10-100879 'Electrical
• City of Federal Way •
Community Development Services Pefmit #: 10-100879-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253
FIE.E
) 835-3050Ph:(253)835-2607 Fax:(253)835-2609
Project Name: 76 GAS STATION
Project Address: 33800 1ST WAY S Parcel Number: 926480 0235
Project Description: Adding(1)circuit for outside freezer
Owner Applicant Contractor
CONVENIENCE RETAILERS LLC S M E SOLUTIONS LLC S M E SOLUTIONS LLC
315 S JOHNSTONE 2302"A"ST SMESOSL931K1(5/21/11)
BARTLESVILLE OK 74004 TACOMA WA 98402 2302"A"ST
TACOMA WA 98402
f4 ^s nal Permit Information •
Ew'Wfrr. ,. .pec,
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
' 741:71C
Circuits-Commercial 1
PERMIT EXPIRES Saturday, March 5, 2011
Permit Issued on Friday, March 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 u e will be in acc rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. h
Owner or agent: 4 / y Date: 0
�
;Ar.ogL) 3/14/1°
THIS CARD IS TO REMAIN ON-SITE
CITY OF , 1
• Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-100879-00-EL Address: 33800 1ST WAY S
Owner: CONVENIENCE RETAILERS LLC FEDERAL WAY, WA 98003-6240
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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) s 0 Rough Electrical (4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical (4055)
Approved
Bye Date 3.1 1 1,..
El Rough Electrical El Final Electrical I=1Right of Way
Approved Approved Approved
By Date By Date By Date
i'evc3fifieW.-..' ay REC.
_ VVERMIT • MF CO ME A.S.47pL DE EN F?
COIVNIUNITY DEVELOPMENT SERVICES MAhARPLICATION /' - • . i
„ ..... .............
--".1
253-835-2607.FAX 253-835-2609
www.citmoffederalways_om
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SITE ADDRESS
.51.5boo 1_54- 600,„/ _S,
II
SUITE/UNIT ZO ING ASSESSOR'STAX/PARCEL II
1 6,
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NAME OF PROJECT
/7o7 /
(Tenant or Homeowner Name) ‘7
' IF
0 BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLITION W ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
. . . . .. _. . .. ._....... . .. ....... „:... .... 1:
NAME
Elie, k / / ‘ PRIMARY PHONE
PROPERTY OWNER ' / ley, / . ' ' ,
' / A
( ) -
MAILING ADDRESS CITY,Tjr):: „.. E-MAIL
3/,5-• -9. ,....../ boL 7yee
OWNER IS ALSO: ... 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONT CT
y
T NAME PRIMARY PHONE
I
I e'
_ 31 ) 16 ;3/60X-07t.(5 (.-.)_- 3).5-7j-- 3 .•,,,,',:a)..
1 MAILING ADDRESS,CITY,STATE,ZIP FAX
CONTRACTOR
d-30=j-- 1:-1A- '-10,LzipAr,_ ?LA..) A 9 /CL ( )
WA STATE CONTRACTOR'S LICENSE If EXPIRATI DATE FEDERAL WAY BUSINESS LICENSE* ,
5 ,g, / ii go --c 7-It17lci -et"Dt-,
NAME PRIMARY PHONE
( 0-)4,,,r\r° ( )
APPLICANT
MAILING ADDRESS,CITY,STATE,ZIP FAX
( ) -
PROJECT CONTACT NAME ,. PRIMARY
(The individual to receive and if t/aPHONE
( ) _
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application)
( ) _
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) _
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where suc cl im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied th city as a art of th application.
SIGNATURE: DATE....5 3 ---- /
0
PRINT NAME: fiteirk.....
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
........................................................................................
:<L< `I7 'Iti
:ICE `:, >'`::
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerci4
BOILERS FURNACES HOT WATER TANKS(Ge.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTTrOVES
�T �r� :t ...._13>;< "c > ><c lliiiii>> s>airi f> <= 3 <>it "': » r>i
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tnb/showerCombo) LAVS(Head Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(&tcben/uwity) WATER HEATERS(Electric)
HOSE BIBBS BUMPS WASHING MACHINES ::TOTAL:FVRES
E11E.AL .I F.R : A .N
PROJECT VALUATION \WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$. . $
EXISTING/PREVIOUS USE LOT (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
:i> IALI::iii `:::......:::is `......:: hili ?:::::`i i'iiil.:1 i Ell i3::33`
AREA DESCRIPTION fin square feet) 'EXISTING PROPOSED TOTAL FOR OFFICE USE '
BASEMENT` f
FIRST FLOOR(or Mobile Home)
SEtaf NT)PtbOF : (s i;
• COVERED ENTRY
REGI{ l
GARAGE 0 CARPORT 0 ''
OTHER ldescribe
awSTmO 4,, PROPOSED TOTAL
Area Totals fi
ESTIMATED SELLING PRICE$ r— #OF BEDROOMS
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AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
1)A Bm zxlNG....
t:
ADDITION
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AREA DESCRIPTION Area 1 Construction #of
Occupancy Group(s) Additional Information
in Square Feef Type Stories
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TENANT AREA ONLY
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Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Pelmit Application
ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet ,
(including attached garage): 1 Service/Feeder Additional Feeders
0- o0 eip X:$132 5b x: 8ilfl
FEES: First 1300 ft2-$122.00; 101:- 200:map
x$16440 x:$103:30
Each additional 500 ft2 -$39.00
NEW MULTIFAMILY (3 units or more)
401.-600 amp x$358:(10 x$14&50
.........._...............1....Servroe/Feeder... Additconal.Feeders. �.............. _..... .......................... �
801.-.1000iip x:$565soo x:$236:50
0:.....400:am
xr. 1
:: :64:00 x 8o:so
.
601.-S00amp x::$287:00 •x.....$15&50
Over:641A:'vtilla:3tlretiarg';e x:$103::50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders Se^nce/Feeder Addttwnai Feeders
.39:00
201 -600:amp x:$164;00 x $ 8t3:50 201 6Q0 atop x$307;00x:$121,Qt1
t79'e�. :�kTiEl�>: ..:: ''3k $;i+�6,SS�. . .....3 ,�:.:�►J�:x:1ta"3Q
601 >l000.amp x$463.00:;; x;$196 00
Over 1O00:amp . ..*$5t55Q::.:. _.''''''''''it:$328::5o
Added or Altered Circuits...
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuit
1-5 circuits$103.50; eac a itigDaal$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service os feeder:only x $ 80:50 0
$103.50 plus 35%of Permit Fee; Plan Review required for:
Service#f�Ri €eedeit *...:$132:50
❑ New,or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
O Fire Alarm System 1st Service/Feeder Additional Feeders
0 Security Alarm System
O Voice/Data Cabling lX 60spg » _ �[.i711i0 x 3 .€$3
O Other tl li3U:atep ' : .'.. $$0;50 x $ :39:00
Area to be served by system:
15t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
: ::
# of Thermostats
4Q1:=.�ZOQ am
First$60.50;each additional$18.50
elver 600::amp:. x::$1$a.so..::..:::::::.::: :.x::$:92:00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator(transfer equipment) x$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\llandouts\Permit Application