99-104881R
CITY OF FEDERAL WAY
N 30500 First Way South
Federal Way, WA 90003
253-661-4000
Electrical Inspection Requests 252-661--4140
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PERMIT NO: EL_E99-1461
ISSUED•. 12/22/99
BY: FL..F
EXPIRES: 12/15/00
ADDRESS: ...................
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SVC ADJACENT TO 30040 12TH AVE SW
= OWNER =_____________________________________ ____________ _ CONTRACTOR
LENDER
ELECTRIC INC=====_______________=_=____ ________ =
TCI
URLEY
19406 68TH AVE S 5717 186TH PL SW, #11
f KENT WA 98032 LYNNWOOD WA 98038
206-396-3890 206-396-6118 425.776.7380
! CURLEEI088JN
*** CONTRACTORS. PLEASE USE10CATII1I- ODE 1732,KHEN.IEPQRTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = BA #i
STRUCTURE INFORMATION NEW RESID NAIA
TL �'�,��`���E HOMES RESIDENTIAL ALTERATIONS MULTI FAMILY NEW
SEV FEED
CONST, TYPE.: V -N LE FAM ���. 0 2(IO.AMPS... C 0-200 AMPS...: 0 0
OCC. GROUP..: ��� �0 0 201'" AMPS. �: 201-400 AMPS.: 0 ... 0
EDER
OCC. LOAD...: 0 �' v R DER (PKC Qv R 600 AMPS.. C 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 L-�.x., �z<��„e .��WA
T/METER REPAIR.'. G i..,1-800 AMPS.: 0 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0 f
s
y r
---------------------------------
- - - - ----------------------------------------------------------------------------j
COMM. ALTERATIONS $ ; * TEMP SERVICE MISCELLANEOUS COMM/IND NEW $ INSPECTION RECORD
0-200 AMPS......: 0 0-100 AMPS.I 3 j 0-100 AMPS.....: 1 0 SERVICE DATE ---------- j
i ----------
' ...: 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 --r------
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 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.......: 72.25 i OVER 600 VOLTS.: 0
,
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM TION FURNISHED E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT-
- ------------------------- �?t
FILE COPY
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Fax (253) 661-4129
DEC 2 11999 ELECTRICAL PERMIT APPLICATION
ERAL WAY 'Federal Way Business License number: 7778 ELE 11
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Job Address 30040 12 TH AVE SW Job Site Phone 206-396-3890
Parcel No Lot No Subdivision Name
Owner/tenant TCI Mail Address 19406 68T" AVE S. Phone 206-396-3890 RICK PETTENGILL
KENT, WA. 98032
Electrical Contractor CURLEY ELECTRIC Address/phone 5717 186TH PL SW., STE #11 Electrical contractor license number (copy req'd):
LYNNWOOD, WA. 206-914-7505 CURLEE1088JN
Expiration Date: 04 15 00
Use of Bldg: E] SF Res XComm[-] Other Multi ❑Church/School Class of Work: []New XAlteration ❑ Addition ❑ Repair
Description of work: 1-87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED INSTALLATION OF
POWER SUPPLY UNDER 100 AMP SERVICE.
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 ft2467.00; Each add'n 500 ft' -$21.50) _ Service and feeder ................$72.25
Square Feet:
permit fee +$56.25. Add'l planEach 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 COMMERCIALANDUSTRIAL
(Includes three units or more)
# of Thermostats (First -$33.50; add'n-$10.50ea) Amps Service or Add'n
- Service Feeder
_ # of Low voltage fire or burglar alarms _ Up to 200 amp $ 72.25 $ 21.50 Feeder
First 2500 ftZ-$38.75; Each add'n 2500 ftZ-$10.50 1 0 to 100 .............. $72.25 ..... $ 44.25
* _ 201 - 400 amp 89.75 44.25 101-200 .............. 89.75........56.25
Per WAC 296-46-910(5)(b)(i & ii) _ 401 - 600 amp 123.25 61.50 -
# 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) Over 800 amp 225.25 169.00 - 401-600 ............ 197.00 ........ 78.75
_ Progress inspection per 1/2 hr........... $33.50 - _ 601 -800 ............ 254.50......107.25
_ Swimming pool, hot tub, spa............ 67.00 - 801 -1000 .......... 310.75......129.75
_ Temporary Pole (up to 60 amp)........ 38.75 -Over 1000.......... 339.00 ...... 181.00
_ Yard Pole meter loops ...................... 44.25 - Over 600 volts surcharge ........ 56.25
- Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY COMMERCIALANDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the Altered Service or Feeders
made the following work day, 253.661.4140. services.) - 0 to 200 ......................................$ 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 .........................................$38.75
r- 61 -100 .........................................44.25
_ 101-200 .......................................56.25
_ 201 -400 .......................................67.00
Date: _ 401-600 .......................................89.75
L-14-
over 600 .........................................97.75
CITY OF FEDERAL- DE:RAL- WRY PERMIT NO: ELE99-1461
33530 First Way South CLECTRICML PEM1""MI T ISSUED: 12/22/99
Federal ral Way, WA 98003 Electrical Inspection Requests 253-661--4.140 BY: FLF
253--661--4000 EXPIRES: 12/15/00
ADDRESS .....................
NO.: CITY --WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SVC ADJACENT TO 30040 1210 AVE SM
1-4 OWNER �ro��� .��s:=:.a::�re�, ry u� �:.� �.......umm-41a 1ARIRAITOP axe=� �.�� ��x��������x�� .L.Ms�� �����A� a���a s LENDER
ICI CURLEY ELECTRIC INC
14406 681H AVE S 5717 186TH PL SN, #11
KENT WA 98032 LYNNWOOD WA 48038
206-396-3840 206-346-6118
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STRUCTURE INFORMATION + NEW RP11111ENTIAI +
rONST. TYPE.: V -N STEN SINf;LI fAM. '
OCC. GROUP..: O T BUILbiNGS..: 0
OCC. LOAD...: 0
SQUARE FEET.: U
COMM. ALIERATIONS
x (EMP SERVICE x
425.776.7380
CURLEEI08830
132 ViU STING SALES TAX FAIR PROJECTS WITHIN TK CITY OF FEKRAL WAY.
LS3laaF:4:SYSLiT'31Effi:SC1C#ll.:GACC9:.:6«:iCtlYQr1rL'.TC,.'IABSf:4$fCY%CIDAfpjCS:SYYC55`.3FCMPiiYC1L3'�'.]S]LSn<C:C
t MOttILE W)MES x i RESIDENTIAL ALTERATIONS «
5LRVIT£
OR f EE#EW OKY: ti �2 .�„ • ..4 4
I.ERVIC4" ARD 0X1-600' 0
CERVICE OF FEEDER 0 OVER EIO AMPS. .». ' r ✓
MAST/MLTER REPAIR.: 0``
NUMBER OF CIRCUITS: 0
t MISCELLANEOUS
0-200 AMPS......:
0
0-100 AMPs.... :
0
THERMOSTATS....: 0
201-600 AMPS....:
0
101-200 AMPS..:
0
LOW VOLTAGE....: 0
601-1000 AMPS...:
0
201-400 AMPS..:
0
SWIMMING POOL..: 0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........: 0
HUM. OF CIRCIUIS:
0
OVER 600 AMPS.:
0TEMP.
POLES....: 0
__..-..._.....-__.._..__._.-_.-_..__._.._
0
__._____.._-....._..__..--------
..__
YARD METER LOOP: 0
TOTAL PERMIT FEES.......:
72.25
TAX RATE : SA Us
r MULTI FAMILY NEN x
SEV FEED
0°200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
01-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
COMM/IND MEW t
INSPECTION
RECORD t
0-100 AMPS.....:
1 ...
0
SERVICE __._...._..__..�.
DATE �_...__._-__...
101-200 AMPS....
0 ...
U
201-400 AMPS...:
0 ...
0
COVER..
DATE
401-600 AMPS...:
601-800 AMPS...:
0 ...
0 ...
0
0
801-1000 AMPS..:
0 ...
0
OVER 1000 AMPS.:
0 ...
0
OVER 600 VOLTS.:
0
MASTJMETER RPR.:
0
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ui�di=RC:.Iri'�1:#L2aCaSSFaafC#Haa3CCrrsL'�YG«:a9'tae
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KNITS EXPIRE 180 IMYS AFTER ISSUANCE IF NO VW IS STARTEI.
I CERTIFY TRAT TK INFORNATION FURNISNEI !n 11 IS TRUE ANN CMECT TO THE NEST OF NY 90KEW AND IWt APPUCABLE CITY OF FEIERK NAY REQUIRENENIS HILL K MCT.
f
OWNER OR AGENT__.._ ------- _ DATE
FIELD COPY