11-103913. - 4
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0 FI` I..
Project Name: SAFEWAY STORE
Project Address: 1207 S 320TH ST
0 Electricoal
Permit #: 11- 103913 -00 -EL
Project Description: Install wiring for fire alarm system for Pharmacy area
Inspection Request Line: (253) 835 -3050
Parcel Number: 150050 0020
Own r
Applican
Contractor
MGP IX SUNSET SQUARE LLC
ULTIMATE SECURITY & SOUND
ULTIMATE SECURITY & SOUND
425 CALIFORNIA ST FLOOR 11TH
7710 53RD AVE SW
ULTIMSS932JO (4/20/13)
SAN FRANCISCO CA 94104'
UNIVERSITY PLACE WA
7710 53RD AVE SW
UNIVERSITY PLACE WA
Is Use Educational or Institutional ? ....................... No
Low Voltage - Fire Alarm (Comm( 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, September 26, 2012
Permit Issued on Tuesday, September 27, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
Ad the City of Federal Way.
Owner or agent: �ti G. Date:
T
7
CITY OF 4At�
Federal Way
PERMIT #:
11- 103913 -00 -EL
THIS CARD IS TO MAIN ON -SITE {
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1207 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC 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.
Final - Electrical (4055)
Approved
By �� S Date 10 _
EJ
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By �� S Date 10 _
EJ
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
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 V C S Date
_
Final - Electrical (4055)
Approved
By �� S Date 10 _
EJ
Rough Electrical
Approved
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
'�► 0 01 -
1 o T-9
c ® ELECTRICAL
SEP 2 7 ,'l a PERMIT APPLICATION
CITY OF FED ff ,,�p!!
�t
**
�i�cal permits maybe obtained on -line at www.cityo ederalway.com
SITE ADDRESS: 2U7 S �j•� �/
SUITE /UNIT /SPACE #
ASSESSOR'S TAX /PARCEL #
_J 25— 00 5 U — CEO 27v
CURRENT /PROPOSED USE
PROJECT NAME
Hom.eoumer Last Name)
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(Tenant or
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PROJECT DESCRIPTION
Detailed description of work to
be included this
`i S at J ltiiY+n,u t Z,
on permit only
U"I , t , , .
NAME
PRIMARY PHONE
PROPERTY OWNER
f;,Ct� , t1
( ) -
MAILING ADDRESS
E -MAIL
CITY STATE ZIP
FAX
( )
NAME ,�.
PRIMARY PHONE
MAILING ADDRESS
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L..t ri i L` %-MAI`L rYe `1
ELECTRICAL
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CONTRACTOR
CITY
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STATE
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ZIP
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FAX
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
CA, s 43Z "5-0
FEDERAL WAY BUSINESS LICENSE #
-
NAME .�
r' °`'`"t 1
PRIMARY PHONE
(2 ` 3) jq� a�cE - V 3C /
APPLICANT
MAILIN ADDRESS /
�yVle
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CITY 7_1�il
ZIP
FAX
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PROJECT CONTACT
NAME
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PRIMARY PHONE
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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 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 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 supplied to the city of this app ication.
Tapart
DATE
-
��
SIGNATURE:
(
PRINT NAME:
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 I of 2 k: \Handouts \Electrical Permit Application
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)
1st Service /Feeder Additional Feeders
ALTERED SINGLE or MULTI FAMILY
1st Service /Feeder
301 600 amp x $164.00
Ovex 600:azligl _ ;"x "$246.50
Added or Altered Circuits .
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder: only:: - x $ 80.50
Sz eice aiidfeder , , .. x $132.50
NEW COMMERCIAL
11t Service /Feeder Additional Feeders
0 x.$132.Sf1.: .. , x G.;$O.SO
101— 200 amp x $164:00 x $103.50
401 —'600 amp. x,$358.00 x $143.50
601 X00 amp
<lvei .1(}00 ampa. 1 1 , 6 -16 00.
Over 600 volts slreharge'. ; x$103.50
ALTERED COMMERCIAL
152 Service /Feeder Additional Feeders
..,,., ?$3250: x.nc $103..50
Over ,1000 amp: x $515.50 x$328.50
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• 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 359/o = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS SERVICE /EQUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2- $71.00; each additional 2,500 ft2- $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
TEMPORARY SERVICE
11t Service /Feeder Additional Feeders
0 60;amp x $ ,7t 00 $ :32".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 ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 kAHandouts \Electrical Permit Application