98-101620 198- Jo/6a0
CITY OF FEDERAL WAYPERMIT NO: ELE98-0458
33530 First Way South », 1. tt' ��,..... .�.,. '".k. .. _ (.."7: �„° .,.. P u;;.. °�
Ft '`�..��.. ,�,,, ISSUED: 05/06/98
Federal Way, WA 98003 Electrical Inspection Requests 253-66:L--4140 BY: FC
253-661-4000 EXPIRES : 04/30/99
ADDRESS:34503 9TH AVE S
NO. : 750451-0050
PROJECT DESCRIPTION:ADDING 3 CIRCUITS
f= OWNER ---_.__ _ CONTRACTOR ___----------- - LENDER ___..__. _______
MEDALIA HEALTHCARE EXCEL ELECTRIC
34503 9TH AVE S 5832 S ADAMS
FEDERAL WAY WA 98003 PO BOX 9127 1
TACOMA WA 98409
838-9000 253-475-6950
EXCELET077PH
:t: CONTRACTORS, PLEASE USE LOCATION CODE 1732 ,HEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% :::
* STRUCTURE INFORMATION * I * NEW RESIDENTIAL * * MOBILE HOMES * ( * RESIDENTIAL ALTERATIONS * J * MUILTI FAMILY NEW
SEV FEED .
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 0-200 AMPS .: 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: ! OUT BUILDINGS..: 0 ! SERVICE AND FEEDER • 0 201-600 AMPS ' 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 ' SERVICE OR FEEDER ;PK): 0 OVER 600 AMPS...,.: 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 ' ' MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
•
* COMM. ALTERATIONS * ' * TEMP SERVICE * * MISCELLANEOUS * J-- * COMM/IND NEW * ` * INSPECTION RECORD *
( ! 0-100 AMPS • 0 ... 0 1 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 ' THERMOSTATS • 0 I 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 SWIMMING POOL..: 0
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: 3 ! OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 ' COMMENTS:
.__ _.._.. _-.__ __. 1 YARD METER LOOP: 0 ; OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 50.00 ( OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
-
- -- --- ___._._...___.____---........._ :_____..__. -_.,_,.._.i___. ..--_-_.----- _.-_ -_.------_.., _._. I -. _. _ ._Z-_--.----_._____=�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED 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 - DATE .5"--6--- T
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02/19/97 WED 16:28 FAX 2068614129 CITY OF FEDERAL, WAY Q001
erre ar
11110
Duct-nrcmDrrzTAN
33530 First Way South
vN) Federal Way WA 98003
iA�l ® 6 1999 (..,: 661-4000
GUY OF FEDERAL WA
ELECTRICAL PERMIT APPLICATION Fax9.53 14129
%1ILDINt'a DEPT. ELEC� - 0Li5/
_z.—__
IJACF G � E - p L _ -: , Lot No Subdivision Nemo
'"$r k� _ Mail Address- ,_,3c) a�� 'A vF..5 . �6,.»
�x `4 `L- 35Z5,
E1 MCo MoilAddtels 5s3 . 5. Roes
Phone
Limns=No.
use armlet OSP Ro Doom= a other O Mold d wool Clea of Work Cl New a Munition 0 Addition C repair
Describe Work:
Type of Cone\:1-E'I b o£ --- NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group:
PAY Load _Service or feeder only $40
Single Family Service and feeder 65
Square Feet (First 1300 az460;Hach add'a Soo s3420)
'If service x400 amp,plan.review is req'd.Fee _Each audbuiiding or garage $25 MOBILE NUM PARK
=35% _#of service orr feeders
&permitfee+$50_Add 1 plan review (+seat setvioelfecder., Add'a *orrice/
for other S tbnaitvinns=$60/hr, fico n's-MS each)
1 MISC EQUIPl41ENT/TEMp SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Induces Ihroe units er mora)
_#of Thermostats
Amps Service Or Add'it
(F 0:Aden +mo -S10 cacti) Service Feeder Feeder
#of Law voltage fire or burglar alarms _Up to 200 amp _-. . $65 $20 _0 to 100 $65 . . .. $40
(F 2500 W...335;Rada ad;rn 500$'-s1o) _201 -400 sap 80 40 101 -200 80 50
--(#of Sipa _401 -600 amp .... 110 554001 -` 150 60 1
First -$3o:Add'nSiitn-$15 es ch) _601 -800 amp . ... 140 75 401 -600 175 70
_Progress inspection per hr $6() _801 and over 200 1S0 _601 -800 225 95 1
—Swimming poli,hot tub,spa 60 _801 -1000
275 .... 115
_
Temporary Pole 35 over 1000 300 .. . 160
_Yard Poie meter loops 40 Over 600 volts surcharge 50
Mast or meter repair 55
ALTERED SINGLE/MULT1 FAMILY COMMERCIAL/INDUSTRIAL
Inspections requeated before 3:30 will be (Wbeu ir>spectnd separately from:he sCrviee.)
made the farming work day,661-4140_ AlService or Feeders
Service or Feeder 0 to 200 $65
I hereby certify Mari am the owner(or 0 to 200 amp $55 201 -600
155
authorized agent)of the above named property _201 -600 amp 80 �601 - I000 225
or a licensed contractor(or fum's authorized over 600 120 over 1000 250 i
agent)and am making the installation or Mast or meter repair 30 _a#of circuits
alter: -•. in .....fiance with all applicable #of circuits 40
01 ty . state laws_ (F 5 airettilaSSo;Ada•&circuit-SS each)
ltl I I�fij i (F circuit-340;Add'n cira+it-SS each)
I '% re:
— Temporary Service $40
Oto 100
I' ` / _ 101 -200 50
20) -400 60
_
1 hates i1 :401 -600 80
over 600 90
itammaitlimm
02/19/97 16:26 TX/RX NO.4254 P.001II