01-103473 city of Federal Way
leutrical Permit #:01 - 103473 - 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: GROUP HEALTH
Project Address: 301 S 320TH St Parcel Number: 172104 9105
Project Description: EL-Provide(2) new 20-amp/120-volt circuits for scope washers and alter(1)circuit for newly created
restroom.
Owner Applicant Contractor
GROUP HEALTH COOP&PUGET*GROUP I PRIME ELECTRIC INC PRIME ELECTRIC INC
521 WALL ST 13301 SE 26TH ST 13301 SE 26TH ST
SEATTLE WA BELLEVUE WA 98005 BELLEVUE WA 98005
98121-1524 (425)747-5200
Electrical Fixtures
Description !Quantity Description 'Quantity Description 'Quantity
Circuits- Commercial 3
PERMIT EXPIRES March 4,2002,IF NO WORK IS STARTED.
Permit issued on September 5,2001
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 age• : Date: s 0/
11 of _ 0.1044 ` 1l >— (174-S1-4
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«nroF G RECEIVED. 33530 First Way South
• ED Federal Way WA 98003"
Phone (206) 661-4000
ELECTRIfl` gMT APPLICATION
ELE-0 / - i03973
Job Address n J? - ( �A J/ Job Site Phone
/
Parcel No -7210[J//(�� 9/o' Lot No Subdivision Name
Owner 7 Mail Address ��/ 1 Phone
�r4v Ilea/A( .50/ 4i�/ , " 9o/ - ,3X69
Electrical Contractof Mail Address g��� `7 dis/Phone %Ac' 7i/7/3 Z�Dc7
/2 • f �' / License No. P�f ,F, /31,,''
/,4i % $ ' / ,i `, 2_7, 3/ Expiration Date / 2:2 v3
Use of Bldg: ❑S!FR es Comm oOther EMulti oChurch/School Class of Work: ❑New Alteration ❑Addition °Repair
t
Describe Work: 0 ✓1G 0 '2 W /°,"V// ?J lea `/ Gz/4Uii� e‘ J
41/&I . r /ti/V Adm 11)0;4--
Type of Const: „ mer NEW RESIDENTIAL SERVICES MOBILE.HOMES
Occupancy Group: Arf , - Service or feeder only . . . . $40
Occupancy Load: _ Single Family _ Service and feeder 65
Square Feet: /00 (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
If service 400 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
$10 each) _Up to 200 amp . . $ 65 . . . $ 20 _0 to 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(41-of circuits
authorized agent) and am making the _over 600 12 (First 5 circuits-$50; Add'n
installation or alteration in compliance with _Mast or meter repair 3circuits-$5 each)
all applicable city, county, and state laws. _#of circuits 40 ervtce
(First circuit-$40; Add'n circuit- _0 to 100 $40
Appli t'sSignature: $5 each) _ 101 - 200 50
_ 201 - 400 60
4z.e.„
ro, _ 401 -600 80
over 600 90
ate: //_3z,/e37O.> M1.AW
REVISED 1/17/96