99-100753 a
9g ,ion76-3
CITY OF FEDERAL WAY pu u; r u PERMIT NO: ELE99-0184
23530 First Way South !I_,." IG,,, 11;;;;:. (..,,,. ,,,�,,,.f" . .; . ��;.": ';;;,r �.�.. it;;;;� !I.:;..H,M.,.11 ,,,y,,, ISSUED: a 2/13/` `3
Federal Way, WA 98003 Electrical Inspection Requests 253-_66111.-4140 BY : FC2
253-661-4000 EXPIRES: 02/12/00
ADDRESS : 33501 1ST WAY S
NO . : 926504--0010
PROJECT DESCRIPTION:REWORK EXISTING X-RAY ROOM
— OWNER -------- - --- -.:_ --- CONTRACTOR -------- -. -- •-- 7= LENDER =___=__=
1 VIRGINIA MASON g HOLMES ELECTRIC
33501 1ST WAY S PO BOX 179
FEDERAL WAY WA 98003 1422 RAYMOND AVE SW
RENTON WA 98057
253/874-1652 425/235-8000
HOLMEEC549BH
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% XXX
* STRUCTURE INFORMATION x * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 i 0-200 AMPS........: 0 i 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER 0 . 201-600 AMPS. .....: 0 ( 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 E MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
1 NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
s
_._-_
T
* COMM. ALTERATIONS * '� __ * TEMP SERVICE * * MISCELLANEOUS * - * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS 0 ... 0 ' SERVICE DATE __________
0-200 AMPS • 1 0-100 AMPS • 0 THERMOSTATS 0 1 101-200 AMPS...: 0 ... 0
{
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 i
OVER 1000 AMPS..: 0 I 401-600 AMPS..: 0 ; SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE __________
NUM. OF CIRCIUTS: 0 I OVER 600 AMPS.: 0 i TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
----� „YARD METER LOOP: 0 ' OVER 1000 AMPS.: 0 ... 0 TOTAL PERMIT FEES • 67.00 ' OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS Al ' ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INF IN TURN . 1 BY Mei c-.• ANI CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT i s_' �mg�� .....e DATE al i S I_14
-- , ....._
• - _
)
___.,..
-„--
CITY 01 FEDERAL WAY v - PERMIT NO: EL 99O184
:33530 First Way South ....,
ELD-" "rtucAL
, ,.... PERMIT l'2.:SULD: 0 /18/99
Federal Way, WA 98003 Electrical Inspection Requests 253 -661-4140 BY: FC2
253-661 . 4000 0 EXPIRES: 0 /12/0O
ADDRESS:33501 1ST WAY S
NO. : 92E•504 -0010
PROJEC I DESCRIPT ION:REWORK EXISTING X-RAY ROOM CONTRACTOR _. LENDER -
OWNER .......f. ..........................,....
VIRGINIA MASON 1 HOLMES ELECTRIC
1 33501 1ST WAY S PO BOX 179
I FEDERAL WAY WA 98001 1422 RAYMOND AVE SW
RENTON WA 98057
1 253/874-1652 425/235-8000
I HOLHEEC54988
- -..,-....-...--,..". 4**0* . norms worm TI, CITY or rum NAY. TAX mu : 8.4 its
sst offaclu , 'UALS5.E LOCATION COOL 1/32 1111. 4 REPORTING SOUS FAX FOR
1
"
I * WLI(PISIDENTIO * ' * Not t HOMES *4714;t71;7;IWIZ707171-4 -""'"'-'i4i"' 1 * RESIDENTIAL ALTERATIONS * * MULTI FAMILY HE $
,•\,,, , ‘v5,kt;
Sty FEED
CORSI. TYPE.:
v-H E FiktAH.:4)-'i\'
0i0/1
04010‘t14444.4,, A 4 0
-200 AMP ...: 0
... 0
O.C. GROUP..: "44itWr.:0 LMR—r14 - - T : :: : :: 0! CCC. IMAD-: U . , 4600 Am..,..: 24 .: : :
SQUARE FEEL: 0i NA„/„,„ Root, 0 ,460110009s.: 0 ._ 0
I i ,
1 1 NUMBER Of CIRCUITS: 0
1 801 AND OVER.: 0 ... 0 /--'
1 ... 1
-- ------------------ -
t COMM, ALTERATIONS * I t TOP SERVICE $ $ MISCELLANEOUS * * COMMAND NEW * $ INSPECTION RECORD t
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPt......: 1 0-100 AMPS • 0 THERMOSTATS .,.: 0 101-200 AMPS.,.: 0 ... 0
201-600 AMPS • 0 101-200 AMPS. • 0 LOW VOLTAGE • 0 201-400 ANPS. • 0 ... 0 COVER.. DATE
1 601-1000 AMPC • 0 I 201-400 AMPS..: 0 SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
1 OVER 1000 AMPS..: 0 401-600 AMPS..: 0 I SIGNS • 0 601-800 AMPS...: 0 ... 0 i FINAL., DATE 3 --//-TT
,. ,..... ..,__
1 NUM. Of CIRCIUTS: 0 OVER 600 AMPS.: 0 I TEMP. POLES • 0 801-1000 AMPS.,: 0 ... 0 1 COMMENTS:
---------------------- ----- - -I - -- --- ------------------ - YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS Al ISSUANCE IF NO NOR IS SI., TO.
I CERTIFY THAI TUE INT i_u.I i FUR BY/t. 1 . ' ' CORRECT TO THE CI 01 NY KNONIfitt AHD Illf AMICABLE CITY Of MEM WAY REOOIRENENTS Will BE All.
..d4
OWNER OR AGENT DATE 0,11k, li If .......:7
FIELD COPY
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CD0193(Rev 4/97)
„,' i. ! G5-- j/WD
COY°r Ci /� 33530 First Way South
r o lY - i Federal Way WA 98003
\ —• Phone(206) 661-4000
ELECTRICAL PERMIT APPLICATION
Eu3- gq - O U .
Job Addnaa ,33bof /2”64.
4 Job she}Isom
Parcel No Let-No Subdivision Name ,
Owner Mau Address Phone •
Ut Res44�� ��s�x t sew s as3- -l�sa
Electrical Contractor Mail Address Phone // o?JS--
[bib, s (Z C /%24 /iy0OpP A License No. /-( 06EC- s Was/1
/ 1 ' p W4. 91145--?--�✓�-� axpiration Dace
Use of Bldg: DSA Rom,oCon n °Other Multi Cchuroh/So Class of World oNew DAltendon QAddhion °Repair
Describe Work,
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _Service or feeder only . . . . $40
Occupancy Load: Single Family _ Service and feeder 65
Square Feet: `(First 1300 ft2-$60; Bach add'n t y
500 ft2-$20) MOBILE HOME/RV PARK •
If plans are required for review, the fee is _* of service or feeders
35%.of the permit fee plus $50. Additional . _Bach outbuilding or garage . $25 (First service/feeder-$40; Add'n
plan review for other submissions is$60/hr. .eri ice/fooders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
N of Thermostats (Includes three units or more) Amps Service or Add'n '
(First thermostat-$30; Add'n thermostats- Service Feeder F '
' 5:0 each) _Up to 200 amp . . $ 65 . . ..$ 20 _0 to 100 • ('S 65 . $ 40
_# of Low voltage fire or burglar alarm _201 -400 amp , , 80 . . . . 40 101 - 200 8 . . . 50
(First 2500 ft3-$35; Each add'n 500 fi'-$10) ` 401 -600 amp . . 110 . . . . 55 •201 -400 150 • . • 60
_N of Signs _601, - 800 amp . . 140 . . . . 75 401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _801 and over • . 200 . . . 150601 - 800 225 . . . 95
�
Progress inspection per hr $60 ` 801 - 1000 . . . . 275 • • , 115
_ Swimming pool, hot tub, spa 60 —over 1000 300 . . . 160
j _Temporary Polo 35 _Over 600 volts surcharge . . . 50
Yard Pole meter loops 40 Mast or meter repair 55
ALTERED SINGLE- OR COM RCIAL/INDU$TIU L
Inspections retplested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the follorg work da,, 661.4140. (When inspected separately fipm the _ 0 to 200 $ 65-
services.) f _201 - 600 150 ,
I hereby certify I am the owner(or Service or Feeder —_601 - 1000 225
authorized ager of the above named _0 to 200 amp $ 55 over 1000 250
property or a licontractor(or firm's 201 -600 amp 80 _
making N of circuits • 1,
authorized ager and am mang the _ over 600 , . . 120 (First 5 circtdty-$50; Add'n
installation or al on in compliance with _Mut or meter repair 30 circuity-$S each)
all applicable city, county, and state laws. _I of circuit,, . . .. 40 Temporary Service ,.
I (First circuit-$40;Add'n circuit- 0 to 100 $40
Applicant's Sig i .- $5 each) ' 101 -200 50
4- _201 -400 60 '.
_401 - 600 80 +
Date: _over 600 90 ..
i
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