98-102623CITY OF FEDERAL
33530 First Way
Federal Way, WA
253-661-4000
WAY PERMIT
South ELECTRICAL PERMIT ISSUOED: E1 07/14/98
98003 Electrical Inspection Requests 253-661-4140 BY: FC2
EXPIRES: 07/08/99
ADDRESS:34509 9TH AVE S Unit: 304
NO.: 926480-0030
PROJECT DESCRIPTION : TI - ADDING 10 NEW CIRCUITS, FOR MEDICAL OFFICE
-- OWNER =___==--------- --_ CONTRACTOR LENDER
CARDIOVACULAR CONSULTANTS EXCEL ELECTRIC
34509 9TH AVE S 1300 5832 S ADAMS
FEDERAL WAY WA ! PO BOX 9127
{ TACOMA WA 98409
253-219-2718 j 253-475-6950
EXCELET077PH
m CONTRACTORS, PLEASE USE LOCATION CODE 1732 NNEN REPORTING SALES TAX FOR PROJECTS NITNIN THE CITY OF FEDERAL NAY.
# STRUCTURE INFORMATION NEW RESIDENTIAL #
CONST. TYPE.: V-N NEW SINGLE FAN.:
OCC. GROUP..: OUT BUILDINGS..: 0
OCC. LOAD...: 0-
SQUARE FEET.: 0
-# COMM. ALTERATIONS * TEMP SERVICE :�
MOBILE HOMES t
SERVICE OR FEEDER ONLY:
SERVICE AND FEEDER....:
SERVICE OR FEEDER (PK):
* MISCELLANEOUS
0
0
0
0-200 AMPS......: 0 !
0-100 AMPS....:
0
THERMOSTATS....:
0
201-600 AMPS....:
0
101-200 AMPS..:
0
LOW VOLTAGE....:
0
601-1000 AMPS...:
0
201-400 AMPS..:
0
SWIMMING POOL-:
0
OVER 1000 AMPS..:
0
401-600 AMPS..:
0
SIGNS..........:
0
NUM. OF CIRCIUTS: 10
OVER 600 AMPS.:
0
TEMP. POLES....:
0
....-------
YARD METER LOOP:
0
TOTAL PERMIT
FEES.......:
75.00
* RESIDENTIAL ALTERATIONS
0-200 AMPS......... 0
201-600 AMPS......: 0
OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 0
------------------
x COMM/IND NEW *
0-100 AMPS.....:
0 ... 0
101-200 AMPS...:
0 ... 0
201-300 AMPS...:
0 ... 0
301-600 AMPS...:
0 ... 0
601-800 AMPS...:
0 ... 0
801-1000 AMPS..:
0 ... 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MASTMETER RPR.:
0
TAX RATE : 8.2t sn
MUILTI FAMILY NEW
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
---------------------------------
* INSPECTION RECORD #
SERVICE DATE _
COVER.. DATE
FINAL.. DATE
COMMENTS:
PERMITS EXPIRE 1N0 PAYS AFTER ISSUANCE IF NO NORK IS STARTED.
I CERTIFY THAT TIN: ION FURNISHED BY NE IS T AND CORRECT TO THE NEST OF NY KNOULEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIRENENTS BILL BE NET.
OWNER OR AGENT i't/i �G - _ ___ _ DATE - -7" I `1 _ 9ty_
FILE COPY
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PERMIT NO: ELE9B 0711
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4 i AVf 4 5332 S HAMS
11KRAL VAT WA PO BOX 9127
TACOMA 44 98409
I-YCEL[1077PH
tas (911)RALIURS. KEASI WA LOCATION COK 1132 WEN REW)ING SALES TAX }OR FRWHIS 911019 ]WE CITY Of KKRAl NAY. TAX RAIL = 8.7% tts
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RESIDENFIAL Al-TH61IONS
MIJILTI FAMILY NEW I
SEV
(em"I" Tfp[.: V1
pfv sma FAH.:
SERVICE 09 FtUvEk OKY: 0
0-200 AMPS........:
0
0-200 AMP:?...: o
O(C. Gpollp.':
i OUT 0
st"161 MI) FEEDER....: 0
201-600 AMPS......:
0
201-4M AMPS.: 0 ...
0
00". LOAD...: 0
umu ult Fubo� (pl): 0
OVER 600 AMPS.....:
0
401-600 AMPS.- 0
0
411ARI fElf.:
MAST/MITER REPAIR.:
0
601-800 AMPS : 0
0
NUMBER OF CIRCUITS:
0
801 AND OVER.: 0 ...
0
(OMM. ALTERATIONS
TEMP SERVICE t
a MISCELLANEOUS
a r"M/1"D NEW I
INSPECTION RECORD
0-100 AMP'3 ..... : 0
0 SERVICE DATE
0-200 AMPS......: 0
0-100 AMPS....: 0
THIRMOSfAIS ......
0 101-200 AMPS...: 0
0
','.91 - 600 AMPS. . , . 0
101 -200 AMPS..: 0
LOW VOLTAGE ......
0 f lot-300 AMPS...: o
o COVER.. DAll
601 1000 AMPS..,: 0
201-41 wt AmpE�'.: 0
SOMMIK POOL..:
0 f 301-600 AMPS...: 0
0
OVER 1000 AMPS..: 0 401-600 AMPS_: 0 SIGNS........... 0 j 601-8% AMPS.... 0 0 FINAL,. bKTI
HUM. Of CIRCIUTI': 10 OVER 600 AMPS.: 0 TEMP. POW .... 0 901-1000 AMPS..: 0 0 COMMENTS:
- YARD METER LOOP: 0 I OVER ION AMPS.: 0 0
PERMIT qrS ....... : 0
(OTAL 75.00 1 OVER 600 VOLTS.: 0
"All!"ETER PPR.: 0
PfRNITS EXPIRE 100 DAYS Afilk ISSWE it NO lot is SIMI0.
I (Lallry mi Iw 14FORWION FNNISKD NY mi. 14; 1 Al) CORUCT TO IOL KST Of NY KNMEDGE AND THE AWKWE CITY Of fLKUL NAY REQUIRMNIS WILL It NET.
614.10, OF AGENT T DATE -7-
FIELD COPY
cm or
AL=7Y
UP 13 1998
wi 1 ►' ui 1 [_01-"L. WAY
to !!+� PT
ELECTRICAL PER"'Of APPLICATION
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax (253) 661-4129
ELE
Job Address 3L( 5 o Of 9'' A uQ . S . , "o I re 3C'+1 � �(� �� % �/ Job Site Phone (Z 5 3� Z (d/ -z2 7 I'S
Parcel No / �� r Lot No Subdivision Name 5 T-- hZ-(A NC 15 V�A � h.1 C A L
Owner S' a F (ZK> NC (S ftiAP-l)I C /0,L Mail Address '� ((K_O i C1+L- A \--'Z - S . Phone
%iSSUC1 TCS r� VJA
Electrical Contractor Mail Address PO 1�> X 9 7 Phone C71 S3) 47 - G Q S O
Xe,�c_ E(-Q`z-171c ov 1,4�crVNA ZNCO3; v,E
C, ( A_ -A -A `�8c{o9 xpircE�cl=�ETe77 Psi
t Expiration Date
Use of Bldg: ❑ SF Res Cora- 13Other O Multi O Churoh/School Class of Work: 0 New Alteration O Addition 17 Repair
Describe Work: 1 1o�+mac' il� Nc�w D��Ic�AT�I� C12ew(T (ZLQ(_uC_fI ie- U1� �'+^^�U�
OU'r-z_e 7-5 /izo_, e P7-,q C
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _ Service or feeder only $40
Occupancy Load: _ Single Family Service and feeder ........... 65
Square Feet:. (First 1300 ft -S60; Each add'n 500 W-$20)
MOBILE HOME/RV PARK
If service z 400 amp, plan review is req'd. Fee _ Each outbuilding or garage ..... $25 _ # of service or feeders
= 35% of permit fee +$50. Add'1 plan review (First service/feeder-$40; Add'n service/
for other submissions = $60)hr. feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_ # of Thermostats Amps Service or Add'n
(First thermostat-$30; Add'nthermostats-$10 each) Service Feeder Feeder
_ # of Low voltage fire or burglar alarms _ Up to 200 amp .... $ 65 ... $ 20 0 to 100 .......... $ 65 .... $ 40
(First 2500 ft -$35; Each add'n 500 ft. 410) _ 201 - 400 amp .... 80 40 _ 101 - 200 ........ 80 ...... 50
_ # of Signs _ 401 - 600 amp .... 110 ...... 55 201-400 ........ 150 .... 60
(First sign430; Add'n sign-$15 each) _ 601 - 800 amp .... 140 ....... 75 — 401 - 600 ........ 175 ...... 70
_ Progress inspection per hr .......... $60 -_ 801 and over ...... 200 ..... 150 _ 601 - 800 ........ 225 ..... 95
_ Swimming pool, hot tub, spa ......... 60 801 - 1000 ....... 275 .... 115
—Temporary Pole ................... 35 over 1000 ........ 300 .... 160
Yard Pole meter loops .............. 40 _ Over 600 volts surcharge ....... 50
_ Mast or meter repair ......... 55
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be (When inspected separately from the services.)
made the following work day, 661-4140. Altered Service or Feeders
Service or Feeder _ 0 to 200 ................... $ 65
I hereby certify that I am the owner (or _ 0 to 200 amp ................ $ 55 _ 201-600 ................. 150
authorized agent) of the above named property _ 201 - 600 amp ............... 80 _ 601 - 1000 ................ 225
or a licensed contractor (or firm's authorized over 600 ................... 120 over 1000 ................. 250
L'
agent) and am making the installation or `. Mast or meter repair ........... 30 # of circuits
alteration in compliance with all applicable # of circuits .................. 40 (First 5 circuits-$50; Add'n circuit-$5 each)
city, county, and state laws. (First circuit-$40; Add'n circuit-$5 each)
Temporary Service
A0 IIeant's Signature: _ 0 to 100 ................... $40
101-200 .................. 50
lM
. r _ 201-400 .................. 60
,zFF M11:k_y, .2ar,o1fiCtiR. /vDF TNwes 0-Ur—emet2 lit-L,-rNe. _401-600 80
Date: %— /-/— `?` over 600 ................... 90
ELWMC.A"
Remm sa6/97