99-104780CITY OF FEDERAL WAY
33500 First Way South
Federal Way, WA 98003
250-661-4000
ADDRESS: ...........
NO.: CITY-WIDE
PROJECT DESCRIPTION
OWNER
- TCI
19406 68TH AVE S
KENT WA 98032
206-396-3890 206-396-6118
f N 7 9,/6 V 7k6
tuu. 0L... (Z' "I R". 1K.1 f.... F.", f"k, R"I
Electrical Inspection Requests 250--661-4140
PERMIT NO: ELE99-1381
ISSUED: 12/16/99
BY: FITS
EXPIRES: 12/09/00
INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 1812 S 336TH ST
CONTRACTOR=_____________________________________= =-= LENDER
CUSTOM CONTROLS CORPORATION
4630 16TH ST. E., STE B24
FIFE WA 98424
253-732-2004
CUSTOCC0752D
_*= CONTRACTORS, PLEASE USE LOCATION CODE 173? WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.6%
i
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 ; 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-400 AMPS...: 0 ... 0 COVER.._________ _ DATE f
------
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 a COMMENTS:
------------------------ ------1_ _----------- -----__---.---._..._! YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES.......: 72.25 ` f OVER 600 VOLTS.: 0
` MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA ION FURNISHED 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
STRUCTURE INFORMATION
NEW RESIDENT}1L
- * 44�E HOMES
RESIDENTIAL ALTERATIONS
$ MULTI FAMILY
NEW
$
SEV
FEED
CONST. TYPE.: V -N
NEW SINGLE FAM.�
SERVICE OR FEEDER ONLY:
0 0 200 AMPS........:
0
0-200 AMPS...:
0
... 0
F OCC. GROUP..:
QL'T BttiLBINGS 0
SfBVf ANO SEEDER
1T)Q a�+�E
201-400 AMPS.:
0
... 0
OCC. LORD...: 0
��OR�EDER (PKC
tt 1 6003 A�
��
401-600 AMPS.:
0
0 I
SQUARE FEET.: 0
. -, ��A ., - , ��
�
.. ��r�,.,.
"'RR
�..� .,, �� � , ; ,',T/METER REPAIR.:
C
603 ,-800 AMPS.:
0
... 0
�
NUMBER OF CIRCUITS:
0
801 AND OVER.:
0
... 0 f
i
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 ; 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-400 AMPS...: 0 ... 0 COVER.._________ _ DATE f
------
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 a COMMENTS:
------------------------ ------1_ _----------- -----__---.---._..._! YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES.......: 72.25 ` f OVER 600 VOLTS.: 0
` MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA ION FURNISHED 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 �
• IQW�� V ■`
ELECTRICAL PERMIT APPLICATION
F� v K_ is
***Federal Way Business License number: 8637 ELE 11- I ' Yj k
Job Address 1812 S 336TH 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 (copy req'd):
FIFE, WA. 98424 253-732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: E] SF Res ® Comm[] Other E] Multi ❑Church/School
Class of Work: [-] New ®Alteration 1] 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 ft2-$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
(Includes three units or more)
_ # Of Thermostats (First -$33.50; add'n-$10.50ea)
Service Feeder
Amps Service or AddViFeeder
_ # of Low voltage fire or burglar alarms
Up to 200 amp $ 72.25 $ 21.50
First 2500 ft2-$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 1/2 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
Applica 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:z
401 - 600 .......................................89.75
qC�
1--2-�J ' / /
_
-over 600 .........................................97.75
E«A�
k-.- 12/13/99
CITY OF FEDERAL, WAY PERMIT NO: ELE99-1381
33530 First Way South If, L CC TR ICAL P E: m m:E "r. ISSUED: 12/16/99
Federal Way, WA 98003 ElectrL(-al Inspection Requests 253-661-4140 BY: HTS
253-661-4000 LXPIRES: 12/09/00
ADDRESS:. ................
NO.: CITY --WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED (100 AMP SERVICE ADJACENT TO 1812 S 336TH ST
vwwtic wnlml .. a— ... LLORK
TO CUSTOM CONTROLS CORPORATION
19406 6ST11 AVE S 4630 16TH ST. C., SH 824
KENT WA 98032 FIFE WA 98424
206-396-3890 206-316-6118
I STRUCTURE INFORMATION *
CONST. TYPE.: V -N
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FELT.: is
COMM. ALTERATIONS
0-200 AMPS,;....... 0
201-600 AMPS....: 0
601.1000 AMPS...: 0
OVER 1000 AMPS..: 0
HUM. OF CIRCIUTS: 0
TOTAL PERMIT FEES.......:
DRS, PLEAS( WA LOCATION COV
NEW RESIDENTIAL
"tE
OUT ?UIL1IH65..*1- 0
IENP SERVICE
0 100 AMPS:...: 0
101-200 AMPS-: 0
201-400 AMPS..: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
72.25
253.732-2004
CUSTOC(0752D
SALES TAX FOR PROJECTS 911819 THE CITY Of f[KUL MRV. TAX RATE : 8.64 $02
"OBILIf HONES
OR ft"[P[R ONLY: 0
rt� ""
�'IPV!Ct AND Firt ... W�"' V" a
SERVICE OF FEIDCAR (90" 0
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL-: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
I RESIDENTIAL ALTERATIONS *
00 AMPS... .: 0
,M *S......- 0
MAIT/mETER""wom: 0
NUMBER or CIRCUITS: 0
I coonlIND NEW t
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
801-1000 AMPS—:
0
0
OVER 1000 AMPS.:
0
... 0
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
MULTI FAMILY NEW I
SLY FEED
0-200 AMP':...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS,: 0 ... 0
801 AND OVER.: 0 ... 0
---------------- ____ -
T INSPECTION RECORD *
SERVICE DATE
COVER.. DATE
FINAL DAIL
COMMSt�r��.. _._...
PERMITS EXPIRE ILBO DAYS AFTER ISSUANCE If NO INK IS STARTED.
I CERTIFY TNAI lot liff (WhAl tog 110NNISKI I By NE IS ME All CORRECT TO TRE BEST Of NY kW.1061 AND IN APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL K NET.
OWNER 00 AGENT 5, DATE
FIELD COPY