12-101760 S 1
'. • ` " 4 Electrical
City of ay -
Commun &Econ.FederalDe
ty .Services Permit #: 12-101760-00-E L
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph.(253)835-2607 Fax.(253)835-2609 P q (253)835-3050
Project Name: FRED MEYER SUITE C-LANDLORD WORK
Project Address: 33702 21ST AVE SW Suite C Parcel Number: 930100 0010
Project Description: Add/alter up to(5)circuits for landlord portion of tenant improvements.
Owner Applicant Contractor
FRED MEYER INC SEA-TAC ELECTRIC INC SEA-TAC ELECTRIC INC
PO BOX 42121 7056 S 220TH ST SEATAEI077RW(12/17/13)
PORTLAND OR 97242 KENT WA 98032 7056 S 220TH ST
KENT WA 98032
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 5
PERMIT EXPIRES Wednesday, October 17, 2012
Permit Issued on Friday,April 20, 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 wilt be in accordance with the laws, rules and regulations of the State of Washington
r, .and the City of Federal Way.
Owner or agent: --,.-.-_ Date: Of-1/"Z," Z
U
4,A/12.,
a , THIS CARD IS T MAIN ON-SITE, ,
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101760-00-EL Address: 33702 21ST AVE SW Suite C
Project: FRED MEYER INC FEDERAL WAY, WA 98023
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
0 Pool Bonding(4195) .❑ Temporary Power(4275) El Service(4235) '
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) .0 Rough Electrical(4225) �El Ceiling Cover(4020)
Approved Approved Approved
Bi ($ DateC_4.—(Zi ByZyS Date 4\-2G'_/2_ `By j-G Date S--...5_ /-
❑ Final-Electrical(4055) y
Approved
'Bye Date t 1 1..,
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
�•' `• III •
CITY OF ' V I L X
Fe ' �a !�'ay ELECTRICAL
'`gC# �f' 1- i �RMIT APPLICATION
PQM ii� �
t electrical permits may be obtained on-line at www.ci of ederalway.com**
- ADDRESS: 2 39_0 a 7-( S-r A-v E S W
SUITE/UNIT/SPACE# ASSESSO5S TAX/PARCEL# __151 D (/lJ
PROJECT NAME PALED Wt E�- V A-N ( '��
(Tenant or Homeowner Last Name) Y L( 4 S N EL
fk-a v 1pE 1 t N5.TF11-1. 63 y Ft ItTv(Z1✓3 I�
PROJECT DESCRIPTION
G < < ' t
Detailed description of work to 2 t 1 S 6 S /Kept o �-
be included on this permit only A t� I 6 e- -rb S .(2 V t r IAS' / T '(N r r A-Fo2e4tEiV tivvt`1
5c bfE oF wog-K- •
NAME PRIMARY PHONE...
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
ieA - -rAc- E 1-E c i e.-tC- 1 N t- (71-3) 8V- 55-'c
MAILING ADDRESS E-MAIL
ELECTRICAL 4 . d � 5T( EE( Code ,At 1 CAft e-eA CfY+c, .
CONTRACTOR CITY STATE ZIP
keivT" WA- q 5032- MOE=
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
56A-r4 C I o9 I-W /2/ of // Zo-o2- (oo3%-OO-BL
NAME PRIMARY PHONE
APPLICANT ti e A - T A C- E L-e c'(_ lc O ti c (ZS )C92-- - 55-53
MAILING ADDRESS E-MAIL
7-o ct, S . 27,0 Tf( 5riecET
CITY STATE ZIP
kEN T. wA qgo 3zIMMO.
-
NAME PRIMARY PHONE
PROJECT CONTACT coy yyt GK (N N OIV (2'53) gb7-- 2-35
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 applicatio
46
SIGNATURE: Ira1� DATE a y it t 1 p
(2-17-
PRINT NAME: (-0 s•AA '" j A, N p A7
33325 8'h 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
S
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): Is Service/Feeder Additional Feeders
0 100 amp x$132.50', Y= x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00 201.-"400 amp - . x$307.00 x$121,00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50
i s"Service/Feeder Additional Feeders 601's-"800 amp 4 x,$463.00'i,,`{.. x$196.00
0- 200 amp,. x $132.50 x $ 39.00
801-,1000 amp x$565.00 x$236.50
201 400 amp x $164.00 x $ 80.50 over ,1000 amp x.$616.00 x$328.50
401 600 amp ; x $224.00 x $111.50
601 800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 ; a $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
15
Service/Feeder 1 st Service/Feeder Additional Feeders
0- 200 amp x $101;00 0-.200 amp 02.50 x$103.50
201 600 amp x $164.00 201 600 amp x$307.00 x$121.00
Over 600 amp x $245>5Q 601-`1000 amp „.i4463.00: x°.$.1`98.00
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 ' x $ 80.50 Plan Review required only for:
Service and feeder x $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 $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System
1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x"$ 71.003'":' x=$ 32.00
O Other
61- 100 amp x $ 80.50 al $ 39.00
Area to be served by system:
tat 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101- O�,ait3jD ..,, x $103.50 a $;51.010
201-400 amp a $121.00 a $ 60.50
#of Thermostats 401-600 am "
First$60.50;each additional$18.50 P ,"" x $J64,00, x $ 80.50
:
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 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