01-100037 City of Federal Way
Community Development Services Electrical Permit #:01 - 100037 - 00 - EL
33530 1st Way S l
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253 661 4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: THOMPSON FOOT AND ANKLE CLINIC
Project Address: 1711 S 312TH 5+ Parcel Number: 092104 9189
Project Description: EL-Add 20-amp,250-volt circuit for X-ray machine.
Owner Applicant Contractor
NONE HOLMES ELECTRIC HOLMES ELECTRIC
PO BOX 179 PO BOX 179
1422 RAYMOND AVE SW 1422 RAYMOND AVE SW
NONE RENTON WA 98057 (425)235-8000
Electrical Fixtures
Description,; ,'" Quantity Description _Quantity ''v Description Quantity
Circuits- Commercial _1 I
PERMIT EXPIRES July 3,2001,IF NO WORK IS STARTED.
Permit issued on January 4,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi ie in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. %
Owner or agent: ,•;, LOA.,/ Date: D/
RECEIVED
BUILDING DIVISION
t5;°'
�--� Z� I - 33530 First Way South
Y , JAN 0 4 2001 Federal Way WA 98003
` CITY OF FEDERAL WAY (253)661-4000
BUILDING DEPT. Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELE t - f0D037
Job Address ) t)I 3 3)ad-ti. Job Site Phone 53.< S 32;,s0)0
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
k 114-01+-Pc..)'0. 3 FAST ,i AU e.L-6- /-7/1 S , '1, 'ft4 ' X53-33 so/D
Electrical Contractor Address/phone /4422 nl Al7/JA AV-e- Electrical contractor license number (ropyr y•dt:
�) ' SL() 'T % HOz.mY 509i311-
/4191111&3 6-J�0(j JA-D 7 ,OD . , Expiration Date: /6 / -3 ( / Cr.,
Use of Bldg: 0 SF Res omm 0 Other 0 Multi DChurch/School C 4 lass of Work: ❑New 0 Alteration Addition 0 Repair
Description of work:: i'42141-1
in itL1/1 i _
NEW RESIDENTIAL.SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Fan* _Service or feeder only . . . . $44.25
plan review is req'd. Fee is 35% of
(First 1300Its- o;Bach.dd'nwaw-s2t.se);,4 -Service and feeder $72.25
Square Feet:
permit fee+$56.25. Add'! plan review _Each outbuilding orgarage . $28.00 MOBILE HOME/RV PARK
for other submissions is $67.00/hr. (inspected with service) _#of service or feeders
n :,.trach outbuilding or garage. .$44.25 (First service/feeder-$44.25;Add'n service/
,- (Inspected separately) feeder-$28 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIALANDU$TRIAL
(Includes three units or more)
Amps Service or Add'n
-
#of Thermostats(First-$33.50;add'n-$10.50ea) Service Feeder
Feeder
_#of Low voltage fire or burglar alarms _Up to 200 amp $72.25 . $21.50
0 to 100 $72.25 . $44.25
First 2500 ft2-$38.75;Each add'n 2500 ft2-$lo.50 _201 -400 amp . 89.75 . . . 44.25
-lor4 200 89.75 . . 56.25
*Per WAC 7.96-46-910(5)(bxi&ii) _401 -600 amp 123.25 . . . 61.50,. -201 . , 164.00 . . 67.00
#of Signs(Ft sign-$33.50;add'n sign _601 -800 amp 158.00 84.25 -401-600 . . . . 19'1.00 . . 78.75
$16.00 4h) _Over 800 amp . . 225.25 . . 169.00 -_601->L00 . . . . 254.50 . 107.25
_Progress insl tion per'/:1tr. . . . $33.50 801 -1000 . . . 310.75 . 129.75
_Swimming pock,hot tub,spa . . . . 67.00 -
-Temporary Pole(up top amp) . . 38.75 Over 1000.. . . 339.00 . 181.00
-Yard Pole meter loop! 44.25 Over 640 volts surcharge . . 56.25
_Mast or meter repair 61.50
ALTERED 446I.E/MULTI FAMILY COMMERCIALANDusTRIAL
Inspections requested before 3:30pm will be (When inspected tuparately from the Altered Service or Feeders '-•-- -
made the following work day,253.461.4140. 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 _over 600 135.25 (1-5 circuits-$56.25;Add'n circuits,$5 ea)
compliance with all applicable city,county, _Mast or meter repair 33.50
and/or state laws. _#of circuits Temporary Service
(1-4 circuits-$44.25;Add'n circuits$5 ea) _0 to 60 $38.75
!lcant's Sig ure: _61-100 44.25
_101-200 56.25
_201-400 67.00
_401-600 89.75
Date: 1.-(-4.L 0\ over 600 97.75
SWIM Al,
2{IW=D 1211199