98-100155 CITY OF FEDERAL WAY ,,... i u K .„�,.. i ,�� , PERMITNO: ELE98-0034
,. ,,
33530 First Way Soutr, .. H . �,...,�. N H �,, . . �.,,.�°°r . � H:,...H �,,h h .,H;.. H ISSUED: 01/15/90
Federal Way , WA 98003 Electrical Inspection Requests 253--661-4140 BY: FC
253-661-4000 EXPIRES: 01/09/99
ADDRESS: 32O18 23RD AVE S
NO. : 162104-9028
PROJECT DESCRIPTION:FIVE T-STATS
F OWNER • ._ -- - - . ----f----- CONTRACTOR =----- --- _..--__- = LENDER __--..-_.,----,- 1
i UW PHYSICIANS NETWORK r W A BOTTING COMPANY
2505 S 320TH ST, SUITE 110 i PO BOX 33706
FEDERAL WAY WA 98003 1 SEATTLE WA 98133
!
i
253-584-8408 t 253-364-0340
1 WABOTC*099JA
_.-.--.._-..__-_-----.__._
Z** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ;=i
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * i * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MUILTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-N i NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 .. 0
OCC. GROUP.,: f OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 f 201-400 AMPS,: 0 ... 0
} OCC. LOAD...: 0 ' SERVICE OR FEEDER (PK): 0OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
1
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
f j NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
g * COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * f * COMM/IND NEW * I * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 5 1 101-200 AMPS...: 0 ... 0
201-600 AMPS • 0 101-200 AMPS..: 0 1 LOW VOLTAGE • 0 201-300 AMPS...: 0 ... 0 1 COVER.. DATE
601-1000 AMPS...: 0 ( 201-400 AMPS..: 0 SWIMMING POOL..: 0 1 301-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 !; 401-600 AMPS..: 0 ; SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. _ DATE
NUM. OF CIRCIUTS: 0 1 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
1- J._____..___..__. YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
! TOTAL PERMIT FEES • 70.00 i OVER 600 VOLTS.: 0
MAST/METER RPR.: 0 I
I. - ! .
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT T FURNISHED 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 '"' i'" V)
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Date /.28
CD0193(Rev 4/97)
urroF G IRCNED BUILDING DIVISION
•
EDErZ IL_ 33530 First Way South
\)\> Fl ' JAN 151998 Federal Way WA 98003
(253)661-4000
1 EUEHAL WAY Fax(253)661-4129
E "ETRICAL PERMIT APPLICATION
ELE%- ooay
Job Address S )I b 2'3l k,.-.4,c- 44 Job Site Phone
Parcel No Lot No Subdivision Name
Owner Mail Address ; Phone
U of W 'Pvil•ss.G"is.
Electrical Contractor Mail Address t3 6" 4tN242 A All* Phone Z0b 4 4' 0344 0
Lr ,? G
0.5!)•# 331O . LicenseNo.WIL(6GTiIOgg3'A
w' A. .P.00,11",-/ A►SitusWb• a 5% 33 Expiration Date 4.qt
Use of Bldg: 0 SF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: 0 New 0 Alteration 0 Addition 0 Repair
ti
Describe Work: RtruxATC- srwrs FQj ut 6Ej+aS?tkf4 R,ea -rt)P UWt,TC
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 11'460;Each add'n 500 112-$20)
MOBILE HOME/RV PARK
If service 2400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders
=35%of permit fee+$50.Add'l plan review (First service/feeder-$40;Add'n service/
for other submissions=$60/hr. feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
5 #of Thermostats Amps Service or Add'n .1
' (First thermostat-$30;Add'n thermostats-$10 each) Service Feeder Feeder
#of Low voltage fire or burglar alarms _Up to 200 amp . . . . $65 $20 _0 to 100 $65 . . . . $40 i
(First 2500 ft2-$35;Each add'n 500 IP-$10) _201 -400 amp . . . . 80 40 _ 101 -200 80 50 ill
#of Signs _401 -600 amp . . . . 110 55 _201 -400 150 60
(First sign-$30;Add'n sign-$15 each) _601 -800 amp . . . . 140 75 _401 -600 175 70
Progress inspection per hr $60 _801 and over 200 150 601 -800 225 95
Swimming pool,hot tub,spa 60 801 - 1000 275 . . . . 115
_Temporary Pole 35 _over 1000 300 . . . . 160
Yard Pole meter loops 40 Over 600 volts surcharge 50
—Mast or meter repair 55
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be (When inspected separately from the services.)
made the following work day,661-4140. Altered Service or Feeders
Service or Feeder 0 to 200 $65
I hereby certify that I am the owner(or _0 to 200 amp $55 _201 -600 150
authorized agent)of the above named property _201 -600 amp 80 _601 - 1000 225
or a licensed contractor(or firm's authorized _over 600 120 _over 1000 250
agent)and am making the installation or _Mast or meter repair 30 _#of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$50;Add'n circuit-$5 each)
city,county,and state laws. (First circuit-$40;Add'n circuit-$5 each)
Temporary Service
Applicant's 'T ature: _0 to 100 $40
/ _ 101 -200 50
201 -400 60
Q _401 -600 80
q
Date: 1 " t4 t, O over 600 90
ELECTRIC APP
REVISED 8/26/97