99-104768CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
AV 14
ElnCt,—ical Tmspection i=26'qUes','.-.s 5-3-661--4140
PERMIT NO: ELE99-1398
ISSUED: 12/16/99
BY: FITS
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 29401 1ST AVE S
-- 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 °
*** CONTRACTORS;. PLEASE USE LOCATION CURE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : BA **_
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR ATION FURNISH BY 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 ��1�4----------------- DATE
FILE COPY
STRUCTURE INFORMATION * `
$AL
RESIDENT *�'�
'' "'!' HOMES
RESTDENTI
ALTERATIONS
MULTI FAMILY
NEW
SEV
FEED ;
CONST. TYPE.: V -N
z�
_W SINGLE FAM,:
SERVILE OF FEEDER
ONLY: "
9-200 AMPS.....
0
0-200 AMPS...:
0
... 0
OCC. GROUP...
n"T `."'"'.NCS... _
SE" tL PID FE '=R
. 0
J,
'. _
201-400 AMPS.:
0
... 0
' OCC. LOAD...: 0
0.,,.» _ Fes-
;, k,): 0
'VE-_- �"`PS
:-600 AMPS.:
0
0
SQUARE FEET.: 0
`
MAST /METER
REPAIR.: 0
601-800 AMPS.:
0
... 0
{
NUMBER OF
CIRCUITS: 0
801 AND OVER.:
0
0
s
i
--------.------_------..-_---._-- .--..--...-.-.--.._-.-_.--_--_.----__--.
COMM. ALTERATIONS
...__-_-_---__...-.,......_............_....-._....-..----------------------------------------------..-.�__-------------_-_-_-----_---.--_----
TEMP SERVICE $
$ MISCELLANEOUS
# '
COMM/IND NEW
f
INSPECTION RECORD
0-100 AMPS.....: 1
0 SERVICE -------------
DATE
--- ------
0-200 AMPS......: 0
0-100 AMPS....: 0
THERMOSTATS....:
O
j
101-200 AMPS...: 0
... 0
I
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
1 OVER 1000 AMPS..: 0
j-------------
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
801-1000 AMPS..: 0
... 0 '. COMMENTS:
_ _ ------------------------------
-
T ^ -TOTAL
YARD METER LOOP:
0
OVER 1000 AMPS.: 0
... 0
t PERMIT FEES.......:
72.25 j
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
!
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR ATION FURNISH BY 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 ��1�4----------------- DATE
FILE COPY
CITY OF G
Mol -n/
ELECTRICAL PERMIT APPLICATION
1 qq
***Federal Way Business License number:8637 ELE 41 qU
Job Address 29401 1st 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, B-24
Electrical contractor license number (copy req v):
Fife, Wa 98424 253 732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: ❑ SF Res [D CommE] Other [] Multi ahurch/SchoolClass
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 ftZ-$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
$67.00/11r.
(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 -$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 ft2-$10.50
_
201 - 400 amp 89.75 44.25
1 0 to 100 .............. $72.25 ..... $ 44.25
�
* Per WAC 29646-910(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........... $33.50
- Over 800 amp 225.25 169.00
_ 601 -800 ............ 254.50......107.25
Swimming pool, hot tub, spa............ 67.00
_ 801 -1000 .......... 310.75......129.75
_
Temporary Pole (up to 60 amp)........ 38.75
_ Over 1000.......... 339.00 ...... 181.00
_
Yard Pole meter loops ...................... 44.25
_ Over 600 volts surcharge ........ 56.25
_
Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
- 0 to 200 ......................................$ 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
Applica/,,1Si,9,n7Ure:
_
(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
1_2 ! y
_ over 600 .........................................97.75
EL AP
K[n 13/9/99