07-105424f , R
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City Federal Way
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Community Development Services Electrical Permit #• 07 -105424 -00 -P -L
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: RITE AID
Project Address: 32015 PACIFIC HWY S """ -" Parcel Number: 150050 0110
Project Description: Add/alter -Electrical upgrades inluding ph rma0 p"b" de' artment, lunchroom and
checkout stands.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
D W CLOSE CO INC
D W CLOSE CO INC
851 SW 6TH AVE SUITE 550
4304 S 131ST PL
DWCLOCI21805 6/30/08
PORTLAND OR 97204
SEATTLE WA 98168
4304 S 131ST PL
SEATTLE WA 98168
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Alt. Serv/Feed 201 amps- 600 aml : 1
PERMIT EXPIRES Thursday, September 25, 2008
Permit Issued on Monday, October 1, 2007
1 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: Date: /d'
I- (NAaE.0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105424 -00 -EL
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32015 PACIFIC HWY S
FEDERAL WAY, WA 98003
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)
Approved
By
Date A9
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date �� • (�
For inspector reference
O Rough Electrical FINAL - Electrical
Approved Approved
By Date /Zi, , 9 . G By Date 'It3 6
RECEIVED
CITY OF - L( j
Federal Way y -/-
COMMUNITY DEVELOPMENT SERVICES H- T 2007PERMIT SF MF CO ME 6 PL DE EN FP
33325 8TH 18
FEDERAENUE SWATH • PO BO I�rY U �LI CATI O N �
FEDERAL WAY, WA 98063-971 l�
253-835-2607•FAX 253-835-260 dull -DING EG l
mu,w.c(tuoffMeralwau.com +•
The following is required irtformation — an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS r 'A'7- ���� SIL' l /7��/ {��� ,� � , / /-i SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # V - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy Legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work /included on this permit onlu)
-7-74 A I /1 C 7)
PROJECT NAME (Name of Business or Owner Last Name1/
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME I
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY E�
APPLICANT NAME
OFFICE PHONE -
CITY. STATE, ZIP
CITY. STATE, ZIP --, do �,,
L
`ELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
c�26
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION ATE
E-MAIL ADDRESS
COMPANY N Erb,
APPLICANT NAME
OFFICE PHONE
MAILING AD RESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
N E PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender irifornlation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE jKG / �`' �L— ��^�L� PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
- . v"
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
HOODS )commerdai)
FURNACES
RANGES
FIRST
REFRIG. SYSTEMS
❑ NO
ZONING DESIGNATION
SECOND
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? c YES ❑ NO
THIRD
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
E7a8TING
-0-8--0-8-TOTAL
TOTAL-118TINII SF
TOTAL PROPOSED SF
TOTAL SF
"*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
VcJue IMechanical Work $_
R HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or Tub/shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FANS
GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS )commerdai)
FURNACES
RANGES
GAS LOG SETS
REFRIG. SYSTEMS
LAVS )Bathroom sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS poteq
SINKS
WASHING MACHINES
SUMPS
BASIC PLAN? ❑ YES
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 ofth/' application./ /`
SIGNATURE: lt� ; DATE L
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? c YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Pennit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIALANDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
X201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
over 1000 amp 471.00
❑
LJ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIALANDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
❑ Data Cabling
11
(for modified submittals) e--'`, ,
Ll Automation Fee on all Permits .. $5.00
lst 2500 ft2-$65.00;
k-_ -
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910151Ib/I[ & W
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application