01-104062 IW'
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City of Federal Way Electrical Permit #:01 - 104062 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: VALLEY RADIOLOGIST
Project Address: 181 S 333RDLSuite210 Parcel Number: 926500 0258
Project Description: ELE-Alter up to 12 circuits to relocate lighting,install switching and receptacles,and connect furniture.
Owner Applicant Contractor
VALLEY RADIOLOGISTS INC PS NORTH STAR ELECTRIC NORTH STAR ELECTRIC
POB 26730 1905 S JACKSON ST 1905 S JACKSON ST
FEDERAL WAY,WA SEATTLE WA 98144 ' SEATTLE WA 98144
98093 (206)329-159
Electrical Fixtures
Description_. ,q' : ,Quantity Description IQuantity . bog Description " 'Quantity
Circuits- Commercial 12
PERMIT EXPIRES April 20,2002,IF NO WORK IS STARTED.
Permit issued on October 22,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Z.-- ✓%, a--- Date: frJ — 49,-0 t
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RECEIVED
BUILDING DIVISION
33530 First Way South
OCT 2 2 2001 Federal Way WA 98003
(253)661.4000
t.:1 t v Ur r t:uc hhAL WAY Fax{253)661-4129
ELECTRICAFPERFAIT APPLICATION
_ ***Federal Wa Business License number:aZf7- O 0- 1018`18 boEL,')f(3 L 40 L(O(, Z_
10°Ad r /8/ So v-1-k 2 Q,/ ST--r a e T S2,}c . e) Job Sito Phone
Parcel No Lot No Subdivision Name Campo 5 562 G14'
OwnaAeoant
Mail AdAstie Via Ly Kat' 1 g ' 1-i 3. Phone
loo ISYS /8'f SG„ �� s�
Electrical Contractor Addrear/phona / ?c .� S JaG� r Eleottiat ooatam
or Gm uaamber(copyno V):n /Va.C7-4 s6/3lo a -
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AleDA r t,/ S raiz ff/e.e_ 5e_e,tf t e- 7 /y y , Expiration Date 9 /a 9 /coo 3 -
Use or Bide: o SF Ree *Comm 0 Other o Multi 0 Claaoh/9oheol Clara et Work: o Now *Alteration 0 Addition O Repair
Describes � Work:/ eJo 4 fe_, 41�471-s/ /ALS"r4/( _SU,/ te.. •.w�`j / Re-c--- -42pC ki
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NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a —Single Family _Service or feeder only $41
plan review is req'd. Fee is 35%of �""1300 �Each add',,500 ftu-Sao) — ce and feeder 67
' permit fee+552. Add'I plan review Square Feet:
Each outbuilding or garage S26 MOBILE HOME/RV PARK
for other submissions is S62/hr. (inspected with service) #of service or feeders
—Each outbuilding or garage $4 I —Twit s+1;Add'a service/
(Inspected separately) feedero1,)
MISC EQUIPMENT/TEMP SERVICES NEW MULTIFAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or mono)
—#of lOtionostats(Firm,1,-srat-531;aden-310 aa) Amps Service or Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder
(R sidential:first 2500 lt2-536;Each add'n 500 f'41o) Up to 200 amp .... S 67 S 20 0 to 100 S 67 .... 5 41
(Commercial:1-4 zone-S36,Each add'n Zonc$1Q) _201 -4G0 amp 83 41
401 -600 amp 114 57 —101-400 83 52
__#of Signs (Firstaicu-S31;Each add'n alta 515) 601 -800 amp146 78 —201 -400 156 62
—Progrrss Inspection per'h hr 831 — .. _401 600 182 73
_Swimming pool,hot tub,spa 60 —801 and over 208 !56 _601 -800 235 99
—Temporary Pole _801 -1000 287 .... 120
36 over 1000
—Yard Pole meter loops 41
— 313 .. . 167
_Over 600 volts surcharge 52
—Mast or meter repair 57
ALTERED SINGE/MULTI FAMILY COMMEACIAUINDUSTRIAL
I
Inspections requested before 3:30pm will be (Waca inepecwo separately font the setvice)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder _0 to 200 S 67 ,
I hereby certify that I am the owner(or 0 to 200 amp 5 57 _201 -600 156
authorized agent)of the above named property, _201 -600 amp 83 _601- 1000 235
or a licensed contractor(or firm's authorized _over 600 125 over 1000 261
agent)and am making the installation or _Mast or meter repair 31 /_.-Z#of circuits
alteration in compliance with all applicable _#of circuits (Firsts circuita452;Add'n oistuit$S5 each)
city,County,and/or state laws. (1.4 circuits-Sat;Add'n circuits 55 each)
Temporary Service
Applicant's Signal : _0 to 100 S41
jo
— 101 -200 52!y .
201 -400 62
_—401 -600 83
Date' 94
'--- l 2 ( over 600
moo®Imo.