99-102483 CITY OF FEDERAL. WAY pp � i,,,. , p II) � � aa 31,....• 11— PERMIT NO: EL-E99-0690
33530 First Way South F !I,. f.,:.;, 11:.,,,, ! „ t,,,,� �i L. !l".H.M ISSUED: 06/28/99
Federal Way , WA 98003 Electrical Inspection Requests 2.53-661-4140 BY: FC
253-661-4000 EXPIRES: 06/21/00
ADDR ESS : 33501 1ST WAY S
NO. : 926504--0010
PROJECT DESCRIPTION:TI - INSTALL NEW 90 AMP PANAL FOR CT SCANNER IN EXISTING ROOM, INCLUDING
NEW LIGHTS AND 10 RECPTICALS
. ------I-, CONTRACTOR - _ 7._ LENDER - ----.
F= OWNER ----- .. --- --
VIRGINIA MASON SASCO ELETRIC
$ I f
,
33501 1ST WAY S PO BOX 3887 I
FEDERAL WAY WA 98003 I SEATTLE WA 98124-3887
i
253/874-1652 i 206-341-0938
SASCOE*051R6
i
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.6% ***
* STRUCTURE INFORMATION * * NEW RESIDENTIAL r. * "O3ILE HC`"ES * 1 * RESIDENTIAL ALTERATIONS * * MULTI FAMILY NEW *
SEV FEED
CONST. TYPE.: V-H NEW SINGLE FAM.: . SERVICE OR FEEDER ONLY: 0 ' i 0-200 AMPS.........: 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER. ...: 0 1 201-600 AMPS 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 ; SERVICE OR FEEDER (PK): 3 OVER 600 AMPS.....: 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 1. MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
1NUMBER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
� i
+
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 1 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0 i
201-600 AMPS • 0 ' 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-400 AMPS...: 0 ... 0 COVER.. _ _ _ DATE
601-1000 AMPS...: 0 i 201-400 AMPS..: 0 SWIMMING POOL..: 0 1 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS • 0 601-800 AMPS...: 0 ... 0 FINAL.. . DATE
NUM. OF CIRCIUTS: 0 1 OVER 600 AMPS.: 0 TEMP. POLES ' 0 1 801-1000 AMPS..: 0 .. 0 ; COMMENTS:
- - YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
- --__.____.--__.___.__-__..-__..-._.--. _-___.___------.!._-._
PERMITS EXPIRE 180 DMS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED B F IS TRUE !IND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGEN: DATE c ' 9
FILE COPY,
CITY OF FEDERAL WAY .7... PERMIT NO: ELE99-0690
33530 First Way South ELECTRICAL PERMIT ISSUED: 06/28/99
Federal Way, WA 98003 Electrical inspection Requests 253-661-4140 BY: FC
253-61-4000 EXPIRES: 06/21/00
ADDRESS:33501 :ii WAY S
MO. : 9265,04 -0010
PROJECT DESCRIPT ION:TI INSTALL NEW 90 AMP POO FOR CT SCANNER IN EXISTING ROOM, INCLUDING
NEN LIGHTS AND 10 RECPTICALS
r OWNER x=4.41=WM.====r=sseiMpa.utmX=WL4Itc...W.S.,,,,,,,===t1=6AMRAMMumr=,f= cognac* ===.===u;,4.rn&Mna==..,====mic, Au44A1.,===mmaa...q.N-4 ow .................—..........
1 VIRGINIA MASON 1 SASCO ELETRIC
1 33501 1ST NAY S 1 PO HX 3881
IFEDERAL WAY WA 98003 SEATTLE WA 98124-3881
253/874-1652 206-341-0938
SASCOE*051R6
1.1mAwr.h1=wwslimammft=41/,=-.m,,,,,==x,..- ,,,0414MK vmve-ov, ,,tre 4,..,..mr.===..W.u=nmr,==c,..a... .TM=.==a1=1.1=4,1. IL,MU,z4V=U4natcallt..Um....m.I.c=.2=Wa%=.V.I.=4..WrU==.,4=====X$5=11,14=1...
*** COAIIACTORS, PLUM 9S1:- 1001411t011'//72 VILAREPORIII6 SALES TAX FOR PROJECTS WITHIN THE CItY Of FEDERAL WAY. LAX RATE : II.6% us
,..........1=41a=ral.,tvrta,zol.r.7,191=1..-=:c..x., . . ...-r.e . .i*V.Maitfarifitix,rTlit, f,, ,,,,=.11W ale.ftal=tar...11..1 4:4,. ...,.....12.4%.......t.Z.,47.4...r....=........14.27062M1.,-G 4.14-t:(In==a=AC..1“,...1.5.76.,C.......M.12.9
1 / STRUCTURE INFORMATION I 1 * ht4 r,' !:'rlAt ' ' $ laILLANES 1 * RESIDENTIAL ALTERATIONS t * MULTI FAMILY NEN *
. .:
H14 c,f144:L k,,I., , gPVIIT OP qttr-P nO": ',.; „ 1-200 4,1041.,,,, .: n Atz SEY FEED
COWS! TYPEV-N
0-200 MM..: 0 ... 0
OCC. GROUP..:
, OUT BV1 DINGS. . U aRcict AN!. 1E1!:i!, : Is ' '.1400 AkR4..-..,4, 0 .k., 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 , le,-,,--- -, ,,,,,,,, , $aiiti- tik ftED141 tidEi: 0 , 00000 A$014%,4 C) *,",,,,, 414M.,400 AMPS.: 0 ... 0
1 SQUARE FEET.: 0 ',,. HAUNTER REPAU : 0 1,01-800 AMPS.: 0 ... 0
1 't
- -
I_ NUMBER OF CIRCUITS: 0
801 AND OVER.: 0 ... 0
II * COMM. ALTERATIONS * I IOW SERVICE t ' MISCELLANEOUS * I COMM/IND NEW * 1 INSPECTION RECORD Z
0-100 AMPS • 0 ... 0 SERVICE DATE
1 0-200 AMPS • 1 I 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 SKIMMING POOL..: 0 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 I SIGNS.,........: 0 601-800 AMPS...: 0 ... 0 FINAL., AWO` --- DATE4(2' 1-- 77
NUM. OF CIRCUITS: 0 OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
J.... YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0 i
TOTAL PERMIT FEES • 67.00 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
4,4Ve.-W4QautAMO.VaMalWmAM.M0=0*=,..Vintaxammmt.I.QL%.$24vg*==*.lemP.mg...Z0144.4[ft onm=r4MXWW3a=tga4=WS.MaMaataCtria wameta.u..amacummanamA.un.cmastamp,z, '-'— "f*-941
PERMITS EXPIRE 18A HAYS ATTER ISSUANCE IF NO NOIR IS STARTER.
I CERTIFY THAT THE INFORMATION TURNISVED IT ME IS TRUE AND CORPECI 10 THE MST Of NY KNOWS/ AND IRE APPLICABLE CITY Of FEDERAL WAY ILOVIREALNIS WILL HE NET.
, ,
OWNER OR AGENT ... ___ii ; ( ULA,' k,.., ) I _JJ :\2 fr..Q ', _ __1 t
_
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FIELD COPY
1 SETBACKS & l -,75` /`,j G J/
Date By
2 FOUNfiJTlt7t WALir$
Date By
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3 PLUMBING GROUNQWORii
Date By
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4 SI'A IR1StJEJITIOf�I
Date By
5 FOOTINtJDUWN$POtJF DRAIN
Date By
6 UNDERFLOOR FRAMING
Date By
7 SHEAR WALLS
Date By
8 PLUMBING ROUGH-IN
•
Date By
.......................... ..... .....
l3AS PIPING
9
Date By
10 MECHANICAL ROUGHIN
Date By
11 FfAMING
Date By
... ............................................................................................
.. ............... ............................................................................
12 INSULATION
Date By
13 GWB - 1ST LAYER
Date By
.... . . .. ..................................................................................
...... . ...................................................................................
14
Date By
15 USPENDED CEIi:ING
Date By
16 PLANNI FINAE. .
Date By
17 PUBLIC WORKS FtNAL
Date By
18 FIRE FINAL
Date By
19 BUILDING FINAL;:
Date By
.. ..... ........ .....................................
20 OTHER
Date By
CD0193(Rev 4/87)
06/22/99 TUE 13:33 FAX 2536614129 CITY OF FEDERAL WAY 1002
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cmrolu � ® v: BUII.DINGDM81oN
E� • 33530 First Way South
NYN>L- JUN L 8 199`Q Federal Way WA 96003
CITY op F (253)661-4000
RuILDI�D`^°` Fax(253)661-4129
ELECTRICAL P iMIT APPLICATION
"`Federal Way Business License number: Q� 8 Z ELEI - Vb
J°b Add 33 k F i --sr W N SoUttrA lob Site Phone - .5`f3
Parcel Na y� I A -� Lot No SubdivisionirName
p�
Ounerhenant V 11 1\ a 'v\a' \ Mail/tddro++ 1190 'v l t1�Y 1 rV V e Phone
C 111 c _ x,t n ane ,0, 1 Mo.-541 . d i38
Electrical.Contractor ��C_-) rC Add[ma/phona se � W n EIS^ aontraotor C-�p� 017S 1 (copy2
ca
ENTi,tir
'Vv C e®Datc:Iri... / 2(p / 99,
Use of E1dgt 0 SF R . Cl Comm IXOthesr o Multi Cl Churoh/Sehool Class of Work: ❑NeW Altmliwr Cl Addition Cl Rcpeu
Describe Work: Pd o- 90AAP-fern r -to EXIt ic9 2 down 11`In-rS / '7 —12-x.14- I i 9 h.t
,c--i)(t .„) io duLtD recF , I wifid , C rLi- -t aid wire
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 tt'-562;Each add'n 5001f _Service and feeder 67
Square Feet:
permit fee +$52. Add'l plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) _#of service or feeders
I _Each outbuilding or garage $41 (Firs servicelfeesler-$41;Add'n service/
(Inspected separately) feeder-$26 each)
t
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or mom)
,t of Thermostats(First tstat.331;a4d'n-510 ea) Amps Service or Add'n
t, #of Low voltage fire or burglar alarms Service Feeder Feeder
[(Residential:first 2500 ft-536;Each add'n 500 ft'-$1o) _Up to 200 amp .. . . S 67 $20 _0 to 100 $67 . , .. S 41
. (Commercial: 1-4 tone-536,Each add'n zone-SIC]) _201 -400 amp . . . . 83 41 _ 101 -200 83 52
401 -600 amp , . . . 114 57 201 -400 156 62
#of Signs (First sign-531;Each ad —
d'n sign 515) 601 -800 amp , . . . 146 78 _401 600 182 73
_Progress inspection per'/=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
inapectiiopts requested before 3:30pm will be (When inepectrd separately from the services,)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder 0 to 200 $67
1 hereby certify that l 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 _
m over 1000 261
agent)and amaking the installation or _Mast or meter repair 31 #of circuits
alteration in compliance with all applicable #of circuits (First 5 airouits-S52:Add'n circuit-55 each)
city,county,and/or state laws. (1-4 circuits-S41:Add'n circuits S5 each)
Temporary Service
Applicants Signature _0 to 100 $41
101 -200 52
I t 1 0 AO I`4 .201 --400 62
_401 -600 83
Date: ovcr 600 94
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