08-105287Ivi 0.
Community Electri dal
City of Federal Way
Community Development Services Permit #. 08- 105287 -00 -EL
P.O. Box 9718
Federal Way, WA 98063 -9718 Ins tion Re uest Line: 253 835' 3050
ec
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: ACE HARDWARE NORTHSHORE VILLAGE
Project Address: 35419 21ST AVE SW Parcel Number: 252103 9002
Project Description: Provide - install IN alarm system
Owner
Applicant
Contractor
GLEN & PATTI'S FEDERAL WAY
ALLIED SAFE & VAULT CO INC
ALLIED SAFE & VAULT CO INC
PO BOX 8164
3051 E VALLEY RD
ALLIESV275BB (1/31/10)
TACOMA WA 98418
RENTON WA 98057
3051 E VALLEY RD
RENTON WA 98057
Service greater than 1000 Amps ? ...........................No
f
Low Voltage - Burglar Alarm (Cor 1
I he
the
Owner or agent:
use
PERMIT EXPIRES Friday, November 6, 2009
Tal
of
,/,(/` Z
les ar
Way.
)8ii
he above described property and
ions of the State of Washington
Date: / — 6 " c z
rvuT
THIS CARD IS TO MAIN ON -SITE
CITY OF fommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105287 -00 -EL
Owner: GLEN & PATTI'S FEDERAL WAY
Address: 35419 21 STAVE SW
FEDERAL WAY, WA 98023 -3058
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections
or the inspection sequence. On -going inspections
are logged on the back of this card.
UFER Ground (4295)
Ditch cover (4030)
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By Date
By
Date
0 Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By Date
By Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By Date
By
Date
Final - Electrical (4055)
Approved
%By Date// j-z �?
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descriptioN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION E� ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
f� - „ 1 I t i _ - -I r\ .n 41k --7 -i 1(79 00
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
Aa � i �-
ECr-
0
MAILING ADDRESS
QTY OF
E -MAIL ADDRESS
FAX NUMBER
(1495) q3&
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V 0�
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V
✓
V
Federal Way
PERMIT
APPLICANT NAME
OFFICE PHONE
DPbf9e � FE �
33325 8't' AVENUE..
COFEDER
SF MF
CO ME
L DE EN FP
FEDERAL
FEDERAL WAY, AX 98063-9718 -260
253- 835 -2607• FAX 253- 835 -2609
;ATI
C
FAX NUMBER
O
N
a -3) - 09
r
(5a-
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www. ciiuo((ederalwau.com
E -MAIL ADDRESS
'Au-Tesv245i
1 -31 --1 C)
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The following is required igformation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATIO
SITE ADDRESS _�
-0
' 11-1L. P �`�I/1
SUITE /UNIT #
ASSESSOR'S TAB /PARCEL # _ _ _ _ _ - _ _ _ _
LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descriptioN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION E� ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
f� - „ 1 I t i _ - -I r\ .n 41k --7 -i 1(79 00
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
Aa � i �-
APPLICANT NAME
PRIMARY PHONE
( "�5� 9"�,s -5c6
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
FAX NUMBER
(1495) q3&
a� 10
COMPANY NAME
Qa
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
751 (i CL
CITY, STATE, ZIP
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
i - -o -
a -3) - 09
(425) ct8g -
(5a-
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
'Au-Tesv245i
1 -31 --1 C)
Lh0oseC Gj l i-0 -Sec
C MPANY NAME
A I 1 � d
APPLICANT NAME
OFFICE PHONE
(4?5) & o9
MAILING ADDRESS
305( 1' �)C�! kt-i
CITY, STATE, ZIP
EVA 9 &) ��
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT I r,,
13 Architect ❑ Tenant ❑ Agent 1P Other 1.w1A f, : -3-
FAX NUMBER
(1495) q3&
NAME ` p PRIMARY PHONE E -MAIL ADDRESS
Cbi', n VQ �Q1iVlCiX1 (o ) i - ')
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
�
--7 C
�I'Cj
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ! 4 l]
SPRINHLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
CHANGE OF USE?
c YES
c NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
c YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
TTED LOT? c YES c NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
c NO
NUMBER OF FLOORS
" 1°16
PnoPOSm
rmv
mrw msrINO Sr
rdrAL PROP[.B® er
TorALM
" *NEW HOMES ONLY"• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $.
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commerdal)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or'Nb /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS [ro(kt)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES c NO
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(N that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal�y ay as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense o such cla , which may 6e r¢ade 6y any person, including the undersigned, and filed against the city, but only
where such claim arises o of the r Lance o e i luding its officers and employees, upon the accuracy of the information supplied to
the city as a part of this „Jcation 11
SIGNATURE:
FOR 'OFFICE USE ONLY '
c NEW c ADDITION
c ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES c NO
BASIC PLAN?
c YES
c NO
ZONING DESIGNATION
CHANGE OF USE?
c YES
c NO
LNEW ADDRESS REQUIRED? ❑ YES c NO
UP /SEPA /SU?
c YES
c NO
TTED LOT? c YES c NO
DEMO PERMIT REQUIRED?
c YES
c NO
Bulletin #100 - January 1, 2008 Page 2 of 4 k\Handouts\Permit Application
• 0
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add'n 500 ft2 - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits- $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/Multi- Family $67.50
❑ # of service or feeders
(First service /feeder- $76.50; each add'n - $50.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 -100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add'n - $17.50 /ea)
(First sign - $57.50; add'n sign $27.00 /ea)
Low Voltage I C n,
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Additional Plan Review $115.00 /hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits $5.50
..
tat 2500 ft2- $67.50;
Each add'n 2500 ft2 - $17.50) ' Per WAC 296- 46- 910(5)(b)(i & i0
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application