�'=�:���b�aZcvs.u=•_ �_•:��.-::-ZF��4�::�=3C[rii.�_.Z==a�_�1�G.:L�� wIIauYw���.
in CONIKACIORS. PLEASE ME LOCATION COBS 1732 MEN REPORTING SALES TAX FOR PROJECTS WITHIN TIE CITY OF FEDERAL NAY. TAX RAFE : 8.2% s:s
.-..,_r__L�...s_.a_."...__.-ac._..._.. �,-w__�w__ x-•--c--::r.:�n-.-=ca_a.-_�a-�s�c �.-��'----• ---cam_ ..__......__:w.:cry-�a�w�����_s=.�����.c�=a----_.-c�c�4:-�aa��..:_e.cc��:x xcx�:..:sac:w'..F�_aca�
STRUCTURE INFORMATION t
i NEW RESIDENTIAL t
CONST. TYPE.: V-N
MEN SINGLE FAN.:
OCC. GROUP..: 1
OUT BUILDINGS..: 0
KC. LOAD...: 0
1
SQUARE FEET.: 0
}
i
i
COMM. ALTERATIONS
TEMP SIRVIFl }
0-200 AMPS......: 0
0-1k, AMPS....: 0
201-600 AMPS....: 0
101-200 AMPS..: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
201.400 AMPS..: 0
401-600 AMPS..: 0
NUM. OF CIRCIUTS: 0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES.......:
35.00
I MOBILE HOMES
SERVICE OR FEEDER ONLY: 0
SERVICE AD FLEU R....: 0
SERVICE OR FEEDER (PK): 0
x RESIDENTIAL ALTERATIONS t
0-200 AMPS.........
2,01 400 AMP,.- ..... .
OVER boa 095.....:
1AST14E0 REPAIR.:
"?(R OF (I RC'UM:
MUILTI FAMILY NEW
SEV FEED
0-200 AMPS...: 0
201-400 AMPS.: 0
401-600 AMPS.: 0 ...
601-800 AMPS.: 0
"I AND OVER.: 0 ...
I '
I#ISCELLANECIlS s COMM/IND NEW x INSPECTION RECORD Y
THERMOSTATS....:
LOW VOLTAGE....:
SWIMMING POOL..:
SIGNS...........
TEMP. POLES....:
YARD METER LOOP:
0-100 AMPS.....:
0 ... 0
SERVICE ,_,__-__.__�--__
DATE
0
111-111 AMPS...:
0 ... 0
1 201-300 AMPS...:
0 ... 0
COVER..
_ DATE .---_-___
0 301-600 AMPS...:
0 ... 0
0 601-800 AMPS...:
0 ... 0
FINAL..
DATE���
0
Ul-1000 AMPS..:
0 ... 0
COMMENTS:
0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MASUMETER RPR.:
0
PERMITS EXPIRE 180 DAYS AFTER I3„s110NCE IF NO IORK IS STARTED.
I CERTIFY TNAT THE INFORMATION FURNISNED BY NE IS TRUE AND CORRECT TO TIE )SST OF' NY KTIOIFLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS PILL BE NET.
OWNER OR AGENT__-- r �.l�) — --- - -- - DATE
FIELD DOPY
CDO193
OF � RECEIVED 13Y BUILDINGDMSION
FEM COMMUNITY OEXI i.OPMFNT 9FPAFtTM f 33530 First Way South
Federal Way WA 98003
�4 (206) 661-4000
"
Fax (206) 661-4129 �• .
ELECTRICAL PERMIT APPLICATION
j
ELE
Job Address
Job Site Phone
Parcel No
Lot No Subdivision Name
Owner
MailAddc. -t>�k9 --aKV,-_SvV
Phone.
Ciao ��nne �e5�c
A,
7(A�(/
Electrical Contractor
Mail Addressj��
Phone O �' T 3�
����.,�t ����•� �
� 1�t�,1 �. � � � � -�
Mocnae No.
Expirationl7ate � �. (�c�
Use of Bldg: F Rea o Comm 0 other 0 Multi 0 Church/Sehool Class of Work: 0 New 0 Alteration 0 Addition o Repair
Describe Work:
Type of Const:
NEW RESIDENTIAL SERVICES
MOBILE HOMES
Occupancy Group:
_ Service or feeder only ........ $40
Occupancy Load:
_ Single Family
_ Service and feeder ........... 65
Square Feet:
(First 1300 fe-S60; Each add'n 500 f -$20)
MOBILE HOME/RV PARK
If service 2 400 amp, plan review is req'd. Fee
_ Each outbuilding or garage ..... $25
_ # of service or feeders
= 35% of permit fee +$50. Add'1 plan review
(First service,/feeder-S40; Add'n servicel
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-$10 each)
Service Feeder
Feeder
# of Low voltage fire or burglar alarms
_ Vp to 200 amp .... $ 65 ..... $ 20
— 0 to 100 .......... $ 65 .... $ 40
(First 2500 f0435; Each add'n 500 W410)
_ 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 sign-$15 each)
_ 601 - 800 amp .... 140 ...... 75
401- 600 ......... 175 ..... 70
_ Progress inspection per hr .......... $60
_ 801 and over ...... 200 ..... 1 SO
_ 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, 661-4140.
Altered Service or Feeders
Service or Feeder
0 to 200 .............. I .... $ 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
_
201-400 .............. 60
401-600.................. 80
1.1
Date:
_
over 600 90
P1lcmcAPP
Rmsw IV17196