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10-101671 l E1ectriCa1 City of Federal Way Community Development Services Permit #: 10-101671 -00-EL P.O.Box 9718 Federal Way,WA 98063-9718 ILE Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: SAFEWAY STORE NO.477 Project Address: 28810 MILITARY RD S Parcel Number: 042104 9110 Project Description: Low voltage for refrigeration/HVAC control systems Owner Applicant Contractor SAFEWAY INC STORE 0477 TRUETEMP NORTHWEST INC(GENERAL) TRUETEMP NORTHWEST INC 1371 OAKLAND BLVD SUITE 200 1627 45TH ST E SUITE 101 (ELECTRICAL/LOW VOLTAGE) WALNUT CREEK CA 94596-8408 SUMNER WA 98390 TRUETNI000BL(6/7/10) WA 1627 45TH ST E SUITE 101 SUMNER WA 98390 V:37, 4VANSIMP' Is Use Educational or Institutional? No Service greater than 1000 Amps? No Low Voltage-Other(Commercial; 1 PERMIT EXPIRES Thursday, May 5, 2011 Permit Issued on Wednesday, May 5, 2010 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 ir and the City of Federal Way. 9 Owner or agent: G Date: S`"/0 Qpiag-1-40 II / 3/ft, R THIS CARD IS TO REMAIN ON-SITE ' CITY°F 0Construction Inikction Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 10-101671-00-EL Address: 28810 MILITARY RD S Owner: SAFEWAY INC STORE 0477 FEDERAL WAY, WA 98003-7913 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. O UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By C`- Date 1 ,tS, Final-Electrical(4055) Approved By . A Date \i,,,,t _ 1,0, ❑ Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • • RECE41tPVED Alk 7 , / Federal Way APR 2 6kLECTRICAL 0 CTI( 0 PE " if AAPPLICATION **Most electrical permits may be obtained on-line at www.cityoffeder ay.com** PROPERTY nwoRMATION SITE ADDRESS: 5S /D fel l % /e • S SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL N CURRENT/PROPOSED USE © a L - 9LL0 PROJECTINFORMATION i PROJECT NAME C (Tenant or Homeowner Last Name) 7 NE ela•J i'e i 16424-710iJ/N✓itc Cowl-pc.) L $�SY ori PROJECT DESCRIPTION Detni1Pd desaiption of work to e l be included on this permit only 60-1- PEOPLE �!1 PEO I NAME PRIMARY PHONE PROPERTY OWNER f- A-i; #2.71 71 ( ) - MAILING ADDRESS E MAI /37/ oak sb 8141.6 5 E Zoo CITY STATE ZIP FAX wf1-1--w(4r CFEE CA 995g4> ( ) - NAME PRIMARY PHONE.... 7',P jei /' A/LAJ, ( 2,53)624 -96ifo MAILING ADDRESS E-MAIL ELECTRICAL / ag7 Yom`` Sr c. STEO / brlall,5(,fPu 4 14-041 CONTRACTOR CITY STATE ZIP FAX �f-LvY1NE-� CJ A- 9239'LJ vs-.3 )g)6 -975V WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 7'�uE7 952L3 03'9_31) co!- 2O-L NAME PRIMARY PHONE APPLICANT 7/246-7-Ern P A iI• (2c3)g 9�/V MAILING / ',/,5 SrE• S. /6 1 his 4111,S l'Y l f !eevidAW.GUir. CITY STATE ZIP FAX 6(4 nitNe44-- W4 elg37 ()-6-3) g -975-0 ,n�IN PRIMARY PHONE PROJECT CONTACT -13 Q16 (4 7 0253)S -g(o Y() I certify under penalty of penury that I am the property owner or authorized agent of the property owner.I certify that to the best of mg knowledge,the information submitted in support of this permit application is true and correct.I cert(fy that I will comply with all applicable City of Fele rod 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 owners 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 o the reliance of the city, including its officers and employees, upon the accuracy of the irybrnatian supplied to the city , a •, of this application. SIGNATURE: — " / /' DATE 02 1 JO PRINT NAME kg/ nt u ti/ 33325 IP Avenue South•P()Box 9718•Federal Way•WA•98063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#16i)—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application j 41 • • ' • RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): l st 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 500112-$39.00 201- 400 amp x$307.00 x$121.00 NEW MULTIFAMILY(3 units or more) 401- 600 amp x$358.00 x$143.50 151 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 1St Service/Feeder 1=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 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 TEMPORARY SERVICE ❑ Fire Mann System ElAlarm I st Service/Feeder Additional Feeders Securityavoice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00 other to61-100 amp x $ 80.50 x $ 39.00 Area to be served by system: 26-,n0 1'2,500112471.00;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 Qf FEE CALCULATIONS 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 • For assistance in calculating fees or completing the ( equipment) x$101.00 application form,contact the Permit Center at Ditch cover/inspection only x$121.00 253-835-2607 33325 8•Avenue South♦PO Box 9718♦Federal Way♦WA♦98063-97181253-835-2607•fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application