09-102813 1111 110 Electrical
City of Federal Way Q
Community Development Services Permit #: 09-102813-00-EL
P.O.Box 9718 FILE
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: LA INTERNACIONAL MINI SUPER
Project Address: 35425 21ST AVE SW SUITE C Parcel Number: 252103 9002
Project Description: Installation of wiring of voice/data/cabling
Owner Applicant Contractor
DAVID HOEK PUGET SOUND ALARM PUGET SOUND ALARM
DAVID'S FEDERAL WAY LLC 17555 15TH AVE NE PUGETSA175OH(5/31/11)
PO BOX 8164 SHORELINE WA 98155 17555 15TH AVE NE
TACOMA WA 98418 SHORELINE WA 98155
` -,;,.''''''';',14,,,-.4,14-'-',';',--"'4::'-';'' Additional Perr it' ormation:
Is Use Educational or Institutional? No Service greater than 1000 Amps9 No
Electrical
Fu 1
Low Voltage-Other(Commercial; I
PERMIT EXPIRES Saturday, July 24, 2010
Permit Issued on Friday,July 24, 2009
I hereby certify that the above information is correct and that the construction On the above describedproperty and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: CGZ1��04 Date: Lit//j 2'1 0
,L: .. o1z .1 ®9
- ' • THIS CARD IS T AIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 09-102813-00-EL Address: 35425 21ST AVE SW SUITE C
Owner: DAVID HOEK FEDERAL WAY; WA 98023
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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.
❑ UFER Ground (4295) - ❑ Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By -Date By Date
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o Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved . Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) .E Ro gh Electrical(4225) ' El Ceiling Cover(4020)
Approved Approved Approved
•
By Date Date rl 41_e9 7 By Date
.❑ Final-Electrical(4055)
Approved
Date "1--0 Q7
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For inspector reference only
O RoughElectrical
❑ FINAL-Electrical
Approved Approves .
By Date By . Date
I We, CV
09' _ / o z ,g.- /_.?
Federal Way PERMIT SF MF CO ME ®PL DE EN FP
JUL 2 4 2QOXPPLICATION / /
COMM[INITYDEVEfAPMENTSERVICES
253-835-2607•FAX 253-835-2609
wu,u,.cw°��°OF FEDERAL WAY
CDS PROPERTY
SITE ADDRESS
35-9 -25 2 ° Ave Sw
SUITE/UNIT# 1 ZONING ASSESSOR'S TAX/PARCEL 0
Su°°kC 2- 5-- zi 03 - � 0 SZ
PROJECT
NAME or PROJECT 1--/4-
^- / ��d C DV�- 11 N/ s 2
(Tenant or Homeowner Name) �T ��'���1�- f( /� !
z
❑BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
0
`�YC l��VC •Q0r :
PROJECT DESCRIPTION ,----�
DetaiI•d description of work to c, -\,‘
_ 1
be included on this permit only CC.)-Vae, 'f CA C� k-en" \ �'`O r e o� CAS ` r ielr . 0,�
(14.(,.,,,_ YY\ S t'e rtn . \
PEOP�E
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAIING ADDRESS,CITY,STATE.ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
7
AA
1 PRIMARY PHONE
v.
F � Ov.�n A� o.r . CO, ( 206)367 - /h/ Z
CONTRACTOR MAILING ADDR S,CITY.STATE,ZIP '/Sr FAX
\,7 cS c 15'c11 Ave Pc' S rc I e A- !t)Pt ( 2o )36S- -7 2 Z 9'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
NAME (� PRIMARY PHONE
APPLICANT � ,.).._%:„\ gc5v.v.c�l, A-V..,,,✓v. C O . S 2 U
MAI I ( `16G ) jN DRESS.CITY.STATE,ZIP FAX-
17SSs 154` Pkoe aS\ADiAivA 4)A-._ ( 7Z7)345--
PROJECT CONTACT NAME PRIMARY PHONE
('The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS.CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MA/LING ADDRESS,CITY,STATE.ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) _
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 as a part of this application.
SIGNATURE: -1'''' ''. ... ` e CI r4;yry-,
0 (f DATE
PRINT NAME:
Bulletin#100-4/21/2009 Page 1 of 4 k:\liandouts\Permit Application
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ELECTRICAL
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00 x$103.00
Each additional 500 ft2 $39.00 201- 400 amp x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50
1St Service/Feeder Additional Feeders 601- 800 amp x$460.50 x$195.00
0- 200 amp x $131.50 x $ 39.00 801-1000 amp x$562.50 x$235.50
201 -400 amp x $163.00 x $ 80.00 Over 1000 amp x$613.00 x$327.00
401 -600 amp x $223.00 x $111.00
601 -800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
0- 200 amp x $100.50 x $ 39.00 0- 200 amp x$131.50 x$103.00
201 600 amp x $163.00 x $ 80.00 201- 600 amp x$305.50 x$142.50
Over 600 amp x $245.50 x $111.00 1- 1000 amp x$460.50 x$235.50
Over 1000 amp x$513.00 x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 $103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x $131.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
O Fire Alarm System 1St Service/Feeder Additional Feeders
'(tf Security Alarm System
• Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
IA Other C C-0) 61- 100 amp x $ 80.00 x $ 39.00
Area to be served by system: / 500
lot 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 $120.00 x $ 60.50
#of Thermostats 401-600 amp x $163.50 x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application