99-10470711 I 99 -/oar -7O7
CITY OF FEDERAL WAY PERMIT NO: ELE99-1364
33530 F i rs t Way South ?f;; ...:u.. N , .,,�,,,. F`4.1. "J. F1 .1,..,. F.", �';;.r �"'�u �'M � .,�...,�„ ISSUED: 12/13/99
Federal Way, Wil 98003 Lloctrical Inspection Requesbs 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 12/06/00
ADDRESS:
NO.: CITY-WIDE 400
PROJECT DESCRIPTION: INSTALL (1) - 120 VOLT SINGLE CIRCUIT SERVICE CONNEChft
TIONS MOUNTED 100 AMP SERVICE ON POLE ADJACENT TO 822 SO 293RD ST
OWNER=_______________________________________________ -= CONTRACTOR ==__________________________________________= LENDER
Y TCI CUSTOM CONTROLS CORPORATION o _-
19406 - 68TH AVE SO 4630 16TH ST. E., STE B24
KENT WA 98032 FIFE WA 98424
206-396-3890 206-396-6118 253-732-2004
CUSTOCC0752D
its CONTRACTORS,'#LEASE USE LOCATIO'tW,,A7 �
STRUCTURE INFORMATION
SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.61 ::_
HOMES $ RESIDENTIAL ALTERATIONS
1
CONST. TYPE.: V -N
SERVICE OF FEEDER
ONLY:
itXl,^r
OCC. GROUP...
-
-" Pn
SERV,,,�[ ,D F DE
.:
OCC. LOAD....
0
1 SQUARE FEET.:
O
t COMM -ALTERATIONS
i
TEMP SERVICE
'
}
$ 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
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.:
0 }
TEMP. POLES....:
0
f---------------------------------
`------------
.-_----------------
YARD METER LOOP:
0
TOTAL PERMIT FEES.......: 72.25
4
v 0-200 AMPS.
0 201 �1JO AMPS .. 0 i
0 OVEO 1C0 AMPS C
' MAST/METER REPA'.°,: 0 `
3 NUMBER OF CIRCUITS: 0
----._-
COMM/IND NEW
0-100 AMPS.....: 1 ... 0 SERVICE
101-200 AMPS...: 0 ... 0
201-400 AMPS...: 0 ... 0 COVER..
-_--
401-600 AMPS...: 0 ... 0
601-800 AMPS...: 0 ... 0 FINAL..
801-1000 AMPS..: 0 ... 0 COMMENTS.
OVER 1000 AMPS.: 0 ... 0
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
MULTI FAMILY NEW *
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS,: 0 ... 0
421-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
INSPECTION RECORD
DATE
DATE
DATE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR ATION FURNISHE Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _
---- -------------------------------------- DATE
FILE COPY
CITY OF
VV ^7
REC1~ 1vr_=n
DEC 101999
FiDu �, �G3
CI f Y Of- FEI"I'M - -
ELECTRICAL PERMIT I�P'P�G�'���N
2
***Federal Way Business License number: 8637 ELEqq
Job Address 822 S. 293rd St
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, B-24
Electrical contractor license number (copy req'd):
Fife, Wa 98424 253 732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: ❑ SF Res ® CommE] Other ❑ Multi ❑Church/School
Class of Work: ❑ New ® Alteration ❑ Addition ❑ Repair
Description of work: 1 - 120 Volt single circuit service connection/ pole mounted installation of power supply under 100 Amp
sevice.
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 ft2-$67.00; Each add'n 500 t1? -$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
COMM ERCIALANDUSTRIAL
(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 burglar alarms
Up to 200 amp $ 72.25 $ 21.50
Feeder
First 2500 ft3-$38.75; Each add'n 2500 ftZ-$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 'h 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's 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
over 600 .........................................97.75
tL
Revised 13/9/99
CITY OF FEDERAL. WAYPERMIT NO: ELE99-1364
3'3530 F,1 rsi, Way Snuff) C L E CTR 1: CM L. PE ft M IT ISSUED: 12/13/99
sL�; 253-(,61-4140 BY: KLC
f'ederal Way, WA 98003 Electrica'l Inspect -ion Reque
253--661-4000 EXPIRES: 12/06/00
ADIAESS
NO.: CITY-WIDE 419C)AD
PPOJECT DESCRI P I'1OVI: INSTALL (1) - 120 VOLT SINGLE CIRCUIT SERVICE CONNECTIONPft MOUNTED 100 AMP SERVICE 09 POLE ADJACENT' TO 8212 SO 293RD ST
OWNER CONTRACTOR ...... LENDER ......
TO CUSTOM CONTROLS CORPORATION
19406 - 68TH AVE SO 4630 16TH ST. I., Sf1 024
KENT VA 98032 FIFE WA 98424
416-396-3810 206-396-4110 25*113-132-2004
CUSIGC(0752D
COVIRACIONS, K.101 VS1E t%AII0P CODE 1732 IN" *XjING SALES TAX FOR PROJECTS VIIIIN INE CITY Of FEDERAL NAY. TAX RATE :: SA Its
* STRUCTURE INFORMATION t
CONST. TYPE.: V -N
OCC. GROUP..:
OCC. LOAD.... 0
SQUARE FEET.: 0
$,#E# RESIDE CIP
NETI'�GLE FAM.
OUT whologs—, �,O
(OHM AL I I I . RA 1 11 1 0 1 4 - S # H ... f-r-m—p- SIR' V'ICF*'*
0-200 AMPS....... 0
201-600 AMPS....: 0
601-1000 AMPS—: 0
OVER 1.000 AMPS..: 0
MON. Of CIRQUIS: 0
----------------------------
TOTAL PERMIT FEES.......:
0-100 AMPS..... 0
101-200 AMPS..: 0
201-400 AMPS..: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
12.415
. �==
'"ILE HOMES # Y RESIDENTIAL ALTERATIONS
OR fftDLK ONLY.
S.LRVICL UR
MISCELLANEOUS
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS..........: 0
TEMP, POLES....: 0
YARD METER LOOP: 0
U-200 AMPS.........
291 )00 AMPS... 0
OVb: 600 AMPS...
MAST/METER REPP'n.: 0
NUMBER Of CIRCUITS: 0
T
COMMAND NEW
0-100 AMPS...... I ... 0
101-200 AMPS...: 0 ... 0
201-400 AMPS...: 0 ... 0
401-600 AMPS...: 0 0
601-800 AMPS...: 0 0
801-100 AMPS..: 0 0
OVER 1000 AMPS.: 0 0
OVER 600 VOLTS.: 0
MAST/METER RPR.-. 0
MULTI FAMILY MEN f
SEV I'M
0-2100 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
Sol AND OVER.: 0 0
---- --- ------ —
INSPECTION RECORD
SERVICE DATE
COVER..
F I KAL
COMMENTS:
DATE
DATE
PIRNITS EXPIRE ISO DAYS AFTER ISSINKE If 00 m is STARTED.
I CER)ffY TWAT THE INFORNATION FURNISIEtiff NE Is IRK AN CORRECT TO THE BEST Of NY KNMEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL K NET.
OWNER OR AGENT , �-J44 DAIS
FIELD COPY