99-101954 CITY OF FEDERAL WAY a . • PERMIT NO: ELE99-0542
33530 First Way South r;;: L. '";:C-1 PIA::::: c irii IL VA!T",:IT"4.to .,i .1,,.. ISSUED: 08/20/99
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 S. EXPIRES: 08/13/00
ADDRESS: 34515 9TH AVE S
NO. : 750451-0020
PROJECT DESCRIPTION:INSTALLING ELECTRICAL FOR NEW MONUMENT SIGN
T= OWNER =_.__-.____._ -- ------- ---T
CONTRACTOR --_- _------____-- -- T LENDER -----
1 ST FRANCIS HOSPITAL T PLUMB SIGN INC (EC) I
! 34515 9TH AVE S 5838 S ADAMS
FEDERAL WAY WA 98003 TACOMA WA 98409
i 473-3323 Y
PLUMBSI077QS
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CIIY OF FEDERAL WAY. TAX RATE : 8.6% ***
! * STRUCTURE INFORMATION * * NEW RESIDENTIAL y * "132I'_E HOMES * * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
1 SEV FEED
1 CONST. TYPE.: V-N NEW SINGLE FAM.: ' SERVICE OR FEEDER ONLY: 0 0-200 AMPS.,.. ....' 0 0-200 AMPS...: 0 ... 0
1 OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER ... 0 I 201.600 AMPS.... : 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 ; . SERVICE OR FEEDER (PK): 0 OVER 603 AMPS.....; 0 401-600 AMPS.: 0 ... 0
I SQUARE FEET.: 0 .' 1 y ' MAST/METER REPAIR,: 0 601-800 AMPS.: 0 ... 0
` NUMBER OF CIRCUITS: 0 ' 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * '
I * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 I SERVICE DATE
! 0-200 AMPS 0 0-100 AMPS • 0 • THERMOSTATS 0 101-200 AMPS...: 0 ... 0
1 201-600 AMPS ' 0 101-200 AMPS..: 0 LOW VOLTAGE ' 0 201-400 AMPS...: 0 ... 0 COVER.. DATE
1 601-1000 AMPS...: 0 201-400 AMPS..: 0 ` SWIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS ' 0 601-800 AMPS...: 0 ... 0 FINAL.. DATE
NUM. OF CIRCIUTS_ 1 OVER 600 AMPS.: 0 TEMP. POLES 0 801-1000 AMPS..: 0 ... 0 I COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 .. 0
1 TOTAL PERMIT FEES • 31.00 OVER 600 VOLTS.: 0
s MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INF NATION FURNISHED11BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
IS/
OWNER OR AGENT (! / DATE Z
/7.. 1_,_4*
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: ELF:99-0542
33530 First Way South ICLCCTINICP1IL ricn.mx T ISSUED: 08/20/99
Federal WAy. WA 98003 Electrical Inspection Requests 253-661-4140 BY: FC2
253-661 -4000 EXPIRES: 08/13/00
ADDPESS:34515 9TH AVE S
NO. : 750451 -0020
PROJECT DESCRIPTION:INSTALLING ELECTRICAL FOR NEW MONUMENT SIGN
f. OWNER =.M...Mrfor.....aln4UMMUNIVOI===240Aa.====4VMAUATL4M=AUSI.4.. , CONTRACTOR K. LENDER
ST FRANCIS HOSPITAL PLUMB SIGN INC (EC)
34515 9TH AVE S 5838 S ADAMS
FEDERAL WAY WA 98003 TACOMA WA 98409
473-3323
PLUMBSI077QS
*Is CONTRACTORS, PLEASE OSL LOCATION evi4 1/37 tiPONTINC SALES TAX FOR PROJECTS WITNIN TIE CITY Of FEDERAL NAY. TAX RATE : 8.6% ***
* STRUCTURE INFORM4TION * S NEW RESIDENTIAL - .1LE HOMES * * RESIDENTIAL ALTERATIONS * * NMI FAMILY NEW
SEV FEED
CONST. TYPE.: V-N NEW SINGLE. FAM.: glIVICT OP FEEDER i 0 0-200 AMPS • 0 0-200 AMPS...: 0 .,. 0
OCC. GROUP..: OUT WIEDINGS..: 0 VICE AND FLELtD 0 A,. Et 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 JL.RaLE, oe RUC 1Pi f: 0,1 LOU AMPS 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 WI/METER REPAIR 0 601-800 Amps,: 0 0
RIMER OF CIRCUITS: 0 ROI AND OVER.: 0 0
* COMM. ALTERATIONS * * TOW SERVICE * MISCELLANEOUS * I COMM/ID HEW I I INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 0
201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL.: 0 401-600 AMPS...: 0 ... 0 II 'I
1 OVER 1000 AMPS..: 0 401-600 MRS..: 0 SIGNS • 0 601-$00 AMPS,..: 0 0 FINAL.. _RCM DATE lotolgq
MUM. Of C1RCIUTS: 1 OVER 600 AMPS.: 0 TEMP. POLES 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
1 TOTAL PERMIT FEES . 31.00 1 OVER 600 VOLTS.: 0
NAST/NITER RPR.: 0
MOTETS EXPIRE 181) DAYS AFIER ISSUANCE If NO VORt IS STARTED.
I CERTIFY THAT INf INFORMATION 'Immo BY NE IS TRUE AND CORRECT TO TOL BEST Of MY KNOWLEDGE AND INT APPLICAILL CITY Of FINIAL KAY RIQUIRLNENES WILL RE NET.
OWNER OR AGENT .
Arn
FIELD COPY
CITY OF G - BUILDING DIVISION
E 33530 First Way South
FW Federal Way WA 98003
MAY 2 0 1999 (253)661-4000
Fax(253)661-4129
t QF� utRwl_4ELECTRICAL PERMIT APPLICATION
BUILDING DEPT. _.
***Federal Way Business License number: -'(G1` ELE –
Job Address 3 4 5 1 5 - 9th Ave . S . Job Site Phone
Parcel No 7 5 0 4 5 1 -0 0 1 0-0 2 Lot No Subdivision Name
Owner/tenant Mail Address Phone
St . Francis Hospital 34515-9th Ave . S .
Electrical Contractor Address/phone Electr}�I cpiyattgr 11cbt77¢cr (copy req'd):
Plumb Signs Inc . 5838 S . Adams , 98409
Expiration Date: 11/ 10 / 99
Use of Bldg: 0 SF Res }f7 Comm ❑Other ❑Multi 0 Church/School Class of Work: xb(New 0 Alteration 0 Addition 0 Repair
Describe Work: Install new monument sign & hook up to existing power .
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
a (First 1300 ft2-$62;Each add'n 500 112420) Service and feeder 67
plan review is req'd. Fee is 35% of Square Feet:
• permit fee +$52. Add'! plan review Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) #of service or feeders
_Each outbuilding or garage $41 (First service/feeder-$41;Add'n service/
(Inspected separately) feeder-$26 each)
-.
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL ^I
(Includes three units or more)
_#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or 'Add'n
#of Low voltage fire or burglar alarms Service Feeder Feeder
(Residential:first 2500 ft'-$36;Each add'n 50011.2-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial: 1-4 zone-$36,Each add'n zone-$l0) _201 -400 amp . . . . 83 41 101 -200 83 52
401 -600 amp . . . . 114 57 _201 -400 156 62
1_#of Signs (First sign-$31;Each add'n sign$15) 601 -800 amp . . . . 146 78 _401 -600 182 73
_Progress inspection per 1/2 hr $31 801 and over 208 156 _
—
601 -800 235 99
Swimming pool,hot tub,spa 60 _801 1000 287 . . . . 120
_Temporary Pole 36 _
over 1000 313 . . . . 167
— Pole meter loops 41 _Over 600 volts surcharge 52
Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder _0 to 200 $67
I hereby certify that I am the owner(or _0 to 200 amp $ 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 #of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$52;Add'n circuit-$5 each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signature: _0 to 100 $41
_ 101 -200 52
.e.:
_ 201 -400 62
�� / _401 -600 83
Date: 4/ 12/99 over 600 94
E ECIRIc.ArP
REVISED 12/8/98