09-100243 City of Federal Way • - ElectricalQ
Community Development Services Permit #: 09-100243-00-EL
P.O.Box 9718
Federal Way,WA (253)9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: ALBERTSONS
Project Address: 31009 PACIFIC HWY S x Parcel Number: 082104 9062
Project Description: ADD/ALT up to(3)circuits for change out of meat/fish cold cases,(2)8ft track lights and
add ice maker.
Owner Applicant Contractor
NEW ALBERTSONS INC TANDEM ELECTRIC,INC TANDEM ELECTRIC,INC
PO BOX 20 5836 S 228TH ST TANDEEI044DF 3/6/10
BOISE ID 83726 KENT WA 98032 5836 S 228TH ST
KENT WA 98032
W.
Service greater than 1000 Amps? No
Circuits-Commercial 3
PERMIT EXPIRES Wednesday, January 20, 2010
Permit Issued on Tuesday, January 20, 2009
I hereby certify that the above information is corr t andthat the construction on the above described property and
the occupancy and t, e wi •e in accordan e wi the laws, rules and regulations of the State of Washington
eCi of -•- .1 Way.
Owner or agent: - -441ir Date: 2 0 -d 9
•
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PfA* 1, P*74.) 7e2°-1
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. THIS CARD IST MAIN ON-SITE
CITY OF CommunityDevelopnient Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100243-00-EL
Owner: NEW ALBERTSONS INC
Address: 31009 PACIFIC HWY S
FEDERAL WAY, WA 98003-4903
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By C., a Date _ a -q
_ �❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•❑ Final-Electrical(4055)
Approved
Date Z.
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
REC
EiiED
p
CITY OF 111.""W oc..D „2_q_
Federal Way
R T - - - —
JAN 2 Q 2(le'3 i E i�M I i SF MF CO M E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8Th 2FEDBRVENUE IVA20OUTH•PO BOX 9718
1%OF REAP I CATI O N
FEDERAL WAY,WA
Y53-835?607•FA823 ' E y
www.dtuoffederativauxime CDS
The following is required information—an incomplete application will not be accepted. Please print legibly(in in )or type.
,�/ �M PROPERTY INFORMATION
�/
SITE ADDRESS / o c r:9 n Fv ) s SUITE/UNIT$
ASSESSOR'S TAX/PARCEL it - LOT SIZE(Sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION OIBLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this Hermit onlul
UT AI E: i -- F/S t1 C&O CAS (S
9 4-a4
I r 4 L!£.;,e',
PROJECT NAME(Name of Business or Owner Last Name) /4(j, y /so-, S
• PEOPLE INFORMATION
PROPERTY NAME /� PRIMARY PHONE
OWNER A L rf7 /g. 5D4L 1115-3)Q46 - OD .
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME
APPucANME OFFICE PHONE `;�
7/et t €�'/ e4 % /L /`'1/C ` S ✓ `� -3) 3c/s-- d'!�- d -
MAILING ADDRESS CITY,STATE,ZIP PHONE
36 7-1 5 1-(c.And vA C7fo 3, ( s3 )d16 I - O7 d
d?
VFEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
f c Tc jo7a44 - Oogi: { ) -
CONTRACTOR'S REGISTRATION NUMBER N DATE E-MAIL,ADDRESS
T/4 nim L I 644 J7 F O 3 ; ti 2,0? c1 0€4/4/6/07 /r/Of-di cele-4-74c
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE CG
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent o Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
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 $
SPRII'IIII.ERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN L7 HIGHLINE o PRIVATE(SEPTIC)
R 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 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS o o'm TOTAL TOTAL svem :owsr TOPAZ TOTALS?
*'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 BII)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(cam„)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS( b/ Cob LAVS(e.mroa®soty URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
•
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rasp
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS j
•
SIGNATURE
I certify wader 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 certilki that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 , -- 0 - claim), which .. . - • by any person, including the undersigned, and filed against the city, but only
where such c ,. , arises out of reliance lading its officers and employees,upon the accuracy of the information supplied to
the city as a •„ of this arppn- - 'n.
i
DATE �
SIGNATURE:
i' ?�-
Property /or Authorized Agent
I
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC;PLAN? a YES° o.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
•
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
411)
ELECTRICAL PERMIT INFORMATION
*NOTE:an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 m-$121.00;Each addh 500 m-$39.00) ❑ 0 to 100 amp $131.50 $80.00
El 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 o 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
O Swimming pool(inspected separately) $120.50
U 801- 1000 amp 562.50 235.50
❑ Hot tub/spa/sauna(w/service) $51.00 ❑ Over 1000 amp 613.00 327.00
❑ Hot tub/spa/sauna(inspected separately) $80.00
U Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
U Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
NEW MULTI FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
Service or Feeders
❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
❑ 201 -400 amp 163.00 80.00 ❑ 201-600 amp 305.50
O 401-600 amp 223.00 111.00 0 601 - 1000 amp 460.50
❑ 601-800 amp 285.50 152.50 ❑ over 1000 amp 513.00
U Over 800 amp 408.50 305.50
Ifk 3 #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (i-5 circuits-$103.00;Add'ncircuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW .
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ 201 -600 amp 163.00 0 Service- 1,000 amps or greater
Li over 600 amp 245.50 CIMedical/Educational/Institutional Facility
❑ Additional plan review for
4 LI #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES 0 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
0 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ #of service or feeders 0 Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) 0 Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment)......$100.50
❑ Security Alarm System ❑ Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
0 1.t 2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each addh 2500 ft2-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application