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11-102741
pr I - Electrical City of Federal Way Community Development Services Permit #: 11 -102741 -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 G Project Name: SAFEWAY FUELING FACILITY Project Address: 1207 S 320TH ST Parcel Number: 150050 0020 Project Description: Provide new service and wiring for fuel dispensers, convenience store, vending kiosk and signage. Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No s) 0 -100 amp (C 1 New Service: 201- 400 amps (Con I hereby certify that the abo\ the occupancy and the use Owner or agent: y I�ZS�j2 Own Applican Contractor SAFEWAY INC TRI -M ELECTRIC LLC TRI -M ELECTRIC LLC U S CORPORATE 3509 NE 187TH CT TRIMEL *981PS (10/10/12) 5918 STONERIDGE MALL RD LAKE FOREST PARK WA 98155 3509 NE 187TH CT PLEASANTON CA 94588 LAKE FOREST PARK WA 98155 Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No s) 0 -100 amp (C 1 New Service: 201- 400 amps (Con I hereby certify that the abo\ the occupancy and the use Owner or agent: y I�ZS�j2 DATE r r r r DACL s le , r CITY OF Federal Way PERMIT #: Project: 11- 102741 -00 -EL SAFEWAY INC THIS CARD IS TO EMAIN ON -SITE Construction I ection Record INSPECTION REQUE TS: (253) 835 -3050 Address: 1207 S 320TH ST FEDERAL WAY, WA 98003 -5339 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. FER Ground (4295) Pool Bonding (4195) Ditch cover (4 30) El Slab /Concrete Floor (4255) Approved Approved Approved to place concrete C Date _ , j _, By Date By ( Datej — l Pool Bonding (4195) 0 Temporary Power (4275) Service (4235) Approved Approved Final Electrical Approved Approved By Date By Date Date B Date Date Feeders /Sub - panels (4045) Rough Electrical (4225) E] Ceiling Cover (4020) Approved Approved Approved B Date l o _ (I B Date, O . �" � � Date Final - Electrical (4055) Approved By ("_7 Date 1. _Z ! ~ Rough Electrical Approved Final Electrical Approved Right of Way - -� Approved By Date By Date By Date AL 7 CITY OF VV ELEC'T'RICAL P�MIT APPLICATION PL of f% *o t electrical permits may be obtained on -line at www.eityoffederalwqv.com PROPERTY INFORMATION ADDRESS: 2 `��'t'�� ?� L ©l r• �7�C / /TAX SUITE /UNIT /SPACE # ASSESSOR'S /PARCEL # CURRENT /PROPOSED USE ;, PROJECT NAME (Tenant or Homeowner Last Name) ����_ A �� (/ -� G / v/ T if?0 V BW T ✓ <✓ 18 rl% L —1— N — cnA PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIK&RY PHOM PROPERTY OWNER MAILING ADDRESS �J f � 7 f}' 2r "' ��.1} lVF cj E -MAIL CITY STATE ZIP FAR NAME PRIMARY PHONE MAILING ADDRESS ?�5 ��" �] GI E-ILVL ,rn. e'PG ✓I ELECTRICAL CITY STATE ZIP FAX CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT _ MAILING ADDRESS E -MAIL CITY STATE ZIP FAX PROJECT CONTACT NA ME tKi--- -\ PRIMARY PHONE � ,�Z--) 7_25- I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 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 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 cityV fncluding its officers and employees, upon the accuracy of the information supplied to the city as a pa7rt f this appii� ccN 77, - SIGNATURE: PRINT NAME: DATE 7/11 IL 33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160— January 1, 2011 Page 1 oft k: \Handouts \Electrical Permit Application ✓1% NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): FEES: First 1300 ft2 - $122.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) Additional Feeders x $ 39.00 x $ 80.50 X $111.50 X $153.50 X $307.00 ALTERED SINGLE or MULTI FAMILY 151 Service /Feeder 0 - 200 amp x $101.00 201 - 600 amp x $164.00 Over 600 amp x $246.50 Added or Altered Circuits 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 OMMERCIAL NEW COMMERCIAL 151 Service /Feeder 0 - 200 amp x $132.50' ; 201 - 400 amp x $164.00 401 - 600 amp x $224.00 601 - 800 amp x $287.00 Over 800 amp x $410.50 Additional Feeders x $ 39.00 x $ 80.50 X $111.50 X $153.50 X $307.00 ALTERED SINGLE or MULTI FAMILY 151 Service /Feeder 0 - 200 amp x $101.00 201 - 600 amp x $164.00 Over 600 amp x $246.50 Added or Altered Circuits 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 OMMERCIAL NEW COMMERCIAL Over 600 volts surcharge x $103.50 0 - 200 amp 201 - 600 amp 601 - 1000 amp Over 1000 amp ALTERED COMMERCIAL 151 Service /Feeder x $132.50 x $307.00 x $463.00 x $515.50 Added or Altered Circuits 1 -5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 Additional Feeders x $103.50 x $121.00 x $196.00 x $328.50 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 35% 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 I TEMPORARY SERVICE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: 151 2,500 ft2- $71.00; each additional 2,500 ft'-- $18.50 # of Thermostats First $60.50; each additional $18.50 Yard Pole /meter loops /pedestal x $ 80.50 Portable Generator (transfer equipment) x $101.00 Ditch cover/ inspection only x $121.00 151 Service /Feeder Additional Feeders 0 - 60 amp 151 Service /Feeder Add ijionaIFeeders 0 - 100 amp x $132.50 x $ 80.50 101- 200 amp x $164.00 x $103.50 201- 400 amp_ x $307.00 x $121.00 401- 600 amp x $358.00 x $143.50 601- 800 amp x $463.00 x $196.00 801 - 1000 amp x $565.00 x $236.50 Over 1000 amp x $616.00 x $328.50 Over 600 volts surcharge x $103.50 0 - 200 amp 201 - 600 amp 601 - 1000 amp Over 1000 amp ALTERED COMMERCIAL 151 Service /Feeder x $132.50 x $307.00 x $463.00 x $515.50 Added or Altered Circuits 1 -5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 Additional Feeders x $103.50 x $121.00 x $196.00 x $328.50 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 35% 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 I TEMPORARY SERVICE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: 151 2,500 ft2- $71.00; each additional 2,500 ft'-- $18.50 # of Thermostats First $60.50; each additional $18.50 Yard Pole /meter loops /pedestal x $ 80.50 Portable Generator (transfer equipment) x $101.00 Ditch cover/ inspection only x $121.00 151 Service /Feeder Additional Feeders 0 - 60 amp x $ 71.00 x $ 32.00 61 - 100 amp x $ 80.50 x $ 39.00 101 - 200 amp x $103.50 x $ 51.00 201 -400 amp x $121.00 x $ 60.50 401 - 600 amp x $164.00 x , $ 80.50 Over 600 amp x $184.50 x $ 92.00 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A $6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the application form, contact the Permit Center at 253- 835 -2607 33325 8" Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 - January 1, 2011 Page 2 of 2 k: \Handouts \Electrical Permit Application