98-100617 1 ,
gg. 10O & /7
CITY OF FEDERAL WAY L � p yy L.
�p � PERMIT NO: ELE98-0187
33530 First Way South .,, E. ��yn. II' If";;;, ..: (1::A f::.'f:::� "' . "�'N ii, ,,,t ISSUED: 02/25/98
Federal Way, WA 98003 Electrical Inspection Requests 253-661--4140 BY: FC2
253--661-4000 EXPIRES: 02/19/99
ADDRESS: 34503 9TH AVE S Unit: 220
NO . : 750451-0050
PROJECT DESCRIPTION:ADDING NEW 100 AMP PANEL
-= OWNER -- -- T CONTRACTOR T LENDER
1 PEDIATRICS NORTHWEST I NORTH STAR ELECTRIC
I34503 9TH AVE S, #220 d 1905 S JACKSON ST •
FEDERAL WAY WA 98003 SEATTLE WA 98144
I ! 206-329-159 i
NORTHSE13608
.__.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
* STRUCTURE INFORMATION * ' * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MUILTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 1 0-200 AMPS • 0 {'{ 0-200 AMPS...: 0 ... 0
GCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 I 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 ' OVER 600 AMPS • 0 I 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
j NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0 1
y�
* COMM. ALTERATIONS * * TEMP SERVICE * I * MISCELLANEOUS * , * COMM/IND NEW * * INSPECTION RECORD *
i 0-100 AMPS 1 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 f THERMOSTATS • 0 , 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 , 101-200 AMPS..: 0 ; LOW VOLTAGE • 0 201-300 AMPS...: 0 ... 0 ; COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 j SWIMMING POOL..: 0 301-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 I 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 s 801-100 AMPS..: 0 ... 0 ; COMMENTS:
- YARD____..._ YARD METER LOOP: 0 ` OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 65.00 OVER 600 VOLTS.: 0
I � MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION-9RNISHEI. ! ME IS TRU AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE /ZS ..
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CD0193(Rev 4/97)
4.3
LHO
CITY Or - jrijb--- 33530 First ay' South
f �., Federal Way WA 98003
`�, sI"-_". Phone(206) 661-4000
VE LCTIIrCAL PERALTT APPLICATION
�;�c 6 ►-r id sAriG DEPT• ELE-���; - )/ 7-
Job Address 3y503 7 riiilve S. S&iie 220 FeNcvsy Job Site Phone
Parcel No (pin' MO— 0y 0�0 Lot No Subdivision Name
Owner ��l C S /V 14 Mail Address Phone
M94IZ 9L E57-6i e Ser ✓. /O5 (enrrr4cU/v4yittiekLH41
Electrical Contractor C Mail Address _ Phone 2Ot;• 329- 59,1
Ajorrti ST�9✓' ELec• No ,s- 5.JA-Crso✓1 License No.F ch)4Y *0Sd'�/87 .
No rTH S F 1 3 6 0 8 _ Expiration Date ^i 7 `inf r
Use of Bldg: ['SF Res ji3Comm ['Other ['Multi ['Church/School Class of Work: ONew ['Alteration ['Addition ['Repair
Describe Work: •Lh6T09 L c /CC 4 3,5 P,9r4tL - I.tahtTS - Az"C/J5 . /,'aot- v4 Fi £45
//oor. - 011 OW/So xt5 _
Type of Const: It NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: 13 _Service or feeder only . . . . $40
Occupancy Load: _Single Family _Service and feeder 65
Square Feet: cl, / '(5" (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
,!L If service X400 amp, plan review is req'd. _#of service or feeders .
Fee = 35% of permit fee +$50. Add'I plan —Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
review for other submissions = $60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL ,
_# of Thermostats (Includes three units or more) Amps Service or Add'n
(First thermostat-$30; Add'n thermostats- Service , Feeder Feeder A
$10 each) —Up to 200 amp . . $ 65 . . . $ 20 Oto 100 $ 65 . . $ 40
_ #of Low voltage fire or burglar alarm _201 -400 amp . . 80 . . . . 40 _ 101 -200 80 . . . 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) 401 -600 amp . . 110 . . . . 55 —201 -400 150 . . . 60
_#/ of Signs _601 - 800 amp . . 140 . . . . 75 _401 -600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _801 and over . . 200 . . . 150 _601 -800 225 . . . 95
_ Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
_ Swimming pool, hot tub, spa . . . . 60 _over 1000 300 . . . 160
_Temporary Pole 35 _ Over 600 volts surcharge . 50
— Yard Pole meter loops 40 —Mast or meter repair 55
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _0 to 200- $ 65
services.) _201 -600 150
I hereby certify that I am the owner(or Service or Feeder _601 - 1000 225
authorized agent)of the above named _0 to 200 amp $ 55 —over 1000 250
property or a licensed contractor(or firm's —201 - 600 amp 80 _#/ of circuits
authorized agent) and am making the _over 600 120 (First 5 circuits-$50;Add'n
installation or alteration in compliance with —Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. #1 of circuits 40 Temporary Service
(First circuit-$40; Add'n circuit- _0 to 100 $40
Applicant's Signature: $5 each) — 101 -200 - 50
i ‘244,,,,,z4._____
— 401 - 600 60
401 -600 80
over 600 90
—
Date: 2A,/y/
[ir „i.A 111
Rry st' U17"4.