11-102731 3 Y •
Electrical
City of Fedal Way
Community DevelopmenterServices Permit #: 11-102731 -00-EL
P.O.Box 9718 6
Federal Way,WA 98063-9718 .�a
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P 4
Project Name: RITE AID
Project Address: 32015 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Alteration of(9)circuits for receptacles,ligthing and drops for gondolas in consultation
room.
Owner Applicant Contractor
RITE AID CORPORATION SOUTHGATE ELECTRIC INC SOUTHGATE ELECTRIC INC
7112 MEADOWDALE BEACH RD 23444 30TH AVE S SOUTHEI366P1(8/30/11)
EDMONDS WA 98026 KENT WA 98032 23444 30TH AVE S
KENT WA 98032
•
44,44-Z,';,- • °. 4 a •n i` a •. tiOrt 'tea w 3
n
Is Use Educational or Institutional? No Service greater than 999 Amps'? No
e ".tt�x m. . ,:�ik.m ne s i.j "t. . q1...A'.�.
Circuits-Commercial 9
PERMIT EXPIRES Tuesday, July 10 2012
• Permit Issued on Monday, July 11, 2011
I hereby certify that the above information is correct and that the construction on the above describedproperty and
the occupancy and the use will be in accorda e with the laws, rules'and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date: 7,/ii
File , D t ZL //
+
rTHIS CARD IS T MAIN ON-SITE
CITY OF
0 Construction I ection Record
Federal Way INSPECTION REQUE TS: (2.53) 835-3050
PERMIT#: 11-102731-00-EL Address: 32015 PACIFIC HWY S
Project: RITE AID CORPORATION FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date B(i/ Date 7 4?___,,,I I , ,t-4S, Date? z / - //
El Final-Electrical(4055)
Approved
4 Date-7. 77,..�/
❑ Rough ElectricalCl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ` / [ — j_ O 1
Federal Way v.LeVstiPERMIT -(�(� 'COMMUNITYDEVELOPMENMF CO ME &PL DE EN FP
33325 DEAVENUE SOUTH< ")
p p T I 1 l I
FEDERAL WAY,WA 980$ A l 1 j J TD /
253-835-2607•FAX 253-835-2609 PQ,L,
u_!nv rifuof(edertilwatt•com it l` -. ..��nn����
The following is required infor,,, 9 L nVk1L s zpiete application will not be accepted. Please print legibly(in ink)or type.
O PROPERTY INFORMATION
wd
SITE ADDRESS 3 I®I5 ?Ac-1 ft C., y ft F..2. 4'r/
''Z'„` 4 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# / - LOT SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desorption/
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) I
7....:4-14-;14*- °7'- ' 'i+•'.i :1Z-,0 c1,�t� -c Ad r Pi 4`f /1"..4-c) C?o, J. /T29TA?A)
cROc r'1 _1,--)1:',-.4., 7t r-s 2 .2xy ti 7 c>,(7- / 4.x,i--.4
12.12./&:,CA-r=te. co' -J ®iwial AD/Z. eco,c✓dIti)hi IS
PROJECT NAME(Name of Business or Owner Last Name) R i 7 i pa) .ef'Y t i'Llys It 6--.1 1
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAM OFFICE PHONE
•-•567 ‘41. 7.p�T',<Q. l-'--`l2''- C a4-2(S KSR4 ate S' ( G ) 8 7 f3 -2.9‘4'
MAILING ADDR CITY, TATE,ZIP CELL PHONE
z' '/ 30/4/V-V S. k 'r'4u� r 'a3 z.- (z-04) 7/3 - a,r"
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI TIO DATE FAX NUMBER
/f-4 -00000i/s'0®' ,aL /2/3/?// (7420 ) g?$ .7go
COPY o[esrd regnlred r-�� CONTRACTOR'S REGISTRATION NUMBER EXPIR,AATION//DATE E-MAIL ADDRESS
with each applleation t ,/ .C9 r-t l 6
/ j gyre, / _2._ d F
eScar'4fr-rtretk. (4
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
9 Architect ❑ Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE ,/ /to_ E-MAIL ADDRESS
CONTACT Ro 6 ei-r-r-0,4 ('-Zc79
7 ) 3 - 7-c-8
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /6/ 0e)0:0 < C.)4..)
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
(r -/ v0)—( fel
AREA DESCRIPTION EXISTING PROPOSED TQTAL
BASEMENT •
SQ.FillSQ. FT. SQ.FT.
•
FIRST
.SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS =Erma PROPOSED TOTAL TOTAL SORTING Br TOTAL PROPOSED SF TOTAL SF
"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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS iorTub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance of the city,incl Ling its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE I T DATE 7 1 i /t
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent if&ontractor ❑ Architect 0 Other
" " 6u6.1 X13
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES ANO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES 'o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—April 2,2007 . Page 2 of4 k\Handouts\Permit Application
E,...4CTRICAL-PERMIT;INFORMAIAdN ,,.i.:
•
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 ft2-$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
•
• 0 801 - 1000 amp 516.50. 216.00 •
NEW MULTI-FAMILY(three units•or more) ❑ Over 1000 amp 563.00 300.00
IService Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
0 401.:600 amp 205.00 102.00 • ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
1 ❑ 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
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 _ 7 #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
i
❑ # 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
I ❑ 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/Muiti•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
O 101-200 amps 94.50
O 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;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑Yard Pole meter loops $74.00
❑ Security Alarm System 0 Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals) '
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n,2500 fti-17.00)*Per WAC 296-46-910(5)(6)/i&ii)
Bulletin#1100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application