12-103600 S
0 8.
r Electrical
City of Federal Way Permit #: 12-103600-00-E L
Community&Econ.Dev.Services '��
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 x p Q )835-3050
Project Name: FRED MEYER FUELING STATION
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Installation of CAT5E cable to(3) pumps.
•
Owner Applicant Contractor
FRED MEYER INC APPLIED TECHNICAL SYSTEMS INC APPLIED TECHNICAL SYSTEMS INC
PO BOX 42121 7015 SW MCEWEN RD APPLITS066KD(5/4/12)
PORTLAND OR 97242 LAKE OSWEGO OR 97035 7015 SW MCEWEN RD
LAKE OSWEGO OR 97035
Additional Permit Information
Is Use Educational or Institutional No Service greater than 999 Amps'? No
Electrical Fixtures
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, February 2, 2013
Permit Issued on Monday, August 6, 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.
Owner or agent: . k. Date:c5/6://
.,.__ 9. ...:,Z 91512
• THIS CARD IS TO MAIN ON-SITE
CITY OF AI..., In ection Record
Federal Way Constructionect o eco d
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-103600-00-EL Address: 33702 21ST AVE SW
Project: FRED MEYER INC FEDERAL WAY, WA 98023-7762
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.
O 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) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055) .
Approved
By C; SL,,. Date cit_l, „_v.2._
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF EIV ED • 4) 0
- / 6t 3�(/ 0
Federal Way ELECTRICAL
AUG
cm OF FEDER ERMIT APPLICATION
CDS
**Most electrical permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: 33 76a 01l f
At/G S 6-) `i-c.ke l cc k,4-,-,--)
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
ase In - / 5 Q / 0 0 - 0 0 ( 0
A.
PROJECT NAME
(Tenant or Homeowner Last Name) r-read melee- -SIA-es CK -o___ c_o >
Pull c rSF c bk, .4 3 /9,-4k-n,S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNERPre-al /11 e c - Vic, ( 2 s ) qQ - O/co
MAILING ADDRESS E-MAIL
6/4/11C- pi... 13-hvoVe_
CITY STATE ZIP FAX
NAME PRIMARY PHONE
li
pi /�
l�e /eeosa-7 t . (' c «
) /- % /1
MAILIN ADDRESS E-MAIL
ELECTRICAL ?p/,S 54,v the_ e:-1 ,.._et 68/ 1-F5 e/}7S,e.wi%,q,
CONTRACTOR CITY STATE ZIP FAX CV&
(6/ct' GsCLieJeio cgs 97035- (z573 ) 57S- /SY7
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ )i-)1-,TS 4•<-6-, / Y / %'
NAME PRIMARY PHONE
APPLICANT k ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT SI/e
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::1--:51C4‘13*---'
C1 DATE 19A/Z
S
PRINT NAME: QVC' 81' T/,'S
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:\Handouts\Electrical Permit Application
RESIDENI41/I, •MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1 s Service/Feeder Additional Feeders
0 100,amp"' x$13"-5C1:; *$ 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 01. ,800 gip ;. x$463.00 x$196 k0
SIVf--200"az p X $132.504;, x $:,`39.00 801--1000"amp x$565.00 x$236.50
201:-400 amp-> x $164.00 x $ '?80.50 ,
�W.1Q00 amp
x $111:50
601 800 aflp "•:'; x $287 00 x $153.50
Over 600 volts surcharge „,. x$103.50
.� xEc..�. .x E
N7.760#6,07".:#°...�,r� �"�� e �,.. ': x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
.v,.,200 amp. -
0,12130.amp . ... " ,
X`$101.00 ,�... _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. 15 axnp x$463 0a," 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:
Sere 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
�'Uoice/Data Cabling 0,-.'60 amp = x $71.00 _ - x $32.00
❑ Other 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system: See 56 Az%
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.500 2(If1 imp $103�5(D X $_a$1.t7Q
201`-400 amp x $121.00 x $ 60.50
#of Thermostats 4.64::',400,amp x $164.00;
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 8th 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