99-104760CITY OF FEDERAL- WAY
33530 First Way South
Federal Way, WA 93003
253-661-4000
Electrical Inspection Requests 253-661-4140
g? -/fl ?7 G o
PERMIT NO. ELL -99-1392
ISSUED: 12/16/99
BY: N -f S
EXPIRES: 12/09/00
ADDRESS: ....................
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE AT INTERSECTION OF S 288TH & MILITARY RD S
CONTRACTOR=_=__________________________________________ Fr,inrn
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
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
------------------------
f I
* STRUCTURE INFORMATION * NEW RESIDENTIAL * MOBILE HOMES * $ RESIDENTIAL ALTERATIONS * MULTI FAMILY NEW
SEV FEED
CONST. TYPE.: V -N k ffW SINGE FAI.: SERVICE Oaf FEEDER .ONLY.. 0 0-20 �. O 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS C SERVICE �'o' FttvtR.. 0 1 �0'I-621-400 AMPS.: 0 ... 0
CCC. LOAD...; 0RV,CE DER ,'Y) 0 OR600 401-600 AMPS.: 0 0
SQUARE FEET.: 0 M'A5T /MET
ER RAS : 0 601-800 AMPS.: 0 ... 0
f ' NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
PERMITS EXPIRE 190 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA ION FUR!IISuE?1 m E IS rgssG A#1?1 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
�_. �' _---- --_ _________------------------ DATE-
t -
FILE COPY
:----------------------------.._...____..__..______.____...____._____
* 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 t
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 E
401-600 AMPS..:
0
SIGNS..........:
0
601-800 AMPS...:
0 ...
0
FINAL
HUM.
NUM. OF CIRCUUTS: 0 (
OVER 600 AMPS.:
0 I
TEMP. POLES....:
0
801-1000 AMPS..:
0 ...
0
-DATE
--------------
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 190 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA ION FUR!IISuE?1 m E IS rgssG A#1?1 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
�_. �' _---- --_ _________------------------ DATE-
t -
FILE COPY
CITY OF G
VV FIY
FD UK- til
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637 ELE*I - I ;q
Job Address INTERSECTION OF S. 288TH & MILITARY RD i se C C_ym K
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 ® Commo Other E] 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 ftZ-$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
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 ftZ-$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 '/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, coun and/or state laws.
_
_ Mast or meter repair 33.50
# of circuits
Temporary Service
Applicant' 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
- -
_
over 600 .........................................97.75
RE,- 17/17/99
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253 -661--4000
CL r_ CTMI IC M L. perNm I Ir
Electrical Inspection Requests 253-663---4140
PERMIT NO: ELE99-1392
ISSUED: 12/16/99
BY: 14 TS
EXPIRES: 1-2/09/00
ADDRESS: ....................
NO.: CITY—WIDE
PROJECT "DF SCRIPTlON:INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED 100 AMP SIPVICE AT INTERSECTION OF S 288TH & MILITARY RD S
vwnrp. ',vmjjjjjCjvA...... �- =-4a.> ...1,
TO CUSTOM CONTROLS CORPORATION
19406 681`11 AVE S 4630 1610 ST. E., STE 824
KENT WA 98=4 [ FIFE WA 98424 1
206-396-3890 206-396-6118
'153 -732-1
&
2 004
CUSIOCC07521)
0-200 AMPS......;
0
0-100 AMPS....:
0
THERMOSTATS....:
0
COKIRALIUK
pcl66, U%c i Aw, +`obt
ll*ji 4*41.9 il.111021ING SALES TAX FOR PROTECTS VITMIN TOE CITY Of fEKRK MAY.
TAX RATE : 8.4; sit
0
101-200 AMPS..:
,
LOW VOLTAGE....:
0
1101-400 AMPS...:
0 0
COVER..
601-1000 AMPS...:
0
STW3URE INFORMATIONnl)Lfl
0
lippyRt HOMES
0
*RESIDENTIAL ALTERATIONS
FAMILY MEN t
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
0
SLY
f LED
CONST. TYPE.: V -N
law Slom, fim.
SERVICE Of FEEDER ONLY: 0
OVER 600 AMPS.:
-.
0?00AMPS...
0
0-200 ANDS...:
0
... 0
KC. GROUP..:
01014 ... 11
Zvl(A 0,110 fi 0
201 00 AMP'.
0
201-400 AMPS.:
0
... 0
OCC. LOAD... 0
.4RVICI U4 FELDLf, (Pt); 0
OVER 60J AMPS_—
401-600 AMPS.:
0
... 0
SQUARE FELT.: ti
MAST/METcp PIP
0
601-800 AMPS.:
0
... 0
NUMBER Of CIRCUITS:
0
801 01) OVER.:
0
... 0
----
--------
COMM . ALfFRATIOMS
TEMP SERVICE #
r MISCELLANEOUS
Comfl/m NEW t
f INSPECTION RECORD
t
0-100 AMPS...... 1 ... 0
SERVICE
DATE
0-200 AMPS......;
0
0-100 AMPS....:
0
THERMOSTATS....:
0
101-2*0 AMPS...:
0 ... 0
201-600 AMPS....:
0
101-200 AMPS..:
0
LOW VOLTAGE....:
0
1101-400 AMPS...:
0 0
COVER..
601-1000 AMPS...:
0
201-400 AMPS..:
0
SWIMMING Poft..:
0
401-600 AMPS_:
0 0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
0
601-800 AMPS...:
0 ... 0
F INA
I
MON. Of (IRCIOTS:
0
OVER 600 AMPS.:
0
TEMP. POLES....:
0
801-1000 AMPS..:
0 ... 0COMMI
co tlffs.
------ -------- 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 ISSME If 00 ORI( IS STARTED.
I CERTIFY INAT IM INFORMATION FURNISSED ff NE Is TAK AND CORRECT TO THE BF -SI Of NY KRONICKE AND Int APPLICABLE CITY Of fEKIK WAY REQUIRIMLAIS MILL K MET.
OWNER OR AGENTDATE
FIELD COPY