99-104782CITY OF FEDERAL WRY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS: ...............
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL
�= OWNER
TCI
19406 68TH AVE S
KENT WA 98032
(1) - 87 VOLT
Electrical Inspection Requests 253-661-4140
9q 40 k-)Sa
PERMIT NO: ELE99- /9
ISSUED: 12/16/99
BY: NTS
EXPIRES: 12/09/00
SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 2733 SW 330TH ST
----- ''ONTRACTOR =___________________________________________ LENDER
----�- V
CUSTOM CONTROLS CORPORATION
! 4630 16TH ST. E., STE B24 4
FIFE WA 98424
206-396-3890 206-396-6118 253-732-2004
CUSTOCC0752D
Sy Y{ P
0-200 AMPS......: 0
CONTRACTORS,
PLEASE USE LOCATION CON 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX
RATE : 8.61
101-200 AMPS...:
-------------
0 ... 0
201-600 AMPS....: 0 j
�
---------------
' �
LOW VOLTAGE....:
$ STRUCTURE INFORMATION
$
NEW RtSIDENTIA'
'MOBILE HOMES �
$ RESIDENTIAL ALTERATIONS �
� MULTI FAMILY
NEW
�
401-600 AMPS...:
'
OVER 1000 AMPS..: 0
401-600 AMPS..:
0
SIGNS..........:
SEV
FEED I
CONST. TYPE.: V -N
NUM. OF CIRCIUTS: 0
�'�" GLE FAM
�� �_ ;R EDER ONLY 0
0 200 AMPS 0
0-200 AMPS...:
0
0
OCC. GROUP..:
0 gdL,DINGS 0
SERYIE IFN ��� T ;
�-6 �� `�
201-400 AMPS.:
0
0
OCC. LOAD...: 0
Q
SDR SEDER (PK �.; �R 6��?S.'
��
401-600 AMPS.:
0
... 0
SQUARE FEET.:
,
0 ..-".,..: _
=` }��
':.' :AT/METERA&: 0 441-800 AMPS.:
0
... 0 1
NUMBER OF CIRCUITS: C
i
801 AND OVER.:
0
... 0
t
$ COMM. ALTERATIONS
* TEMP SERVICE
MISCELLANEOUS
COMM/IND NEW *
INSPECTION RECORD
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 j
101-200 AMPS..:
0
LOW VOLTAGE....:
0
201-400 AMPS...:
0 ... 0 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
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
OVER 600 VOLTS.:
0
------------
MAST/METER RPR.:
0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THEINFO ATION FURN BY ME IS TRUE AND CORRECT TO
OWNER OR AGENT
,i-
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
------------------------ DATE
FILE COPY
CITY OF
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637 ELE6Fj -1'2j�
Job Address 2733 SW 330TH 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. STE B-24
Electrical contractor license number (copyreq'd):
FIFE, WA. 98424 253-732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: E] SF Res ® CommE] Other E] Multi ❑C'hurch/School
Class of Work: E]New [DAlteration [-]Addition E] 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 ftZ-$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
COMMERCIALANDUSTRIAL w
(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 ft2-$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 /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
Applican s Signature:
_
(1-4 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .........................................$38.75
---_
.........................................44.25
_61-100
_ 101 -200 .......................................56.25
_ 201 -400 .......................................67.00
Date:
_ 401-600 .......................................89.75
over 600 .........................................97.75
CITY OF FEDERAL. WAY PERMIT 140: ELE99-1379
33530 First Way South ISSUED: 12/16/99
Federal Way, WA 98003 ElectricLal Inspection Requests 253-661-4140 BY: HTS
253-661.-4000 EXPIRES: 12/09/00
ADDRESS:., ..................
NO.: CITYWIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 2733 SW 330TH ST
OWNER CONTRACTOR .... z ....... LENDER
TO CUSTOM CONTROLS CORPORATION
19406 68111 AVE S 4630 1610 ST. U., SIC B24
KENT WA 90032 FIFE WA 98424
206-M-3890 2106-396-6118 253-732-2004
_m._ `=. .....
"ST(KC0752D
"s CONTUCIM, PLEk-4 IZI tOCA1100 CtK 1717 Ifft REPORTING SALES TAX FOR PRWFETS ITTAIN IRE CITY Of FEDERAL NAY.
.1 ...... :. i .. x3m. '.-=.-.mu ...
I STRUCTURE INFORMATION* I t 4[0 !1[c'1'11[N1IA1 I I t MOBILE HOMES t I t RESIDENTIAL ALTERATIONS t
CONST. TYPE.: V-11
OCC, GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
t COMM. ALTERATIONS *
0-200 AMPS,._.: 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
RIM. Of CIRCIUTS: 0
TOTAL PERMIT FEES.......:
NEW SIR(A I I fin,:
40 TUIILDING:'
ffM9 SERVICE
0-100 AMPS....: 0
101-200 AMPS..: 0
201-400 AMPS—: 0
401 600 AMPS..: 0
OVER 600 AMPS.: 0
72.25
001-Y: 0
A1,10 1" 0
(Irptlict c? FRI1111p, (1110: 0
MISCELLANCOUS
THERMOSTATS....: 0
LOW VOLTAGE .... : 0
SWIMMING POOL—: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
u-"109 AMPS... . ....
OVEF 6010 AMP'-)
MASI/m-fu REPAIR.. u
NUMBER or CIRCUITS: 0
COMM/IND KIN
0-100 AMPS.....:
I ... 0
101,1100 AMPS...:
0 ... 0
201-400 AMPS...:
0 ... 0
401-600 AMPS:..:
0 — 0
601-800 AMPS—:
0 ... 0
801-1000 AMPS..:
0 ... 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
TAX RATE : 8.4 ts*
* MULTI FAMILY NEW t
-------------
INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL DA I E
NT:..:; ... =I!w ... =., 1. z:=" "-z .4 — � ... .... -c= ........
PERMITS EXPIRE 180 DAYS AFTER ISSUAK(f If NO Mt IS STARTED.
I CERTIFY INAT 1011. INIORNA1104 FURNISHED BY NE IS TRUE AND CORRECT 10 IK DEST 01: NY KNOWLEDU AD IK APPLICAKE CITY Of FEDERAL. WAY REW)IRLNENTS MILL BE NIT.
OWNER OR AGENT
DATE
FIELD COPY
SLY
FEED
0-200 AMOS....
0
... 0
201-400 AMPS.:
0
... 0
401-600 AMPS.:
0
... 0
601-800 AMPS.,
0
... 0
801 AND OVER,:
0
... 0
-------------
INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL DA I E
NT:..:; ... =I!w ... =., 1. z:=" "-z .4 — � ... .... -c= ........
PERMITS EXPIRE 180 DAYS AFTER ISSUAK(f If NO Mt IS STARTED.
I CERTIFY INAT 1011. INIORNA1104 FURNISHED BY NE IS TRUE AND CORRECT 10 IK DEST 01: NY KNOWLEDU AD IK APPLICAKE CITY Of FEDERAL. WAY REW)IRLNENTS MILL BE NIT.
OWNER OR AGENT
DATE
FIELD COPY