12-102376 r lb A al
Econ.City of ev.S y
Permit #: 12-102376-00-EL
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
v; ^gym
Project Name: GROCERY OUTLET
Project Address: 32945 PACIFIC HWY S Parcel Number: 172104 9068
Project Description: Add/alter up to(5)circuits for new refrigeration systems.
Owner Applicant Contractor
R&R FEDERAL WAY LLC SOURCE REFRIGERATION/HVAC INC SOURCE REFRIGERATION/HVAC INC
5800 PRINCETON AVE (ELECTRICAL) (ELECTRICAL)
SEATTLE WA 98105 3902 W VALLEY HWY N SUITE 206 SOURCRH892N9(8/29/13)
AUBURN WA 98002 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 5
PERMIT EXPIRES Sunday, November 25, 2012
Permit Issued on Tuesday, May 29, 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 in accordance with the laws, rules and regulations of the State of Washington
191 City of Federal Way.Owner or agent: Date:
•
FIN-11LED
s/ao/ii
THIS CARD IS TO MAIN ON-SITE
•
CITY
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102376-00-EL Address: 32945 PACIFIC HWY S
Project: R & R FEDERAL WAY LLC FEDERAL WAY, WA 98003-6407
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
o Pool Bonding(4195) 0 Temporary Power(4275) ID Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
1-Electrical(4055)
Approved
By Dae— ---
.
ae--
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
.,,,,A • (Pro, _ /726), 3162
ctrY OF . ,
Federak ED ELECTRICAL
R
MAy 19 7RERMIT APPLICATION
� reiectrical permits may be obtained on-line at www.cityo ederalway:com**
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SITE ADDRESS: (. 1 ."�,/ /76;a
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PROJECT NAME
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PROJECT DESCRIPTION Ad' /, /) .-gam;,/«: 1- lyl,�1&7%�
Detailed description of work to
be included on this permit only
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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 lawsnregulating
, construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to arty 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 • a part of this application.
SIGNATURE: // ANIDATE �%
W
PRINT NAME: /�/Wi g
33325 8ih Avenue South•Federal Way•WA 198003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTI•
IMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0 1 arm x$13250. ; " " x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 aimp ! x$164.00 x$103.50
Each additional 500 ft2-$39.00
2614r490.41111 .r x.$3(37 00- -., x'$121:00
NEW MULTIFAMILY (3 units or more) 401- 600"amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601 ,, 801 amp x X63:00" ` x"$196.00
0= 200 artrp„;- $13 S0 ;; x . $ 39.0,0 801-1000 am . x,$565-.00 x$236.50
201 400 amp x`$164.00 x $ 80.50 over,,„,100004-6,,,i;-:,-
$224.00
;1001 i m $616 Oa .$32$:50
$224.00 x :$111.50
601.-;800 amp x $287 00 x $153.50 Over 600 volts,surcharge x$103.50
Over 800 ampt:r ,x,: 4, ,i,3 • x $307.{)0
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
$,101.0(3 $103.50
201:=";600 amp x $164.00 20"1 60f,atrip x$307.00 - x$121.00
$246.50
SOL 100 azrrp, x$463 00 x$00.00
Over '1000amp4,; 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 , 'x:; $- 80.50 Plan Review required only for:
tGe and feseder � C $132 50 • 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 st
1 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling f, , Ff,aFnp." x $..71.00 ?� Y32:00
❑ Other 61 100 amp x $ 80.50 .:',1s $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101 20 p z 7C $103. x} `. x $ 5L00
201',-400"aTnp L x $121.00 ,.: ° $ 60.50
#of Thermostats 40°1 ,.`S,O p
First$60.50;each additional$18.50
Over 600 amp x $184.50" 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 8'"Avenue South•Federal Way 1 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