07-106344 City of Federal Way Electrical Permit #: 07-106344-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: RITE AID
Project Address: 32015 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Installation of(6) new CCTV cameras,(1) monitor and relocate beadend.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES SYSTEM SOLUTIONS-LOW VOLT SYSTEM SOLUTIONS-LOW VOLT-
851 SW 6TH AVE SUITE 550 SERVICES,LLC SERVICES,LLC
PORTLAND OR 97204 9901 59TH AVE E SYSTESL946QH 11/8/08
PUYALLUP WA 98373 9901 59TH AVE E
PUYALLUP WA 98373
Additional Permit Information
Service greater than 1000 Amps9 No
Electrical Fixtures
Low Voltage-Other Commercial.. 2,500
PERMIT EXPIRES Thursday, November 20, 2008
Permit Issued on Monday, November 26, 2007
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 i accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: _ Date: t! \
kiA
Al' �`.. THIS CARD IS TO REMAIN ON-SITE
CITY of ° Community Development Inspection n Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106344-00-EL
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32015 PACIFIC HWY S
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) .❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
- ❑ Temporary Power (4275) ❑ Service(4235) .❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) .L-1 Ceiling Cover(4020) �❑ Final-Electrical(4055)
Approved Approved Approved
By Date . By Date By Date //` 7
❑ UFER Ground (4295) 111
Approved
By Date '
i
l
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved '
By Date B637 Date G G .'z7 0 7
Q. y
� RECEIVES • Q-. - .1 Q .4_ .
I<��eraIVVa�r PERMIT
COMMUNITY DEYELOPMENTSERVICES SF MF CO ME ''L PL DE EN PP
3332FEd elf SOUTH A 98 971 971d NOV s o P LI CATION
TO
�`�
- 753-835-260T FAX 253-035-7609 - / /
❑ww.ahmiTedgnhuag.om `Y OF FEDERAL WAY - .
The following is required i9glianti54iP tmn incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3 2.01 S P( .t frl.C. y S= SUITE/UNIT f
ASSESSOR'S TAX/PARCEL# . ( 0. E- (O - 6 _ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach separate pogo for lengthy toga/description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING O PLUMBING . ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1 1 i�' n4 Lt, (()N�,t1 CC-11-1 C4'rvu C�yLO(-S t(1-1 M O N 1102 ) AN D 2 L-Zi C A-T- (--/i»q--,L)6\4)-
PROJECT NAME(Name of Business or Owner Last Name) \ - er
rr.0 1 0
• PEOPLE INFORMATION
PROPERTY NAME� PRIMARY PHONE
OWNER Rl'r-i: f�7t� 'S/?S.. P.5-3) 944S-- 60//
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
37-° 1C PR-clerc- ?f-w-( S Ft-r, - , ,�kY ,A..,4-93'423
CONTRACTOR COMPANY NAME . APPLICANT NAME OFFICE PHONE
5Ysl-ANA SoLU1'ION5 1-uxiUot-r.3rc"` PPIA.L.14 5(4^W (as-3) S- -- SYO'
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
9Ci0 ( 4:-,- f"ir> C P6tXullkp (),..hi 7E-5-73 (3-f.,6 ) s� f - 3403
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
r�-'' '00632 - ,t:, ( - 3 ( Oi (a 3) us -go1?
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE E-MAIL ADDRESS S`lsr�s L_9 t r L C H i I'0 Se/c9-190
APPLICANT COMPANY roll / r APPLICANT NAME OFFICE PHONE _
(MAILING AGGRESS ••4N-� � 1('/"'. - CITY,STATE,ZIP .CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent a Other ( ) -
PROJECT NAME - PRIMARY PHONE E-MAIL ADDRESS
CONTACT 06'VL 40s IGIAJS (30 b)S-7-/ - 3 g ',
LENDER NAME Per RCW 19.27.095:
// Lender information is required if project salueceeds$5,000
MAIUN DRESS _- CITY.STATE,ZIP PHONE
/ ( ) -
• DETAILED BUILDING INFORMATION .
EXISTING USE „..----- tOPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLEREI)BUILDING? 0 YES LI N FIRE RESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
N
WATER SERVICE PROVIDER n LAKEHAVEN O HIGHLINE 17 TACOMA L7 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC) •
■
PROJECT FLOOR AREAS
AREA DESCRIPTION
• EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS manna PROPOesv TOTAL TOTAL=IMO at TOTAL PROPOSED al TOTAL Al —
**NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL .
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(comm<mloy
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS I;EFRIO.SYSTEMS
PLUMBING
{
BATHTUBS IoY Tub/Shower Combo) LAVS(coatroom swot( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
trolley
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
•
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 l 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 city as a part of this applicati on supplied to
SIGNATURE: /� C/ DATE \ 2-14, ( C/
Property Owner and/or Authorized Agent
•
rp. s
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?
❑YES- o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-August 16,2007 Page 2of4 . k\Handouts\PermitApplication
•
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL - COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 02-$35.50) ❑ 0 to 100 amp $120.50. $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
CI 801 - 1000 amp 516.50 216.06
NEW MULTI-FAMH,Y(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
CI 201 400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50 ❑ *of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mu/U-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74..00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-.600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;addh sign$26.00/ea)
Low Voltage ❑ swimming pool/hot tub. $111.00
Square Feet to be served by system(s) 5 00 (includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data to Cabling
(� `_ .1 ❑ Automation Fee on all Permits .. $5.00
1•t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC 29646-910(5)(b)f&ii)
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application