98-103393CITY OF FEDERAL
33530 First Way
Federal Way, WA
253--661--4000
qg., 10 �,'6023
WAYpp � _ pp PERMIT NO: EL_E98-0974
South E L 1G�:. 4 ,��111.II I �4,...�"°'yi 9.�.. PE .. ISSUED: 09/02/98
98009 Electrical Inspection Requests'253--661-4140 BY: FC2
EXPIRES: 08/27/99
ADDRESS:33301 9TH AVE S
NO.: 926501--0130
PROJECT DESCRIPTION: NURSE CALL, 1 ZONE
- OWNERS-__===_�=�___=__===-----�� CONTRACTOR - ---- _�__——_--=----- LENDER
SIGNAL & COMM INSTALLERS INC
1212 31ST SE
AUBURN WA 98092
I
' 253-804-4419
SIGNACIO4400
Y s;; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE : 8.2t ss
* STRUCTURE�INFORMATION *
* NEW RESIDENTIAL *
$ MOBILE HOMES *'-
* RESIDENTIAL
ALTERATIONS *
* MUILTI FAMILY NEW
E
!
E
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 *
* COMM/IND NEW *
I*
INSPECTION
RECORD
F201-300
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....;
1
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: 0
OVER 600 AMPS.:
0
TEMP.'POLES....:
0
801-1000 AMPS..: 0
0
COMMENTS:
YARD METER LOOP:
0
OVER 1000 AMPS.: 0
0
TOTAL PERMIT FEES.......:
28.00
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE ATIQN FURNISHED BY ME I AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
l . "
OWNER OR AGENT �_ _—____._______ DATE
FILE COPY
PERMIT NO: ELE98-.0974
'WAY
lc,-;�--lJLD: 0',')//02/" , 8
Fi!-- C. -T R I ("."A L. p E P.-PrIT
,t E E
w"yt-qA 3 (72
9111 f)vL. 1�
PROJEC't DESCR lPl'J()lA:NURSE CALL, 1 ZONE p toell LENDER
(t ACIDA SIGNAL t COMM INSTALLERS INC
1212 31ST SE
AUBURN WA 98002
253-804-4419
CONfRACTORS, PLEASE USt LOCATION CODE 1132 VKI umllG SALES iAX FOR PAwcas mumN THE CITY or Tom WAY. TAX RATE = 8.2% to
SilRUCTURE INFORMATION NEW RESIDENTIAL MOBILE HOMES RESIDENTIAL ALTERATIONS MUILII FAMILY NEW
SEV FEED
(ONST. TYPE.: V-N I NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 I D-24u AMPS.... 0-200 A"pS...: 0 ... 0
1 r�
Occ. GROUP..: M)T BURDINGS..: 0 SERVICE UD FEEDER..,..: 0 201-100 ape..... 201-
400 AMPS.: 0 — 0
OCC. LOAD... SERVICE OR FEEDER (PK): 0 k WER 609 AMPS4 '.: 0 Q-60 AMPS.: 0 — 0
SQUARE FEET.: NAST/METER REPAIR0 66 -000 AMPS.: 0 0
NUMBER or CIRCUITS: 0 801 AND OVER.: 0 0
COMM. ALIERATIONS 11"k SERVICE MISCELLANEOUS COMMAND NEW j k INSPECTION RECORD
0-100 AMPS.....: 0 ... 0 SERVICE DATE
0-200 AMPS......: 0 0-100 AMPS—.: 0 THERMOSTATS....: : 0 101-200 AMPS...: 0 ... 0
loi-
201-600 AMPS....: 0 101,200 AMPS-: 0 LOW VOLTAGE....: l 1 300 AMPS...: 0 0 COVER. DATE
601-1000 AMPS...: 0 # 201-00 AMPS..: 0 SWIMMING POOL-: 0 301-600 AMPS—: 0 0
SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL..
OVER 1000 AMPS..: 0 401-600 kMPS---- 0 DATE
HUM. OF CIRCIUTS: 0 i OVC? 600 AAPS.: 0 TEMP. POLES....: 0 801-1000 AMPS-: 0 0 COMMENTS:
-- - YARD METER LOOP: 0 OVER 1000 AMPS.: 0 0
TOTAL PERMIT FEES ....... OVER 600 VOLTS.: 0 28.00 MAST/METER RPP.: 0
PERNITS EXPIRE 180 DAYS AFTER ISSUANCE If NO VW IS STARTED.
I CLRlIfy THAT THE MOTION ruftlism IV AL 1�-= AKD CORRE(j 10 IRL KSJ OF NY KIWENE AND THE APPLICABLE CITY Of FEDERAL NAY REQUIRL"LNIS WILL BE NET.
OWNER OR AGENT
FIELD COPY
CDO193
arror r� BUH DING Dr,7M0N
441
33530 First Way South
Federal Way WA 98003
(253)661-4000
- � 1998 Fax (253) 661-4129
ELECTRICAL. PERMIT APPLICATION
* * *Federal Wa Business License number: ELE 98
Job Address /h� �/�% (i -; Ltr,(� { �/%LC ~ C'�' Job Site Phone
Lot No Subdivision Name
Owner/tenant
Mail Address
Phone
Electrical %nntractor�_ _ 9.A1 '& ph 9 _3 0 ��% �c5 �� ' r (COPY 4'd):
r h el
Ele a ,aonl f liocnso m eer co r e
C �C�9�fl�L��i. L1- 1`�C � 5 •"rCr i , , f� ,. s7�q Expiration Date: V f .20 l
Use of Bldg: O SF Res ItComm 0 other o Multi ❑ Church/School Class of Work: ❑ New o Alteration *Addition r] Repair
Describe:
If service is greater than 200 amp, a
plan review is req'd. Fee is 35% of
permit fee +$50. Add'1 plan review
for other submissions is $60/hr.
MISC EQUIPMENT/TEMP SERVICES
_ # of Thermostats (Firstt-stat-$30; add'n-$10 ea)
k,"# of Low voltage fire or burglar alarms
k (Residential: first 2500 f -$35; Each add'n 500 ft -$10)
(Commercial: 1-4 zone-$28, Each add'n zone-$7)
_ # of Signs (First sign-$30; Each add'n sign $15)
_ Progress inspection per hr .......... $60
_ Swimming pool, hot tub, spa ......... 60
_ Temporary Pole ................... 35
Yard Pole meter loops .............. 40
Inspections requested before 3:30pm will be
made the following work day, 253.661.4140.
I hereby certify that I am the owner (or
authorized agent) of the above named property,
or a licensed contractor (or fmn's authorized
agent) and am making the installation or
alteration in compliance with all applicable
city, county, and/or state laws.
Applican 's ignature:
_ V'f
Date:
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 ft -$60; Each add'n 500 f -$20)
Square Feet:
_ Each outbuilding or garage ..... $25
NEW MULTI -FAMILY
(Includes three units or more)
Service Feeder
Up to 200 amp ....
$ 65
..... $ 20
201 - 400 amp ....
80
...... 40
_ 401 - 600 amp ....
110
...... 55
601 - 800 amp ....
140
...... 75
801 and over ......
200
..... 150
ALTERED SINGLE/MULTI FAMILY -
(When inspected separately from the services.)
Service or Feeder
_ 0 to 200 amp ................ $ 55
_ 201 - 600 amp ............... 80
_ over 600 ................... 120
_ Mast or meter repair ........... 30
_ # of circuits .................. 40
(First circuit-$40; Add'n circuit-$5 each)
MOBILE HOMES
_ Service or feeder only ..... _ $40
Service and feeder ....... _ 65
MOBILE HOME/RV PARK
# of service or feeders
(First service/feeder-$40; Add'n service/
feeder-$25 each)
COMMERCIAL/INDUSTRIAL
Amps
Service or
Add'n
Feeder
0 to 100 ..........
^_
$ 65
.... $ 40
101-200
........ 80
..... 50
201-400
........ 150
..... 60
401 - 600
........ 175
..... 70
v 601-800
........ 225
..... 95
^ 801-1000
....... 275
.... 115
over1000
........ 300
.... 160
_ Over 600 volts surcharge ,......
50
Mast or meter repair ...........
55
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
_ 0 to 200 ...................
$ 65
u 201-600 .................
150
— 601-1000 ................
225
over 1000 .................
250
— # of circuits
(First 5 circuits-$50; Add'n circuit-$5 each)
Temporary Service
0to 100.................1.
$40
101-200 ...................
50
201-400 ...................
60
401-600 ..................
80
over600 ...................
90
EIEC-MIC.APP
REmm 7/30/98