12-101643 ` • • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-101643-00-EL
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax (253)835-2609 p (253)835-3050
Project Name: FITNESS 19
Project Address: 33702 21ST AVE SW Suite C Parcel Number: 930100 0010
Project Description: Relocating 4 L/V thermostats
`
Owner Applicant Contractor
FRED MEYER INC SHANNON BUCKINGHAM EMERALD AIRE INC(ELECTRICAL)
PO BOX 42121 EMERALD AIRE INC EMERAAI991KG((5/7/13)
PORTLAND OR 97242 5108"D"ST NW 5108"D"ST NW
AUBURN WA 98001 AUBURN WA 98001
Additional Permit Information'.
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Thermostat. 4
PERMIT EXPIRES Tuesday, October 9, 2012
Permit Issued on Thursday,April 12, 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. 11 /
Owner or agent:
%/1/4,);V.604.7t_
Date: '( l i. - /l2
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• THIS CARD IS TO MAIN ON-SITE , •
art of. Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101643-00-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.
0 Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By 3--- 5 Dates 02`'JZ—
Rough Electrical Final Electrical •El
Right of Way
ElApproved ElApproved Approved
By Date By Date By Date
► • •
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` CITY OF e ( 0
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_,,,,PERMIT APPLICATION
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* .si•� AtilWerrnits may be obtained on-line at www.cityoffederalway.com**
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME J` 1"1 S S
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
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CONTRACTOR CI STATE ZIP AX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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PROJECT CONTACT ,�� ( fl'tp /n.1aPS, )?))- - S(, -5---
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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 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 ity as a part of this application.
SIGNATURE: 1 DATE £4 I ( I I >-
PRINT NAME: '. h6L- 6/7 AUeei /! /y. ,i),-)
33325 8t°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 1st Service/Feeder Additional Feeders
(including attached garage): 0- ',100 amp x$132.50 x$ 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
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 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 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101.00 0 200 amp x$132.50', x'$103.50
201 -600 amp x $164.00 201 600 amp x$307.00 x'$121.00
Over 600 amp x $246.50 601-1000 amp x$463.00,' x$196.00
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
Cl Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp r x $ 71.00 x $ 32.00
❑ Other 61- 100 amp + x $ 80.50 x $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
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♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application