07-105294City of Federal Way
Community Development Services
P.O, Sox 9718
Federal Way, A 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
t -
Electrical Permit #: 07 -105294 -00 -EL
Inspection Request Line: (253) 835-3050
. project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Disconnect (2) ovens and reconnect (1) oven in the bakery.
Owner
Applicant
Contractor
FRED MEYER
COCHRAN INC.
COCHRAN INC.
33702 21ST AVE SW
PO BOX 33524
COCHRI*088JS 4/10/08
FEDERAL WAY WA 98023
SEATTLE WA 98133-0524
PO BOX 33524
SEATTLE WA 98133-0524
Additional Permit Information
Service greater than 1000 Amps?...........................No
Circuits - Commercial .................... 2
PERMIT E)
I hereby certify that the above
the occupancy and the use v
Owner or agent:
Electrical Fixtures
IRES T
in accordance
�d the
.day, September 18, 2008
ay, September 24, 2007
that the construction on the abo)
ie laws, rules and regulations of thf
Oedera! Way.
Date:
)erty and
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105294 -00 -EL
Owner: FRED MEYER
Address: 33702 21 ST AVE SW
FEDERAL WAY, WA 98023-7762
This card is part of your required inspection documents. 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.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Temporary Power (4275)
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
B
Date U
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date B Date l v
RECEIVE®
14
CITY OF SEP 4 2007 D_ - _LL � Z
Federal Way 2 PERMIT
SF MF CO ME t) PL DE EN FP
COMMUNfh'DEVEIAPMENT SERVI
33325 e -AVENUE w' • PO BOX TyFEDEQ F [� A
WA, WA 98063-9718
253-835-2607YFAX 2,3-835-26 9 BUILDINMMT I CATI ON
www.cituotfeden2h=.com --
Thefollowigg is required igformation - an incomplete application will not be accepted. Please print le 1 (in ink) or
J q, PROPERTY O.
MATION
SITE ADDRESS ' ` L)r1` ':> } / �U = �.--'ULJ �G'{ cre, �\L� (ti {
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # n 3— c:-,- - r C, LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (,� CIS b- �- —
(Attach separate Pa9ela L gft legal desaVtoW
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION I ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu\)
e
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
nu.
7,_
PRIMARY PHONE
(z53)� 5z -c 1-3�3
MAILING AADDRESS
C�J
4
CITY, STATE, ZIP
CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAMEOFFICE
7,_
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CELL PHONE
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
I q -_'K1 0 T 39-B
(2
EXPIRATION DATE
/13 t /ai
FAX NUMBER
(zC�, )�L�, -- i<'-i�
.6
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
�.� K
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
('"ZLeo)�, 1 - 1�1(i` LV
k NAME41 /
MAILING ADDRESS CITY, STATE, ZIP PHONE
EXISTING USE (� C7(Yi ri�z C I �� 1 b e of--I� � �) PROPOSED USE D
EXISTING ASSESSED/APPRAISED VALUE $Ti Fkx-. VALUE OF PROPOSED WORK $- tJr//a
SPRINKLERED BUILDING? )OYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER "'dLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
j 3 U 2-
k-,,
AREA DESCRIPTION
SHOWE�"
EXISTING
SIN
PROPOSED
TOTAL
WASHING MACHINESE2/VACUUMURINALS
S . FT.
F
S . FT.
SQ. FT.
BASEMENT
FURNACES
DUCTS
GAS PIPE OUPL
FIRST
�e15 2- cJ (41--"
SECOND
THIRD
FOURTH
'
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
�
GARAGE ❑ CARPORT ❑
/
NUMBER OF FLOORS
FxieTvro
rao
TOTAL
TIIrQ
. , PROBtiB� bP
TaTAG i¢
**NEW HOMES ONLY'• NUMBER OF BEDROOM
ESTIMATED SELLING PRICE
$
Indicate number of each type offixlure to be installed or relocated as part of this project. Do not include existingfixtures to remain.
JiKi CILI LAICAL
SHOWE�"
Value of Mechanical Work $
SIN
AIR HANDLING UNITS
EVAPORATIVE COOLERS
WASHING MACHINESE2/VACUUMURINALS
BBQS
F
BOILERS
FIREP INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUPL
BATHTUBS (or Tub/Shower Combo)
SHOWE�"
DISHWASHERS
SIN
GAS PIPE OUTLETS
S PS
WASHING MACHINESE2/VACUUMURINALS
LAVS (Bathroom Sucks)
BREAKERS
GAS�GS
GOODS (Commemta1)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Tonet) _
DRINKING FOUNTAINS
�T'R SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(jy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME/TITLE n / -"� ' C'1 1 1 ]SI ��Zr� "� DATE
(Sign tyre) (Title)
RELATIONSE IP TO PROJECT ❑ Owner ❑ Agent `*Contractor ❑ Architect ❑ Other
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $107.50; Each add'n 500 ft2 7$34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 198.50 99.00
❑ 601 - 800 amp 254.00 136.00
ALTERED COMMERCIALAMUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 272.00
E3601 - 1000 amp 410.00
Service or Feeder
❑over 1000 amp 456.50
L3 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
x 2# of circuits to be added/altered
E3 over 600 amp 218.50
(1-5 circuits - $91.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIALANDUSTRIAL PLAN REVIEW
(1-4 circuits -$71.50; Add'n circuits $7.00/ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $63.00
❑ # of service or feeders
(First service/feeder-$71.50; each add'n -$46.50)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
❑ 201 - 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$53.50; add'n-$16.50/ea)
(First sign -$53.50; add'n sign $25.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $107.50
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $71.50
❑ Security Alarm System
❑ Additional Plan Review $107.50/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
Fee on all Permits $5.00
E3❑Automation
..
(Per System(s) 1.12500 ft2-$63.00;
Each add'n 2500 It' -16.50) • Per WAC 296-46-910(5)(6)([ & if)
Bulletin #100 -January 1, 2006 Page 3 of 4 k\Handouts\Pemiit Application