99-104775CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 93003
.253-661-4000
Electrical Inspection Requests 253-661 4140
PERMIT NO: ELE99-1356
ISSUED: 12/16/99
BY- IIT S
EXPIRES: 12/09/00
ADDRESS: ............ .......
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 31612 28TH AVE S
- OWNER ___________________________________________ _=====F= CONTRACTOR _____=__=__________________=__=_=_______=_:= LENDER
TCI CUSTOM CONTROLS CORPORATION
19406 68TH AVE S I 4630 16TH ST, E., STE B24 '
KENT WA 98032 FIFE WA 98424
206-396-3890 206-396-6118 253-732-2004
CUSTOCCO752D
_#; CONTRACTORS, PLEASE USE LOCATION! CODE 1732 X"TR REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
$ STRUCTURE INFORMATION NEW RESIDENTIAL $ MOBILE HOMES RESIDENTIAL ALTERATIONS MULTI FAMILY NEW �
SEV FEED
CONST. TYPE.: V -N NEW SING E FAM.: ER''.EE OR FEEDER ONLY: 0 0-200 AMPS... Q , 0-200 AMPS...: 0 ... 0
OOCCLC. GGRODUP... OST u i. ",G C CEr`,':CE F`D F_EDER.. 0 201-6C^ A"IPS...... T1 201-400 AMPS.: 0 C
SRUARFPPET:' D
TAX RATE : 8.61 Us
COMM. ALTERATIONS
t TEMP SERVICE
0-200 AMPS......:
0
0-100 AMPS....:
0
201-600 AMPS....:
0
` 101-200 AMPS..:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
OVER 1000 AMPS-:
0
401-600 AMPS..:
0
NUM. OF CIRCIUTS:
0
OVER 600 AMPS.:
0
I
TOTAL PERMIT FEES.......:
72.25
I
SERVICE C FE -OED "K):. 0
OVER 09 AMrE
401-600 AMPS.: 0 0
MOST/MzTER REPAIR
0 'n;, <4 661-800 AMPS.: 0 ... 0
NUMBER OF CIRCuI'S:
0
801 AND OVER.: 0 ... 0
_._..._._..--_--___--_-.__--__--
....------------------------ T-------- i--------------------------------------------------------
MT
MISCELLANEOUS p COMM/IND NEW
-
0-100 AMPS.....: 1 0 !
SERVICE
INSPECTION RECORD
-------------
DATE
THERMOSTATS....:
0
101-200 AMPS...: 0 0
----------
LOW VOLTAGE....:
0
201-400 AMPS...: 0 ... 0 '.
COVER..
DATE
SWIMMING POOL..:
0
401-600 AMPS...: 0 ... 0
_____________
__________
SIGNS..........:
0
601-800 AMPS...: 0 ... 0
FINAL..__________
DATE
TEMP. POLES....:
0 i
801-1000 AMPS..: 0 ... 0 }
COMMENTS:
_
YARD METER LOOP:
0
OVER 1000 AMPS.: 0 ... 0 1
I
OVER 600 VOLTS.: 0
fI------------------------------------------
MAST/METER RPR.: 0
---- -
----------------------------
ow"m T 7,ah7
1�Tif f RRECT TO THE BEST OF MY KNOWLEDGE AMD THE APPL BLE CIT OFA RAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ---_ DATE l�-
FILE.COPY
CITY OF ME�cCR�
• IE V ■`
IINWK__ -I
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637 ELEcr - I
Job Address 31612 28TH AVE S. 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'a):
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 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)
i
MISC EQUIPMENT/TEMP SERVICES NEW MULTI -FAMILY COMMERCIALANDUSTRIAL
(Includes three units or more)
_ # of Thermostats (Firs[ -$33.50; add'n-$10.50ea) Service Feeder Amps Service or Add'n
Feeder
_ # of Low voltage fire or burglar alarms _ Up to 200 amp $ 72.25 $ 21.50
First 2500 ft2-$38.75; Each add'n 2500 ft2-$10.50 1 0 to 100 .............. $72.25 ..... $ 44.25
* Per WAC 296-46-910(5)(b)(i & ii) 401 - 600 amp 123.25 61.50 -
_ 201 - 400 amp 89.75 44.25 101-200 .............. 89.75 ........ 56.25
# of Signs (First sign -$33.50; add'n sign -201 -400 ............ 169.00........67.00
$16.00 each) 601 - 800 amp 158.00 84.25 -
Over 800 amp 225.25 169.00 _ 401 -600 ............ 197.00........78.75 _ Progress inspection per '/2 hr........... $33.50 - -
601 -800 ............ 254.50......107.25
_ Swimming pool, hot tub, spa............ 67.00 - 801 -1000 .......... 310.75......129.75
_ Temporary Pole (up to 60 amp)........ 38.75 _ Over 1000 .......... 339.00 ...... 181.00
_ Yard Pole meter loops ...................... 44.25 - Over 600 volts surcharge ........ 56.25
Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY COMM ERCIALANOUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the Altered Service or Feeders
made the following work day, 253.661.4140. services.) - 0 to 200 ......................................$ 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 `gnature: (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: Y 401-600 .......................................89.75
_/3 - -over 600 .........................................97.75
ELscrnuc.Ae
R-11Eo 12/13/99
CITY OF FEDERAL WAYPERMIT NO: ELE99-1386
33530 First Way South r-LECTMICML PEMMIT ISSUED: 12/16/911
Federal Way, WA 98003 Electrical Inspection Requests 253-661 41,4*0 BY: HTS
253-661-4000 EXPIRES: 12.(,'09/00
ADDRESS:. ....... ...........
NO.: CTTY-WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CORNICTIONIPOLE MOUNTED 100 AMP SERVICE ADJACENT TO 316141 20TH AVE S
OWNER......... : ....... CONTRA(TOR.11--m=�....4.0mm .. LENDER
TO CUSTOM CONTROLS CORPORATION
19406 6910 AVE S 4630 16TH ST. E., ST[ 024
XEMI #A 98032 FIFE WA 90424
206-396-3090 206-396-6118
253-732-2004
(USIOCC07521)
ng CONTRACIORS.
...
PLEAS[ USE LOCAT1,40 COK 1717 M RLPRIING SALES
TAX IN PMECTS
VIININ THE CITY Of FEDERAL MAY.
TAX RATE : 8.6%
U
101-200lirl ...
U
1
201-600 AMPS....:
0
101-200 AMPS-:
0
LOW VOLTAGE....:
STRUCTURE INFORMATION
201 400 AMPS...:
61-w 8['111Pf"fIAL
NBILt' HOMES
601-1000 AMPS...:
0
RESIDENTIAL ALTERATIONS
MULTI FAMILY
MEN
0
401-600 AMPS...:
0 ... 0
cz
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
SEV
FEED
CONST. TYPE.: V-11
FINAL.��
NEW SIWA,� FAM.:
S t C L OR FEEDER ONLY:
0
0
0-" hmp".
20'0
0-200 AMPS... :
0
... 0
OCC. GROUP..:
i
OUTclr"`'Irl
AND fr' PrP—.:
0
291
2101-400 AMPS.:
0
... 0
OCC L06D : 0
i
72.25
Cfp')Irf F?fl FENR
0
wvu-
401-600 AMPS.:
0
0
AP ET:: 0 y MALT Kil."% REPAIR.: j 601-800 AMPS.: 0 ... 0
NUMBER Of CIRCUITS: 0 801 AND OVER.: 0 ... 0
* COMM/IND MEN t INSPECTION RECORD
-�Uu mnF-ALTERAT IONS TEMP SERVICE MPS ..... 0 SERVICE DATE ------
0-100 A
U'--:
U
U,Iuu
U
"I ' r n"b
U
101-200lirl ...
U
1
201-600 AMPS....:
0
101-200 AMPS-:
0
LOW VOLTAGE....:
0
201 400 AMPS...:
0 0
COVER..
601-1000 AMPS...:
0
.101-400 AMPS..:
0
SWIMMING POOL..:
0
401-600 AMPS...:
0 ... 0
cz
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
0
601-800 AMPS...:
0 ... 0
FINAL.��
MON. Of CIRCIUTS:
OVER 600 AMPS.:
0
TEMP. POLES....:
0
801-1000 AMPS..:
0 ... 0
COMMENTS:
YARD MET(? LOOP:
0
OVER 1000 AMPS.:
0 ... 0
TOTAL PERMIT FEES.......:
72.25
OVER 600 VOLTS.:
0
NAST/METER RPR.:
0
DATE
DAi,"�/� ���1y,�
Tom V -ST of NY KmEou Am THE oft poLE ciTy OF Fmm imy noummis HILL BE NET.
OWNER OR AGENT DATE
tea
FIELD COPY