99-104701CITY OF FEDERAL. WAY
33530 First Way South N�.'�A- r : K.,,. ,.I.., M,, I µ;,::;: Fi 1.... 11`4 E,'-* n,11111"1"'.
Federal Ways, WA 99003 Electrical. Iti pccuion Requests 253-661-4140
253-661-4000
PERMIT NO: LLtI�9-1358
ISSUED: 12/13/9
BY: KL_C
EXPIRES: 12/06/00
ADDRESS: ....................
NO.: CITY-WIDE
P R O J ECT D E S C R I PT 10 N :INSTALL (1) - 120 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED 100 AMP SERVICE ON POLE (2ND POLE FROM DASH POINT RD ON 21ST AVE SW)
-- OWNER_______________________________________________:===z= CONTRACTOR =___________________=_=_______________=____== LENDER
3� TCI ! CUSTOM CONTROLS CORPORATION
1 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
---------------------------------------- --- _- _--
tst CONTRACTORS, PLEASE USE LOCAT `CODE 173"kpQ TING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : BA ts:
STRUCTURE INFORMATION $ NEW RESIN ''� _"_ I � � HOMES RESIDENTIAL ALTERATIONS MULTI FAMILY NEW �
4 SEV FEED
CONST. TYPE.: V -N I �GLE FAM SLmvI� ur Ftci,cR ONLY: �OO.AMFS,.. 0-200 AMPS...: 0 0
OCC. GROUP..: I 0 ", D r t 1 A�'PS ...... 201-400 AMPS.: D 0
OCC. LOAD...: 0° SERVICE OREDER PK) 'VE-1AM?S. , .. , 401-600 AMPS.: 0 0
SQUARE FEET.: 0 �..�x,m�.a , ; Vis.: t 'MAST/METER 1 !AST METER REPAI 0 01 800 AMPS.. 0 0
�> NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
f
------------------------------- __.....___-----_.____-_--__-7----------------------------- _/-------_,------------------------------------------------
# COMM. ALTERATIONS $ TEMP SERVICE * MISCELLANEOUS ; COMM IND NEW INSPECTION RECORD $
E 0-100 AMPS.....: 1 0 SERVICE DATE
----------
0-200 AMPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: 0 101-200 AMPS...: 0 ... 0
201-600 AMPS....: 0 ` 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-400 AMPS...: 0 ... 0 j COVER..__________—_ DATE
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 i 601-800 AMPS...: 0 ... 0 FINAL..DATE
_____________
NUM. OF CIRCIUTS: 0- OVER 600 AMPS.: 0 TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
1------------------------------_-'__--------..-----_-------____-" YARD METER LOOP: 0 j OVER 1000 AMPS.: 0 ... 0
r
TOTAL PERMIT FEES.......: 72.25 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 14 WORK IS STARTED.
I CERTIFY THAT THE INFO MATION FURNISH jBvEIS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OOFFEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT GhL/�c ------------___ DATE _._�a=13' 1_1
FILE COPY
CTYOF
• E�EIZf3L �
vv rav ��0101999
t) AL WAY
ELECTRICAL PERMIT'APM TION
***Federal Way Business License number: 8637
ELEq"1 - 06t
Job Address 2nd Pole in form Dash Point Rd on 21st Ave SW
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 (copyreq d):
Fife, Wa 98424 253 732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: ❑ SF Res E Comm Other ❑ Multi ❑Church/School
Class of Work: E]New E Alteration ❑ Addition E] 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 ft2467.00; Each add'n 500 ft2-$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
COMMERCIALANDUSTRIAL
(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 ftZ-$38.75; Each add'n 2500 ft2-$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'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
REVISED 12/9/99
CITY OF FEDERAL WAY PERMIT NO: ELE99-1358
335:0 First Way South C. L. CC TIN I CP4 L PCMP4I T ISSUED: 12/13/9'
Federal qday, WA 98003 Electrical Inspection Requests 253-661--4140 BY: KLC
253-661-4000 EMPIRE S: 12/06/00
ADDRESS: ....................
NO.: CITY --WIDE
PROJECT DE:S<.:RI P T ION: INS14MLL (1) - 120 VOLT SINGLE CIRCUIT SERVICE CONNECTION%POLE MOUNTED 100 AMP SERVICE ON POLE (20D POLE FROM DASH POINT RD ON 21ST AVE SW)
tt OWNER .r tONTRACIOR ,-�_ �:��:�:.�ffi�.........n,�s��.,�sx.A;.,:xx��e:, LENDER
TCI CUSTOM CONTROLS CORPORATION
19406 - 68TH AVE SO 4630 1610 ST. E., ST[ 924
KENT NA 96032 1FIIE WA 96424
206-396.3890 206-346-6118
253-732-2004
CUSTOCC0752D
$22 COKFRAt is o., T"t N St U' t. (�t�,At JON ' ! b1.#i V60 I LT TIKIG SALES TAX FOR PROJECTS YITNIN TWE CITY Of fEDERAL MAY.
STRUCTURE INFORMATION rIP TLE HOMES RESIDENTIAL ALTERATIONS
CONST. TYPE.: V -H
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
Ht;W t>IN4CE Fr<M.:
CORM. ALTERATIONS r IEMP SERVICE
0-200 AMPS....... 0
201600 AMPS....: 0
601 -ION AMPS...: 0
OVER 1000 AMPS..: 0
NftM. OF CIRCIUTS: 0
TOTAL PERMIT FEES.......:
0-100 AAPS..... 0
101-200 AMPS..: 0
201-400 AMPS..: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
72.25
Sl.RVIIA of, 11019 ONLY: 0
'LRVI(k 0 TI Cf 0
':UVICI: Or", FEEDER (PK): 0
i
�MISCELLANEO#15H^ W- i
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SVIMMING POOL-: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
0-200 AMPS..... ..
201-6U0 AMI';..
OVER 600,40%..
MASTjMETER REDA"IP..
NUMBER OF CIRCUITS:
i COMN/IND NEW x
0-100 AMPS.....:
1 ... 0
101-200 AMPS...:
0 ... 0
201-400 AMPS...:
0 0
401-600 AMPS...:
0 0
601-800 AMPS.,.:
0 0
801-1000 AMPS..:
0 ... 0
OVER 2000 AMPS.:
0 .., 0
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
TAX RATE : 8.6% M
i MULTI FAMILY NEW *
SIV FEED
0-200 AMPS.... 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 .., 0
++ 6011,00 AMPS.: 0 ... 0
0 801 AND OVER.: 0 ... 0
I
INSPECTION RECORD r
SERVICE DATE
COVER...._..___
FINAL.
cOM .
DATE
DAT!.
PERMITS EXPIRE 180 BAYS AFTER ISSNAKKE If 00 YORK IS STARTED.
I CERTIFY THAT IN[ IKFORNA110N FURTIISTKETI SCM "k IS TRUE MRD CORRECT TO I11E BEST Of TTY KN M.EDGE AND TRE APPI ICAKL CITY Of FEBLRAL 11AY REQ111PLNLNIS MILL BE ITET.
OWNER OR PGEN"I `' - DATE
FIELD COPY