99-1047584+
CITY OF FEDERAL WAY
33530 F i rs t Way South �'.;;. ., ' ;, 4:..° .. ,... � . ,. 4; ' fl .,.,.. �t :;h , 11410"1"1 ."I", T"
Federal Way, WA 98002 Electrical InsPectiion Requests 253-661•-41.40
253-661-4000
PERMIT NO: ELE99-1391
ISSUED: 12/16/99
BY: HTS
EXPIRES: 12/09/00
ADDRESS: ....................
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL (1) - 120 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 1104 SW 296TH ST
F= OWNER________________________________________________===7= CONTRACTOR=______==____________________==_________===w= 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 ` ?
3 ;
i
CUSTOCCO752D E
CONTRACT(IRS R}{sRSE USE, 1!lCATIO11'' QNA SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.6%
* STRUCTURE INFORMATION *
CONST. TYPE.: V -N
OCC. GROUP..:
OCC, LOAD...: 0
SQUARE FEET.: 0
* NEW RESIDEN
NEW SINGLE FAM
OUT BUILDI-#GS.
4'
1
T1L T Mb�IE HOMES * * RESIDENTIAL ALTERATIONS *
* MULTI FAMILY
NEW
SEV
FEED
0 '144Ww, Ug G
0-200 AMPS. . 0.
0-200 AMPS....
0
... 0
•0 �if ? ANEDER I-60s0,AMPS.
201-400 AMPS.:
0
0
SERV OR�EDf,1C
SSR 600 AMPS.. ...
4Q• -600 AMPS.:
0
... 0
.;, L ,s..•;. .,.�w .-x
k
'MIAST/METER REPAIR.: 0
60f-800 AMPS.:
0
... 0
NUMBER OF CIRCUITS: 0
801 AND OVER.:
0
... O
i
----------••---------------- ------------------•---- - __ __ r_.. ___ _ __ .. _._r...---------------------------- -------
------------- ----------------------------------
COMM. ALTERATIONS * , * TEMP SERVICE * * MISCELLANEOUS * ` * COMM/IND NEW * * INSPECTION RECORD * ,
0-100 AMPS.....: 1 0 SERVICEDATE __-------
0-200 AMPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: 0 I 101-200 AMPS...: 0 ... 0
------------
201-600 AMPS....: 0 101-200 AMPS..: 0 ; LOW VOLTAGE....: 0 201-400 AMPS...: 0 ... 0 COVER.._____________ DATE _______M_
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 I
----------
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES....: 0 j 801-1000 AMPS..: 0 ... 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0
� 0
TOTAL PERMIT FEES.......: 72.25 OVER 600 VOLTS.: 0
E MAST/METER RPR.: 0
------------
4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE IMF ORMATI FURNISHED B IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CC/ITY OFFEEDDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___..---------------------------------- DATE --1 f V
FILE COPY
CITY OF G
uv DIY
Fp a'7 -c(
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number:8637 ELE C1- I .) I I
Job Address 1104 SW 296th 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, B-24
Electrical contractor license number (copy req'd):
Fife, Wa 98424 253 732-2004
CUSTOCCO752D
Expiration Date: 051 04 1
Use of Bldg: E] SF Res ® CommE] Other E] Multi ❑Church/School
Class of Work: ❑ New ® Alteration [-]Addition [-] 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 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/ s
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 -$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
-201
601 - 800 amp 158.00 84.25
- -400 ............ 169.00........67.00
$16.00 each)
- Over 800 amp 225.25 169.00
_ 401-600 ............ 197.00 ........ 78.75
- Progress inspection per %2 hr........... $33.50
-
601 -800 ............ 254.50......107.25
_ Swimming pool, hot tub, spa............ 67.00
_ 801 -1000 .......... 310.75......129.75
_ Temporary Pole (up to 60 amp)........ 38.75
-Over 1000 .......... 339.00 ...... 181.00
_ Yard Pole meter loops ...................... 44.25
_ Over 600 volts surcharge ........ 56.25
Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
- 0 to 200 ......................................$ 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 Signature:
_
(1-4 circuits -$44.25; Add'n circuits $5 ea)
- 0 to 60 .........................................$38.75
c
_ 61-100 .........................................44.25
_ 101 -200 .......................................56.25
201-400 .......................................67.00
_
Date:
401 -600 .......................................89.75
/_3 - 97
- over 600 .........................................97.75
EEEcrwc.Aw
REVISED 1219/99
CITY OF FEDERAL DERAL WAY PERMIT NO: ELE99-1391
33530 First rst Way South C L C CTn I C L PEMMIT ISSUED: 12/16/99
Federal Way, WA 98002 Electrical Impectikon f4equests 2153,-66:1.4140 t#Y- FITS
2.5:3--661--4O00 EXPIRES: :12/09/00
ADDRLSSi:....................
NO.: CITY-WIDE
FahO J ECT DE`s C R I P T IO N :INSTALL (1) - 120 VOLT SINGLE CIRCUIT SEPVICE CONNECTION/POLE MOUNTED (100 AMP SERVICE ADJACENT TO 1104 SN 29610 ST
OWNER------=---v ...... CONTRACTOR ....:..-��_� �,yR4x.:�a�a�y� LENDER .......r.
TCI CUSTOM CONTROLS CORPORATION ./-
19406 68TH AVE S 4630 16TH ST. E., STE B24j
KENT NA 98032 FIFE NA 98424 �--
206-396-3890 206-396-6118 253-132-2004
CUSFOCCO752D
.........mssre�_e=:c _c�oac
sir (ONTRACUK- Nt" m 10111 aw,, im im'siffowlING SIDES In FIN( MT(ume, NITNIN TK (ITV' OF rruam IMY TAX RATE - 8 it ns
r STRUCTURE INFORMATION x
CONST, TYPE.: VA
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
COMM. ALTERATIONS
O -2w AMPS......: 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
NUM. OF CIRCIUTS: 0
TOTAL PERMIT FEES.......:
NLN RESIDENTL x
NEW SIN('LL FA"':
OUT BUILDINGS..: 0
TEMP SERVICE y
I--- Q 7ir,:Til .......=..... . xJ:iEiR1Y'�4.71:631>I➢iL3SSlL7.iZiuYtM1:9'1C SCS At::[SRL«J.�itYTi
( * Mlr .' 011?E; t RESIDENTIAL ALTERATIONS r
t
SERVI.L OR FLLDER Ok Y: G 0-200 AMISS,,,.
SLRY1tL AFlD 600 AMPS,
5:}'VIOL Oh FE .4): L � � OVER, 600 .: 0
, MAST/METER WAR': 0
NUMBER OF CIRCUITS: 0
MISCELLANEOUS $
0-100 AMPS....:
0
THERMOSTATS....: 0
101-200 AMPS..:
0
LOM VOLTAGE....: 0
201-400 AMPS..:
0
SWIMMING POOL..: 0
401-600 AMPS..:
0
SIGNS..........: 0
OVER 600 AMPS.;
0TEMP.
POL.ES....: 0
.___---___-.-.-__r_.........
0
YARD METER LOOP: 0
72.25
COMM(IND NEN �
0-100 AMPS......
1 ... 0
101-200 AMPS...:
1; ... 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 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
INSPECTION RECORD/
SERYICE`MDACE
COVER..DATE
FINi,L. DAT; ql/U/od
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY INAT THE INfORHATION fURNISNED DY,NL IS TRUE All CORRECT TO TOE D€ST OF NY KND EKJL' AND 101 APPLICAIR.E CITY OF FEDERAL MAY REQUIREMENIS HILL DE M£T.
OWNER OR AGENT /
'v`'"____...____.........._........._�...._._.._.__..M._.._. DATE ..,,Ilid
FIELD COPY