12-104746 . 1� • • s
Electrical
City of Federal D Way Permit #: 12-104746-00-E L
Community&Econ. ev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ROSS DRESS FOR LESS
Project Address: 32075 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Electrical for cash register"plug&play" system.
• ,
Owner, Applicant Contractor
ROSS DRESS FOR LESS INC MCGILL ELECTRIC MCGILL ELECTRIC
4440 ROSEWOOD DR 9508 WOODWORTH AVE MCGILE*908NR(8/19/14)
PLEASANTON CA 94588-3050 GIG HARBOR WA 98332 9508 WOODWORTH AVE
GIG HARBOR WA 98332
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps'? No
Electrical Fixtures
Circuits-Commercial 5
PERMIT EXPIRES Sunday, April 14, 2013
Permit Issued on Tuesday, October 16, 2012
I hereby certify that the abov rmation is correct and that the construction on the above described property and
the occupancy and the u ' be in ac • ,ance with the laws, rules and regulations of the State of Washington
1/ nd the City of Federal Way.
Owner or agent: �. Date: JO
f 1\"1 r°
, oft1fZ
THIS CARD IS TO IN ON-SITE
CITY OF �� • Construction In ection Record ` -
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-104746-00-EL Address: 32075 PACIFIC HWY S
Project: ROSS DRESS FOR LESS 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.
CI UFER Ground (4295) El Ditch cover(4030) ❑ 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
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) `0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
Byft-C 5 Date( 0`11-1..... Z
Rough Electrical Final Electrical
El
Right of Way
1:1Approved ElRough
Approved
By Date By Date By Date
"-�
CITY OF
Federp1Ww ELECTRICAL - l 6 Ci
REcci aC-, 16 2O
PERMIT APPLICATION
i &Xectrical permits may be obtained on-line at www cityoffederalway.com**
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SITE ADDRESS: b7.?... (6_,.4 0,...„..yj r 1--,e4.4"" ,...k) Lb, Li/6 O6
SUITE/UNIT/SPACE# ASSESSOR'S TAXJP EL# CURL NT/PROPOSED USE
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PROJECT NAME , 5 &,,c7
(Tenant or Homeowner Last Name) � �(jt„�S
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PROJECT DESCRIPTION
Detailed description of work to COL/} ,"�� (/l CJ) t r
be included on this permit only411
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NAME
PROPERTY OWNER ire /1, '1 . PRIMARY PHONE
MAILING ADDRESS / E-MAIL
CITY STATE ZIP (/ FAXARY P
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)AMEPRIL..�, � � i 6-0 71
MAILING r tkil 6 f dil
E-MAIL
ELECTRICAL
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CONTRACTOR CITY "TATE, ZI
���/� �q � FAX
WA STATE CO R'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME a& PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS E-MAILIP
CITY STATE ZZI FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 •3a less the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and def -:of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such c • • 'ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied - ity as a p• of this application.
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IN
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SIGNATURE: /s_♦_ B��� .� DATE 0 .�
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PRINT NAME: C
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 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 151 Service/Feeder Additional Feeders
(including attached garage): a t""�
FEES: First 1300 ft2-$122.00;
Each additional 500 ft2-$39.00
`, '� �� � ;betas>._ ., :" 4.�,�.�1 �kxm" ,,•. "` �" .. .,.
at., �1
60
NEW MULTIFAMILY (3 units or more) i °- x,, t43 50
151 Service/Feeder Additional Feeders e 10:1111, 11* i `. 5; ?:
*4414.00 801'-1000 i . :X65: ,$kc i.
80:.50 JAsea iw „ F` l : ;
0.11:0:011".;
x'601 .$287.00 . = . . x $153.50 Ove� (1,vnits s't�r�
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
131 Service/Feeder �� 1
Service/FeederAdditional Feeders
ICON-V'MozAtliliWW01106
too
} o
21 600=amp x, $164 00 201 "600 ftp X&807 *121 0
®. r. � r. w a.. �� �`x s xz� 9 �� l a s i "
s
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
Ser € ar feederjr x4'.'130:50 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 1s1 Service/Feeder Additional Feeders
❑ Security Alarm System ,
❑ Voice/Data Cabling <, 1�3 ., ,?[_ 4. ....
1402
❑ Other 6I'-I00ainp $'' 80 50;! . x. $ .39..00
Area to be served by system:
i.0,i4A001Aiinali44041-MadifIRM41-**1000
131 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201
#of Thermostats _.. ;`' x A•€ Ste' Sfl
First$60.50;each additional$18.50.
Over 613(3 amp a; $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 8ih 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:Wandouts\Electrical Permit Application