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12-105104 • Electrical • City of Federal Way Community&Econ.Dev.Services ) Permit #: 12-105104-00-EL 33325 8th Ave S €s Federal Way,WA 98003 Request Inspection Line: 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p (253) Project Name: ALBERTSONS Project Address: 31009 PACIFIC HWY S Parcel Number: 082104 9089 Project Description: Install(2)VSD drives for(2)condensers which includes associated low voltage wiring Owner Applicant Contractor NEW ALBERTSON'S INC SOURCE REFRIGERATION/HVAC INC SOURCE REFRIGERATION/HVAC INC PO BOX 20 (GENERAL) (ELECTRICAL) BOISE,ID 82726 3902 W VALLEY HWY N SOURCRH892N9(8/29/13) AUBURN WA 98001 3902 W VALLEY HWY N SUITE 206 AUBURN WA 98002 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 2 PERMIT EXPIRES Tuesday, May 7, 2013 Permit Issued on Thursday, November 8, 2012 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 and the City of Federal Way. i / // Owner or agent: .�/1� Date: '� / Ft" DA -r° /14 (13 44*, -_, • THIS CARD IS TO MAIN ON-SITE iConstruction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 12-105104-00-EL Address: 31009 PACIFIC HWY S Project: NEW ALBERTSON'S INC 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) - ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date • El Final-Electrical(4055) Approved � Date --- ( Cc- ( c' ti ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • _ 1 o / CITY OF FeittX6 N ELECTRICAL NOV08 2012 PERMIT APPLICATION ectrical permits may be obtained on-line at www.cityoffederalway.com** SITE ADDRESS: j%DO, hfciric /WY Sd ii ( f t.�. �Ht� w/- (All+ c• )65� SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL N0 O CURRENT/PROPOSED USE ..vQ . .. tel) zrK aA tat 40, XfWgVrgnnrVqajtWaVaarPjrgrfo,r4..v,Ao PROJECT NAME ,, - (Tenant or Homeowner Last Name) /) C— I -7 ' PROJECT DESCRIPTION _ VS i) pg v 4.5 h o r- .1)C1L,5,6 g S Detailed description of work to be included on this permit only ' v- s ars - - a t,PAMV NAME PRIMARY PHONE PROPERTY OWNER �" L( _(-,z / 5' ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE b9-.A4). Ht1 yC_ ( ) - MAILING ADDRESS V -6 O RA sJ T,4o, E /Tca1'c E-MAIL ELECTRICAL 4- CONTRACTOR CITY STATE ZIP FAX 1, F1. I- i 04 E, ,�' j,�� ! ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 52)0X C-/</+ ? :)-,tt 9 NAME PRIMARY PHONE APPLICANT LSA ) MAILING ADDRESS E-MAIL CITY STATE ZIP / FAX t ) NAME PRIMARY PHONE PROJECT CONTACT ##O7D g 7,J J ( ,6 ) - 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: ( �G :�t.ri r' �/ DATE t/ /.- PRINT NAME: T/ut l I) &R©Lu 33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607 1 fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-January 1,2011 Page 1 of 2 k:AHandouts\Electrical Permit Application RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): 1()0amp" '." ""� xT1��5� , , ..r; x :silo FEES: First 1300 ft2-$122.00; 101.- 200 aYrp is$164.00 x$103.50 Each additional 500 ft2-$39.00 201""- 400:amp.. 'x"$307.00 x$12P-00 NEW MULTIFAMILY (3 units or more) 40.1" 600 amp x$358:00 x$143.50 1st Service/Feeder Additional Feeders :aP f '&t 2 f x$463,00 , xi-0100:00 801-1000 amp . x$565.00 x$236.50 201,=-,4.00',amp„ i x $164:00 x $ 80.50 131r r:1000 ai [p , $616 0 . x$328;54 601:=800 a;np ,.r>- x.$287:00 x $153:50 Over_;.600 volts surcharge':..' x$103.50 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder 151 Service/Feeder Additional Feeders 1 0-<Z00 eittp g rt R., i' x$13 50x:$103.50 201 600 amp x $164.00 201 600;aurp x$307.00 x$121.00 41i_'Sff f4)1;- ;1*O amV , f/ x$4 3., ID x$1.96 Oft 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 $111.50 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder-only is ;,$' 80.50 Plan Review required only for: • 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 Alarm System 1st Service/Feeder Additional Feeders O Security Alarm System ❑ Voice/Data Cabling 0 t 0 ,`" t $ 00 2c $ 32.00 O Other ,61- 100.anip- x $ 80.50 x $ 39.00 Area to be served by system: lit 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 400 amp <X-$121.00 - x $ 60.50 #of Thermostats 401 !6001' Ei > .X1164 OOT,; W' , a$,80.5f1 First$60.50;each additional$18.50 Over 604°anip '' c $18450 m. . x `$ 92.00 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated. Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8th Avenue South•Federal Way♦WA•98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application