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10-103419' City of Federal Way Electrical • • Community Development Services Permit #. 10-1 03419-00-EL P.O. Box 9718 Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q Project Name: WINCO FOODS Project Address: 160 SW CAMPUS DR Parcel Number: 415920 0710 Project Description: Altering up to 5 circuits to rewire a walk -in cooler. Owner Applicant Contractor WINCO FOODS LLC JERRY ASBJORNSEN CITY ELECTRIC INC OF TACOMA PO BOX 5756 CITY ELECTRIC INC OF TACOMA CITYEIT461BA (5/3/12) BOISE ID 83705 2919 S ALASKA AVE 2919 S ALASKA TACOMA WA 98419 TACOMA WA 98409 Is Use Educational or Institutional ? .......................No Circuits - Commercial .................... 5 PERMIT EXPIRES Wednesday, August 10, 20 the Service greater than 999 Amps? .............................No use will be in d W and the City of Federal Way. Owner or agent: U I a Date: 0 I I U f 1 U FINALED $ /13//° CrrY O Federal Way PERMIT #: • THIS CARD IS TO ON -SITE Construction Ins fr on Record INSPECTION REQU TS: (253) 835 -3050 10- 103419 -00 -EL Address: 160 SW CAMPUS DR Owner: WINCO FOODS LLC FEDERAL WAY, WA 98023 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. Approved I I `- /—\ Approved By Date I I By )4:2�/ Date R . `U -fb EJ Rough Electrical Approved D Final Electrical Approved Right of Way Approved By Date By Date By Date � _ f CJ � L cow or JVED –L - � — — — —L _ E Fed ELECTRICAL AUG 10 ?'PERMIT APPLICATION CITY OF � RAL WAY * � electrical permits may be obtained on -line atwww.citvoffederalway.com ** fir: {`cy - �*�n",k.' t k K ��+�"r "'� �_.. � '�rr r�� «E' rf,. xt't. d '�i ..v •e ;�;6t 'i "r SITE ADDRESS: a� S ix) A Z&A SUITE /UNIT /SPACE 0 ASSZMWWS TAR /PARCEL M CURRENT /PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION W I P -) k) CO 0 L Detailed description of work to be included on this permit only s` aw s 3 9 ''. "• b ewe r�bw °. 1 'a a.: - . m s.. ,ti .-z t t r a .F ,r.:� ..3 r;;'€F c yw _ f" x € �2'., .: NAME PRIMARY PHONE PROPERTY OWNER o I .0 to r on D S (Z 5 3 )1S 38 - -7)0? MfULING ADDRESS E-MAIL CITY STATE ZIP FAX 415 E- ) b X7501 ( ) - NAMZ PRIMARY PHONE VC- of ! � C zs3) 6a7 ASS r MAWN ADDRESS 2 i S A L\ S K Z-MAM ELECTRICAL CONTRACTOR CITY STATE ZIPq FAX -A a )1 10 `1 2S6 )E��` WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDZRAL WAT ZDSUHM LICENSE N CtT 4 E i , -12 I� - � 33_CD. -0 -NAME _ PRIMARY PHONE (Z� 3) °10 APPLICANT M DRESS � ALA SIL A J��` c� c; y F kcTvto CITY TACO, STATE w>9 ZIP 1/ FAX (253 )07 _ ZS 70 PROJECT CONTACT NAME PRIMARY PHONE I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certtfy that to the best of my knowledge, the information submitted in support of this permit application is true and correeL I certify that I will comply with an applicable City of Federal Way regulations pertaining to the work authorised 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 Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppiisat to the city as a part of this application. SIGNATURE: PRINT NAME:��� spol)(1) 33325 80' Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063 -9718 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 – April 9, 2010 Page 1 of 2 kMandouts\Electrical Permit Application AOL RESIDENTUW C MERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): 1s1 Service /Feeder Additional Feeders 0 - 100 amp x $132.50 x $ 80.50 FEES: First 1300 ft2 - $122.00; 101 - 200 amp x $164.00 x $103.50 Each additional 500 ft2 - $39.00 201 - 400 amp x $307.00 x $121.00 NEW MULTIFAMILY (3 units or more) 401 - 600 amp x $358.00 x $143.50 1W Service /Feeder Additional Feeders 601 - 800 amp x $463.00 x $196.00 0 - 200 amp x $132.50 x $ 39.00 801 - 1000 amp x $565.00 x $236.50 201 - 400 amp x $164.00 x $ 80.50 Over 1000 amp x $616.00 x $328.50 401 - 600 amp x $224.00 x $111.50 601 - 800 amp x $287.00 x $153.50 Over 600 volts surcharge x $103.50 Over 800 amp x $410.50 x $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1s1 Service /Feeder 1st Service /Feeder Additional Feeders 0 - 200 amp x $101.00 0 - 200 amp x $132.50 x $103.50 201 - 600 amp x $164.00 201 - 600 amp x $307.00 x $121.00 Over 600 amp x $246.50 601 - 1000 amp x $463.00 x $196.00 Over 1000 amp x $515.50 x $328.50 Added or Altered Circuits 1 -4 circuits $80.50; each additional $8.00 Added or Altered Circuits 1 -5 circuits $103.50; each additional $8.00 Mast or meter repair $60.50 Mast or meter repair $111.50 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder only x $ 80.50 Plan Review required only for: Service and feeder x $132.50 • New, or alteration to, service of 1,000 amps or greater • Medical /Educational /Institutional Facility $103.50 plus 350% of Permit Fee (Permit Fee x 35% = + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50 /hour MISCELLANEOUS SERVICE/ EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 111 Service /Feeder Additional Feeders ❑ Security Alarm System ❑ Voice /Data Cabling 0 - 60 amp x $ 71.00 x $ 32.00 ❑ Other 61 - 100 amp x $ 80.50 x $ 39.00 Area to be served by system: 1st 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50 101 - 200 amp x $103.50 x $ 51.00 201 - 400 amp x $121.00 x $ 60.50 # of Thermostats 401 - 600 amp x $164.00 x $ 80.50 First $60.50; each additional $18.50 Over 600 amp x $184.50 x $ 92.00 FEE CALCULATIONS # of Signs First $60.50; each additional $28.50 . Fees are determined by the scope of work as indicated. Yard Pole /meter loops /pedestal x $ 80.50 • A $6.00 Automation Fee will be added to all permits. Portable Generator (transfer equipment) x $101.00 • For assistance in calculating fees or completing the application form, contact the Permit Center at Ditch cover /inspection only x $121.00 253 -835 -2607 33325 a Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063 -9718 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 # www.cityoffederalway.com Bulletin # 160 - April 9, 2010 Page 2 of 2 k:\Handouts \Electrical Permit Application