99-101181 CITY OF FEDERAL WAY NO: ELE99-0322
33530 First Way South ��,';,, ,,,, ;,: M„",: "1"., .f'�
,:. ., .. M:,,..H`�'��i ;,w, P .:�”' �,1'��' .,,1,,. 11.-. ISSUED: 03/25/99
Federal Way, WA 98003 Electrical Insge•:tirr! Requests 253--661 -4140 BY: FC2
253-661--4000 EXPIRES: 03/18/00
ADDRESS :2016 S 320TH ST Unit: B
NO. : 092104-9297
PROJECT DESCRIPTION:TI - ADDING ELETRICAL FOR X-RAY
f= OWNER
CONTRACTOR ----- --------= LENDER
t JAMES MOSS DUANE'S ELECTRIC
2016 S 320TH ST BLD B STE N
FEDERAL WAY WA 98003 10210 45TH ST E
PUYALLUP WA 98372
253/874-8919 ; 253-848-7596
DUANEE*175BA `
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% xxx
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: , SERVICE OR FEEDER ONLY: 0 0-200 AMPS........: 0 0-200 AMPS...: 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS S 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 { MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * I * TEMP SERVICE * j * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
j ' 0-100 AMPS • 0 ... 0 I SERVICE DATE
0-200 AMPS • 1 I 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 I COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 j SWIMMING POOL..: 0 I 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 ( SIGNS • 0 601-800 AMPS...: 0 ... 0 I FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
- 1 - -- - -- YARD METER LOOP: 0 I OVER 1000 AMPS.: 0 ... 0
{ TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAY .FTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT TN FOR TION FURNISHED BY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / ..e-,___;.'d' -e----e----0----r- DATE 77_ -.7.._5:77.71_.?...i'
FILE COPY
CI1Y OF FFDERAL WAY . , PERMIT NO: E1199-0322
33530 First Way South ELECTRICAL P Eft ill I 1 Ic-SUED: 03/25/99
rederal Ways WA 98003 Electrical Inspection Requests 253"661--4140 BY: FC2
-
253-661 -4000 EXPIRES: 03/18/00
ADDRESS:2016 5 :120 FIT SI Uni t: B
HO. : 092104 -9297
PROJECT DESCRIPTION:II - ADDING ELETRICAt FOR X-RAY
LENDER ......-.
1
JAMES MOSS DOANE'S ELECTRIC
I2016 S 320TH ST BID B STE N
FEDERAL WAY WA 98003 10210 45TH ST E
PUYALLUP WA 98372
253/874-8919 1 253148-7596
I DUANEEt175DA
,A=MX.W.rWPW
UWW,ISUM.1,5224.4.1..U..
L"""'""'"'''471;70;;;;;;;;;;;;WLV1714WIT :732 NNEM 11.1!!!!!..r!..TAX ON PROJECTS WILIER IR CITY OF FEDERAL. NAY. TAX R „______....„........
Alf : 8.6% 11/
; STRUCTURE INFoolhun 1 .u.-.4,.....*.i.46.-#0'„got.- ---,77 ,,
I
CONS). TYPE.: V-N *!!„.71DENTIAR, t ''' 9MES
„ - :'-'"'"7-1-R=E;iiiTi'A-1:-ZWATTO;;7*---4 '----* MULTI FAMILY NEW *
MEW awricE FAM.: ,141010,0AnOiktri, t0,1%),, fl,i,, ,,O011!!!i7,.., pk,z1 0-200 AMPS...: IV :::FE00ED
-0 -,-SfAV a AMD v * . FEEDER....: -, -;-;,-,,, --,. - ' : \ 4-, ' 0 :..- - ':-,- 4,01-600 AMPS.: 0 ... 0
OCC. GROUP..: 1 'eg'"It' tl*g 11: Is Dij T if 4 OS* (W. ;:C'', ) g 600 '' .4**" -"' ''' '-'-1, , al.000 AMPS.: 0 .,. 0
OCC. LOAD...: 0 1 ' *A" r4F7' 7 '04, .k, ''\ *41 ' MAST/METER REpArr.-,f 0
SQUARE FEET.: 0 t
1 v, I NUMBER Of CIRCUITS: 0
I 801 AND OVER.: 0 ... 0
--
* COMM. ALTERATIONS * * COMM/IND NEW * I * INSPECTION RECORD 1
* TAP "IP7ItE 1 1 MISCELLANEOUS *
0-100 AMPS 0 ... 0 SERVICE •..., . DATE
0-200 AMPS . I 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.. ..,.. . 7 DATE.37-3'
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 OVAVIcl 1
HUM. OF (TROUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 I COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
-.4,21.31.- .
PUNTS EXPIRE ,
I CERTIFY HAT 1 MY Mill
IS STARTED.
TO IRE BEST OF MY BIOBLEICE ARO Till APPLICABLE CITY Of FEDERAL PAY REOOIRININIS WILL RE OfT.
,,,,/
oWNER OR AGENT L,...t.,:42;,...4_. „-:____-e:__________ ____ - DATE :j7_ ..=7:..1.-___!:.7
FIELD COPY
se *457
&DFR
BUILDING DIVISION
2 ' 33530 First Way South
" Federal Way WA 98003
G��jLD h01301.• Fax(253)661.400(253) 9
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELE9i— '3 2 7
Job Address 20/6 S, 3 2 0 ,. '' Job Site Phone
'4
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
�rI. /-7Q 5%<' / -''J -- 7 Q7
Electrical Contractor Address/phone Electrial contractor license number (copy req'ca:
// Lzof.v __ / 75 8f7
17Ztee_zt,c' S E./e' /U,r2�/C) G/.5'-74, S7-2 Expiration Date: / / /G/ /2 DIS G)
Use of Bldg: 0 SF Res Comm ❑Other 0 Multi 0 Church/School Class of Work: ❑New fig/Alteration ❑Addition 0 Repair
Describe Work:
/4.) 5-7--. /7C//e(c:; i o X /Zw-ji /ligCil//2
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family Service or feeder only $41
(First 1300 ft'-$62;Each add'n 500 ft2-$20) _Service and feeder 67
plan review is req'd. Fee is 35% of
Square Feet:
permit fee +$52. Add'I plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) #of service or feeders
Each outbuilding or garage $41 (First service/feeder-$41;Add'n service/
(Inspected separately) feeder-$26 each)
-
, MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
I #of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 ft'-$36;Each add'n 500112-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial: 1-4 zone-$36,Each add'n zone-$10) _201 -400 amp . . . . 83 41 101 -200 83 52
401 -600 amp . . . . 114 57 —201 201 -400 156 62
_#of Signs (First sign-$31;Each add'n sign$15) 601 -800 amp . . . . 146 78 _401 -600 182 73
Progress inspection per 1/2 hr $31 801 and over 208 156 601 -800 235 99
Swimming pool,hot tub,spa 60 — _801 1000 287 . . 120
_Temporary Pole 36 _
over 1000 313 . . 167
— Pole meter loops 41 Over 600 volts surcharge 52
—Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder 0 to 200 $67
I hereby certify that I am the owner(or _0 to 200 amp $57 _201 -600 156
authorized agent)of the above named property, _201 -600 amp 83 _601 - 1000 235
or a licensed contractor(or firm's authorized over 600 125 _over 1000 261
agent)and am making the installation or _Mast or meter repair 31 #of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
pph ant's Signature: _0 to 100 $41
101 -200 52
i ,t��-: c _201 -400 62
401 -600 83
Date: 3 ? -5——,:,9 over 600 94
ELECIRIc.APP
REVISED 12/8/98