99-104779' g94DY77 9
CITY OF FEDERAL_ WAY PERMIT NO: ELE99-1382
33530 First Way South ;. L... �;. f"k.. M::elL FNE"...rg1141 1 ISSUED: 12/16/` 9
Federal Way, WA 93003 Electrical Inspection Requests 253-66.1-4140 BY: H1'S
253-661--4000 EXPIRES: 12/09/00
ADDRESS: ....................
NO.: CITY-WIDE
FR OJ ECT D E S C R I PT 10 N :INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE AT INTERSECTION OF 20TH AVE S & 331ST ST, NE CORNER
�= OWNER _____________________________________________________
CONTRACTOR =______=______________________________ -=====F= LENDER
TCI
CUSTOM CONTROLS CORPORATION
19406 68TH AVE S
4630 16TH ST. E., STE B24
KENT WA 98032
FIFE WA 98424
206-396-3890 206-396-6118
253-732-2004
CUSTOCC0752D
L-•_--•--.__-_::____�:�___'•^•'_^-___..�--------------------_?
__.__.__.____=:3=
��.._-_____...__.__.._____�_____..__________-_-__-__y'__--_._.______--____:___- _.____. ._--______.---_-•_-__-----_--_.,._J
CONTRACTORS,
PLEASE USE LOCATION COtf IM" Wit l it`'PORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE = BA t#
STRUCTURE INFORMATION
# NEW RESIDENTIAL *
MOBILE HOMES
` RESIDENTIAL ALTERATIONS
MULTI FAMILY NEW $
SEV FEED
CONST. TYPE.: V -N
441"iLE r^"
-R ONLY: 0
0-200 AMPS ....... 0
' 0-200 AMPS...: 00
OCC. GROUP...
"':.-`
r" ^ ' ^�"
201 g^" AMPS. 0
201-400 AMPS.: 0 0
OCC. LOAD...;
r..: �.
"�
n �.
OVE. " AMr.. c
401-600 AMPS.: 0 0
SQUARE FEET.:
MAST/METER REPAIR;: 0
6111-800 AMPS.: 0 ... 0
NUMBER OF CIR,...'S: 0
SC1 AND OVER.: 0 ... O
------------------------------
------------------------_----------
COMM. ALTERATIONS t•
$
TEMP SER'1ICE *
MISCELLRNEOUS r
COMM/IND NEW
INSPECTION RECORD
0-100 AMPS.....: 1 ... O ! 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
601-1000 AMPS...; 0
201-400 AMPS..: 0
SWIMMING POOL..: 0 !
-------------
401-600 AMPS...: 0 ... 0 E
----------
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:
__________
j
---------------------------------------------------------..-__--__
YARD METER LOOP: 0
OVER 1000 AMPS.: 0 ... 0
y TOTAL PERMIT FEES.......:
72.25
OVER 600 VOLTS.: 0
a
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFO RMAT ON FURNISHED B 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 __ _ DATE
_______
FILE COPY
CITY OF G
Y Y RY
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637
FQ 0K---4
ELE jI -Iqj
Job Address INTERSECTION OF 20TH AVE S & S 331ST ST (-'U.r
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: ❑ SF Res ® Comm[-] Other ❑ Multi ❑Church/School
Class of Work: ❑New ® Alteration [-]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 ft1-$21.50)
_ Service and feeder ................$72.25
Square Feet:
permit fee +$56.25. Add'l 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
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_ # of Thermostats (First 433.50; 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 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)
_
101 -200 .............. 89.75 ........ 56.25
# of Signs (First sign -$33.50; add'n sign
_ 401 - 600 amp 123.25 61.50
_
201 -400 ............ 169.00........67.00
~ $16.00 each)
- 601 - 800 amp 158.00 84.25
-
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
Applican 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
qq
l� - - / /
_
over 600 .........................................97.75
CIE m. 11/13/99
CITY OF FF=DFRAL.. WAY PERMIT NO: EL.E99-1382
33.5530 First Way South f' EMNI ' T ISSUED: 12/1.6/99
Federal Way, WA 98003 Electrical Inspection Request 253_„661.-41.40 BY: KITS
25J--661-4000 EXPIRES: 12/09/00
ADDRESS: ........ . ........ . . .
NO.: CITY-WIDE
PROJECT DESCRIPTION- INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLL MOUNTED t100 ANP SERVICE AT INIERSECTION OF 20TH AVE S It 331ST ST, HE CORNER
OWNERCONTRACTOR ua..s� �� as � . � � k���s, : � �x �a� LENDER -=z.....x��>����n�x��.���:.��,a,Am�:•�����
TfI CUSTOM CONTROLS CORPORATION
19406 68TH AVE S 4630 16TH ST. E., ST[ 924
KENT NA 98032 FIFE NA 95424
206-396-3990 206-396-6118
:usn:s:��taxa-svuamers craws:�t:�z.::samse-G......:..a:,....�v:r:s»x:_..w_v xa:rc:^r�ecsxs�i
to COMTw I ORS,
PaAASI. USE L ,'CAT I00 Cl
STRUCTURE INFORMNIION t
201-400 AMPS...:
NEN i'.'.f?IAS ►
CONST. TYPE.: V -N
0 ... 0
MEN SIMLL f AM.:
OCC. GROUP..:
(WI BUILDIAG"', 0
OCC. LOAD.... 0
OVER 1000 AMPS.:
SQUARE FEET.: C!
i
OVER 600 VOLTS.:
---------------------------
t COMM. ALTERATIONS t
MASTIMETER RPR.:
t TEMP SERVICE t
0-200 AMPS......: 0
0 ...
0.100 AMPS....: 0
201-600 AMPS....: 0
101-200 AMPS..: 0
601-1000 AMPS...: 0
201-400 AMPS_: 0
OVER 1000 AMPS..: 0401-600
AMPS..: 0
NUM. OF CIRCIUTS: 0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES.......: 72.25
253-732-2004
CUSTOCC0752D
ING SAFES TAX FOR PROJECTS MITNIN INE CITY OF FEDERAL MAY. TAX RATE : 8.6% ttt
t MOORE HONES t
SERVICE OR fUDIR ONLY; O
1TRVTCE AND FEEDER_.: 0
!FRVIrr OR FEEDER (PO: 0
t MISCELLANEOUS t
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
t RESIDENTIAL ALTERATIONS x
0
INT/METER ': 0
"UNDER OF CIRCUITS: 0
t COMM/IND NEW t
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 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MASTIMETER RPR.:
0
MULTI FAMILY
NEN t
SEV
FEED
0-200 AMPS....
0 ...
0
201-400 AMPS.:
0
0
401-600 AMPS.:
0
0
601-800 AMPS.:
0
0
801 AND OVER.:
0 ...
0
It INSPECTION RECORD t
SERVICE DOTE
COVER...___
DATE
DATE
PERMITS EVIRE 180 DAYS AFTER ISSUAKI IF NO MORK IS STARTED.
I CERTIFY TNAT INE INFORNAIJOII FURNTSNID BY ML IS TRUE AND CORRECT TO THI. HEST OF MY RINITN.EDGE AND TILL APPLIC11RE CITY OFA/FEIIERAL TAY REQUIREMENTS MILL ICE MLT.
OWNER OR AGENT _.. c�� .,� _ ._ _ DATE
FIELD COPY