99-104800CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661--4000
ADDRESS: ...................
NO.: CITY --WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87
= OWNER
TC!
19406 68TH AVE S
KENT WA 98032
206-396-3890 206-396-6118
$ STRUCTURE INFORMATION
CONST. TYPE.:
OCC. GROUP..:
OCC. LOAD...:
SQUARE FEET.:
VOLT
Electric"1 Inspect -ion Requests 253-661-4140
SINGLE CIRCUIT SERVICE CONNECTION/GROUND MOUNTED <100
-- - CONTRACTOR
CUSTOM CONTROLS CORPORA
' 4630 16TH ST. E., STE B
FIFE WA 98424
253-732-2004
CUSTOCCO752D
59 -/b is ka a
PERMIT NO: ELE99-1416
ISSUED: 12/16/99
BY: MTS
EXPIRES: 1.2/09/00
AMP SERVICE AT INTERSECTION OF S 332ND PL & 1ST WY S, NW CORNER
1,,,.1R
USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8A
$ NEW RESIDEIN,-lig MOBILE HOMES RESIDENTIAL ALTERATIONS $ # MULTI FAMILY
V -N KEW SINGLE Fp;
GITT OF
• IQW� V V ■
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637
Fbo_- -�l
ELE+1 - I U
Job Address INTERESECTION OF S 332ND PL & 1 ST HWY S f/4y
Job Site Phone 206-396-3890
Parcel No
Lot No
Subdivision Name
Owner/tenant TCI
Mail Address 19406 68TH AVE S.
Phone 206-396-3890
KENT, WA. 98032
Electrical Contractor CUSTOM CONTROLS
Address/phone 4630 16TH ST E. STE B-24
Electrical contractor license number (copy req'd):
FIFE, WA. 98424 253-732-2004
CUSTOCCO752D
Expiration Date: 051 04 1
Use of Bldg: ❑ SF Res E CommEj Other (] Multi ❑Church/School
Class of Work: ❑ New E Alteration ❑ Addition ❑ Repair
Description of work: 1-87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/R&bE MOUNTED INSTALLATION OF
POWER SUPPLY UNDER 100 AMP SERVICE. 4-aoA b
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
_ Service or feeder only ........... $44.25
plan review is req'd. Fee is 35% of
(First 1300 ft' -$67.00; Each add'n 500 ft' -$21.50)
_ Service and feeder ................$72.25
Square Feet:
permit fee +$56.25. Add'1 plan
_ Each outbuilding or garage
MOBILE HOME/RV PARK
review for other submissions is
...... $28.00
# of service or feeders
$67.00/hr.
(inspected with service)
_
(First service/feeder-$44.25; Add'n service/
Each outbuilding or garage ..$44.25
feeder -$28 each)
(Inspected separately)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_ # of Thermostats (First -$33.50; add'n-$10.50ea)
Service Feeder
Amps Service or Add'n
# of Low voltage fire or m
burglar alarms
g g
Up to 200 amp $ 72.25 $ 21.50
Feeder
z Z
First 2500 ft -$38.75; Each add'n 2500 ft -$10.50
_
201 - 400 amp 89.75 44.25
1 0 to 100 .............. $72.25 ..... $ 44.25
* Per WAC 296-46-910(5)(b)(i & ii)
- 401 - 600 amp 123.25 61.50
_ 101 -200 .............. 89.75 ........ 56.25
# of Signs (First sign -$33.50; add'n sign
601 - 800 amp 158.00 84.25
_ 201 -400 ............ 169.00........67.00
$16.00 each)
_
401 -600 ............ 197.00........78.75
Progress inspection per ''/z hr........... $33.50
Over 800 amp 225.25 169.00
_
601 -800 ............ 254.50......107.25
_
Swimming pool, hot tub, spa ............ 67.00
_ 801-1000 .......... 310.75 ...... 129.75
_
Temporary Pole (up to 60 amp)........ 38.75
-Over 1000.......... 339.00 ...... 181.00
Yard Pole meter loops ...................... 44.25
_ Over 600 volts surcharge ........ 56.25
_
Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIALANDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
_ 0 to 200 ......................................$ 72.25
_ 201 -600 .....................................169.00
I hereby certify that I am the owner (or authorized
Service or Feeder
_ 601 - 1000 ...................................254.50
agent) of the above named property, or a licensed
_ 0 to 200 amp $ 61.50
-over 1000 .....................................282.75
contractor (or firm's authorized agent) and am
_ 201 - 600 amp 89.75
_ # of circuits
making the installation or alteration in compliance
over 600135.25
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
with all applicable city, county, and/or state laws.
_
_ Mast or meter repair 33.50
# of circuits
Temporary Service
Applicant' , Signature:
_
(1-4 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .........................................$38.75
61 - 100 .........................................44.25
_
101-200 .......................................56.25
_ 201 -400 .......................................67.00
Date:/
401 -600 .......................................89.75
�}
,42 -6 3 ' /
_
over 600 .........................................97.75
Re- 12/13/99
h
CITY OF FEDERAL WAY PERMIT NO: ELE99-1416
33530 First Way South C L CIC TM I CV4L FNCMMIT ISSUED: 12/16/99
Federal Way, WA 98003 ElectricAl Inspection Requests 253-661-4140 By. HTS
253--661-4000 EXPIRES: 12/09/00
t 11)
-DRESS: .....................
NO.: CITY --WIDE
PROJECT DESCR I PT ION. INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONN[( I ION/GROUND MOUNTED <100 AMP SERVICE AT INTERSECTION OF S 3320D PL & IST NY S, MW CORNER
OWNERCONTRACTOR LENDER --= ...... .............
ICI CUSTOM CONTROLS CORPORATION
19406 681H AVE S 4630 16TH ST. I., STE 824
KENT WA 98032 FIFE WA 98424
206-396-3890 206-396-6118
ns CUMIORS, PLEASE Ust to(Allog
SIRUCTURL INFORMATION NEW RESIDENTIAL
CONST. TYPE.: V -H
OCC. GROUP..:
OCC. LOAD...: 0
S%IARE FEET.: 0
NEW SINGLE
MIT ef3ILlll9S—: t)
253-732-M
CUSTOCCO752D
1132 VID ARIKIRIING SALES fAX fOR PWICIS V11111 IK CITY Of FEDERAL. NAY. TAX RATE 7 BA SU
MoBitr NAMES RESIDENTIA
URVICI I# (LEDER 000. OK4,.
ARVICE AND 0 2101-600 AMP'
saj'n�,� oft Ffau "P.0: 0 low OVER 600 w
MAST/NETER R
RL ALTERATIONS MULTI FAMILY NEW *
SIV FEED
U 0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
0 401-600 AMPS.: 0 ... 0
0 601-800 AMPS.: 0 0
90ITS: 0 801 AND OVER.: 0 0
-------------------
INSPECTION RECORD
0 SERVICE DATE
0
0 COVER'. DATE
0
0 FINAL. DAI I
0 CONMEHII��
0
PERMITS EXPIRE 1110 DAYS AFTER lSmw1 if 0 Vm is STARTED.
I CERTIFY INAT fit INCORNATION FUROISNED DY K IS TRUE AND CORRECT TO TRE BEST Of MY KNWEDGI AND III[ APPLICABLE CITY Of FEDERAL MY RIQUIRENEVIS HILL BE NEI.
OWNER OR AGENT DATE
FIELD COPY
NUMBER OF (I
t
t COMM. ALTERATIONS
Ithp SERVICE
MISCELLANEOUS
------------------
---- --
-----------
* COMM/IND MEN
0-100 AMPS...... I
0-12100 AMPS......: 0
0-100 AMPS....:
0
THERMOSTATS....:
0
101-200 AMPS...: 0
201-600 AMPS....: 0
101-290 AMPS..:
0
LOW VOLTAGE....:
0
201-400 AMPS—: 0
601.1000 AMPS...: 0
201-400 AMPS-:
0
SWIMMING POOL..:
0
401-600 AMPS...: 0
OVER 1000 AMPS..: 0
401-600 AMPS..:
0
SIGNS..........:
0
601-800 AMPS...: 0
KUM, Of CIRCIUTS: 0
OVER 600 AMPS.:
0
TEMP. POLES....:
I
0
801-1000 AMPS-: 0
--.-
—
YARD "[TER LOOP:
0
OVER 1000 AMPS.: 0
TOTAL PERMIT FEES.......:
72.25
OVER 600 VOLTS.: 0
I
MAST/METER RPR.: 0
RL ALTERATIONS MULTI FAMILY NEW *
SIV FEED
U 0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
0 401-600 AMPS.: 0 ... 0
0 601-800 AMPS.: 0 0
90ITS: 0 801 AND OVER.: 0 0
-------------------
INSPECTION RECORD
0 SERVICE DATE
0
0 COVER'. DATE
0
0 FINAL. DAI I
0 CONMEHII��
0
PERMITS EXPIRE 1110 DAYS AFTER lSmw1 if 0 Vm is STARTED.
I CERTIFY INAT fit INCORNATION FUROISNED DY K IS TRUE AND CORRECT TO TRE BEST Of MY KNWEDGI AND III[ APPLICABLE CITY Of FEDERAL MY RIQUIRENEVIS HILL BE NEI.
OWNER OR AGENT DATE
FIELD COPY