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02-100002City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: ALBERTSON'S Electrical Permit #: 02 -100002 - ,, Inspection request line: 253.835. Project Address: 31009 PACIFIC S Parcel Number: 082104 9062 Project Description: ELE - Installation of telephone paging system within new grocery store (APPROX. 52,310 SQ FT). Owner Applicant Contractor AMERICAN STORES PROPERTIE B & C TELEPHONE INC B & C TELEPHONE INC 410 S 96TH ST SUITE 5 410 S 96TH ST SUITE 5 SEATTLE SVA SEATTLE WA (206) 763-9991 Electrical Fixtures a Crl ti -' «ua' ,©escrl tr rip =imlan" . Dscri ti©n Quantit Low Voltage - Other Commercial 52310 PERMIT EXPIRES July 1, 2002, IF NO WORK IS STARTED. Permit issued on January 2, 2002 • I hereby certify that the above information is correct and that the construction on the above described property and P rh' 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: 0\/OZ &2 • /- i / - o;?,- / -- /S—oz C10i,'"(r-eL�-ictit 0� 0,{-- , - dz �� s Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. A -PROPERTY O. fi MATIO ,4 SITE ADDRESS: 3 IoZo I th S ASSESSOR'S TAX/PARCEL #: ��J Z �vPo-o" LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): r - ■ PR03ECTINFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION IKELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJE�T DESCRIPTION (Provide detailed description): XY16A11O.4idy- 4ekjo1K re loavi PROJECT• F. ■ 'PEOPLE INFORMATION . PROPERTY OWNER: CONTRACTOR: NAME: 1 6 ko V' S DAYTIME PHONE - ( ) MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): NAME: DAYTIME PHONE: (2o )1&3 - ci1 MAILING ADDRESS (STREET ADDRES5L, CITY, STATE, ZIP): LA i O !� �' Sem H`jt ©$ EVENING PHONE: (Zv ) 7G 3 - CICIA I CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: ——-——————-—— (20Cn)767-&F3°da CONTRACTORS REGISTRATION NUMBER: (mpy ofcard requked) Cr S 1 L 1 EXPIRATION DATE: APPLICANT: NAME: DAYTIME PHQNE: MAILING AD RESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: Ll lb 5 g �•`'' STS: �e eo� � Ir) %� 9 8 �� (.zo7� - oT2 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): - E -MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR EXISTING USE: ;DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) * rNEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROM7 FLOOR AREAS FLOOR EXISTING SQ. FT, PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indl,ate number of each type of fixture MECHANICAL EVAPORA E COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FANS) HOOD(S) WOODSTOVE(S) FIREPLACE I%ERT(,S) RANGES) MISC. ( ) FURNACE(S) GAS PIPE OL SHEAT SOURCE: ❑ ELECTRIC ❑ GAS LAVATORY(S) EU RINAL(S) WATER HEATER(S) RAIN WATER SYS. BREAKER(S) ❑ ELECTRIC ❑ GAS SHOWER(S) SH MACHINE OUTLET SINK(S) TER CLOSET(S) MISC. ( ) SUMP(S) I certify under penalty of perjury that the information furnished by me is true\correcto the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costsnd attorneysfees incurred in the investigation and defense of such claim), which may be made by any person, includingned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, includingnd employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DATE: COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-6661-4129 ■ ECTRICAL TABLE B NEW RESIDENTIAL SERVICES .. MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _ Service or feeder only .............:........... $48.00 _ # of Thermostats (First -$36.00; add'n-$ l I.00ca) (First 1300112472.00; Each add'n 500 fe -$23.00) _ Service and feeder ............................... $78.00 # of Low voltage fire or burglar alarms Squam Feet: _Each outbuilding orgarage ...............:...........$30.00 MOBILE HOME/RV PARK First 2500 ft2-$42 00; Each add'n 2500 fe-$11.00 Square Feet: _ Zr10 • (Inspected with service) _ # of service or feeders Per WAC 296A6-910(5)(b)(i & ii) _ Each outbuilding or garage ........................... $48.00 (First service/feeder-$48.00; Add'n service/ _ # of Signs (First sign -$36.00; add'n sign (Inspected separately) feeder431 each) $17.00 each) Swimming pool, hot tub, spa.................72.00 _ Yard Pole meter loops ...........................48.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................$ 78.00 - Up to 200 amp .............. $ 78.00 ................ $ 23.00 Feeder _ 201-600 .............................................. 182.00 _ 201- 400 amp .................. 97.00 .................... 48.00 _ 0 to 100 .........................$ 78.00....... $ 48.00 _ 601-1000 ............................................ 274.00 _401- 600 amp ................ 133.00 .................... 66.00 _ 101-200 .......................... 97.00 ........... 61.00 _ over 1000.._..........................................305.00 601- 800 amp ................ 170.00 .................... 91.00 _ 201-400 ........................ 182.00 ........... 72.00 # of circuits _Over 800 amp.................243.00.................. 182.00 401-600 ........................ 212.00 ........... 85.00 _ (1-5 circuits -$61.00; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 ........................ 274.00......... 116.00 (When inspected separately from the services.) _ 801-1000 ...................... 335.00......... 140.00 TEMPORARY SERVICE Service or Feeder -Over 1000 ...................... 365.00......... 195.00 Residential/Multi-Family/Commercial/Industiral _ 0 to 200 amp ................................................ $ 66.00 _ Over 600 volts surcharge ...................... 61.00 _ 0 - 100.. .................................................. 48.00 _ 201- 600 amp ................................................ 97.00 _ Mast or meter repair.............................. 66.00 _ 101-200 ................................................ 61.00 -over 600 amp ................................................ 146.00 _ 201-400 ................................................ 72.00 _ Mast or meter repair ....................................... 36.00 _ 401-600 . . ............................................. 97.00 _ # of circuits _ over 600 ...............................................105:00 (1-4 circuits -$48.00; Add'n circuits $5 ea) 5C6F_ - s. Ca.c. auan �Vv auip, a plait rcvrcw IS req U. ree is 33 ie of permit tee +yb t.UU. Add't plan review for other submissions is $72.00/hr. Total Column (D) Estimated Permit Fee: (12) Esdmated Permit Fee from fine 12 Estimated Plan Review Fee: $56.25 + X .35 = (13) ... _ . ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) _ (20) (21) ■ OTHER FEES (22) (23) Total (Pay,.one &Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24 Bulletin # 100 - August 20, 2001