02-100174 r
City of Federal Way Electrical Permit #:02 - 100174 - 00 - EL
Community Development Services
33530 1st Way S
iiiFederal Way,WA 98003-6210
Ph'253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ALBERTSON'S
Project Address: 31009 PACIFIC S Parcel Number: 082104 9062
Project Description: ELE-low voltage work for voice and data cabling.
Owner Applicant Contractor
AMERICAN STORES PROPERTIE NETVERSANT NORTHWEST INC NETVERSANT NORTHWEST INC
728 134TH ST SW SUITE 111 728 134TH ST SW SUITE 111
EVERETT WA 98204-5322 EVERETT WA 98204-5322
(425)551-4490
Electrical Fixtures
Description . i.. . [Quantity Description . 'Quantity e Description . ,. . .. 'Quantity
Low Voltage-Other Commercial 52310
PERMIT EXPIRES July 14,2002,IF NO WORK IS STARTED.
Permit issued on January 15,2002
III 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 y.
ANN
Owner or agent: It !A a Date: //i 700 Z
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01/14/2002 11:42 FAX 2536614129 CITY FEDERALWAY 0002/005
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°r.•a CONSTRUCTION PERMIT APPLICATION .
APPLICATION NUMBER:
RECE!\/EF7PLICATION NUMBER; _ - -
APPLICATION NUMBER: - _ _ _ _ -
''*The following is 4AINcclir r�--Please print(in ink)or type** '
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ITT OF FEUEAAL W'
. - -- ' ` - -.!es PRO/PLR-if INFORMATION - -. - . -
X SITE ADDRESS: 3 X S 1 PcIc\C ANi S (18003 ASSESSOR'S TAx/PARCEL#: D 12 ( )y - f Q(Z
_... .._
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.- - . -. ►+ PROJECTINFORMATION
TYPE OF PROJECT(This application): ❑ B G 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRI 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): \)0 l CE A--0 bivci, Ca p1,i N•16
PROJECT NAME: 1\LBS T3 D N S •
•
• - - ► PEOPLE INFORMATION .
PROPERTY OWNER: NAME: -"
ALR�_ DAYTIME PHONE:
Q ‘31;;. e. ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STAVE,ZIP); -
CONTRACTOR: NAME: ` DAYTIME PHONE:
E\ V r Z-__AN (4 5) SS/ -25-00
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: ^�
OP — TN 3V) Svi`T - III ( ) WIC
r
CITY Or FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
o - 0 L-101310-oQ it (yzs) 1-4 - 9515
CONTRACT'OR'S REGISTRATION NUMHCR: Q EXPIRATION DATE:
(copy of Card required) V•_L_ • _� _ _ _ _ / /
APPLICANT: NAME; DAYTIME PHONE;
6t‘-r-C -TMJr o Z (Zo6 ) 7 L 305-3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE;
-} 2 13‘1714 -1- �� �= S\i ( Il I (20& ) -Y-13 -5051
RELATIONSHIP TO PROJECT: 1 TA?(NUMBERT
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): (I-ZS)1-1-1 I _C'1 57 S
•
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER APPLICANT CONTRACTOR M�gy�D �IE-MAIL noo 1It�rvsaNT.
(0"
-_-:-'--•:- . . - --, ` - -• - - -■ DETAILED BUILDING INFORMATION . . - - - '
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) r
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
01/14/2002 11:43 FAX 2536614129 CITY FEDERALWAY Z003/005
••NEW RESIDENTIAL CONSTRUCTION ONLY`"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
- . . - - •. .. .-■ =PROs r FLOOR AREAS • -- -- ' - -. •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. _ TOTAL
BASEMENT
FIRST
SECOND
THIRD �.. ~—_�
FOURTH rr��
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) __ GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) - FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) . FIREPLACE INSERTS) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACES) •
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) _ WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS- VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MTSC.( )
INTERCEPTOR(S) SUMP(S)
..} • - - DISCLAIMER/SIGNATURE CLOCK - • . - • - . _ - . :-
I certify 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by arty person,including the undersigned,and filed against the City of
Federal Way,but only where su a - •- _ -ses t of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatio supplie•/• • .4 as a pa rro�of this application.
NAME/TITLE: �J i i 512_001–
0 PROPERTY 0 ❑APPLICANT -CONTRACTOR DATE:
FOR OFFICE USE ONLY: I _
0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: __ -
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO _
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? Q YES 0 NO _
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 0 YES 0 NO-
+
A.......--....-.� ..•... .rr erns n/tiC--17C1n CIf,CT IA I.V CAter'ta-re A new M,o.rwr aAl U 71
TAV WA cgr1A4_oN.7C1-AATA.FAV-1C1.4,�..41 IA
.
01/14/2002 11:43 FAX 2536614129 CITY FEDERALWAY 2004/005
• - P. ELECTRICAL
TABLE B ! / 'E . ,E RrRaab FOV
1 NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only 544.25 If of Thermostats(First-533.50;add'n-$10.50ca)
(First 1300 TO.567.00;i:adi add'n 500 ft=-521.50) _Service and feeder 572.25 =#of Low voltage fire or burglar alarms
i Square feet: First 2500 ft'-S38.75;Each add'n 2500 ft'-510.50
_FAO outbuilding or garage. 528 00 MOBILE HOME/RV PARK Square Feet; SZ-aSO
(Inspected with service) _b of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
Lath outbuilding or garage. 544.25 (First service/feeder-544,25;Add'n service/ _M of Signs(First sign-533.50;add'n sign
_
(Inspected separately) feeder-528 each) 516.00 each)
_Progress inspection per 1/2 hr 533.50
_Swimming pool.hot tub.spa 67.00
Yard Pole meter loops 44.25
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 5 7225
Up to 200 amp............._S 72.25....._.._ 5 21.50 Feeder201-600 169.00
_201-400 amp 89.75 44.25 0 to 100 S 72-25 $44.25 601-1000 254.50
_401-600 amp......._-..-...123.25 61.50 _101-200.---_ 89.75._ 5615 _over 1000 282.75
601-800 am 158.00 84.25 _201-400 169.00 67.00 _N of circuits
_Over 800 amp 22525 169-00 _401-600_ 197.00 78.75 (1-5 circuits-556.25;Add'n circuits-55 a)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1 000 310.75 129.75 Temporary Service
Service or Feeder _Ovcr 1000 339.00 181.00 Oto 60 538.75
0 to 200 amp S 61.50 Over 600 volts surcharge 56.25 _61-100 44.25
201-600 amp E9-75 _Mast or meter repair 611 50 _101-200 56.25
_over 600 amp 135.25 2011-400 67.00
Mast or meter repair_ 33.50 _401-600 89.75
,
Iofcircuits
(1-4 circuits-544.25;Add'n circuits$5 a) .
If service is greater than 200 amp,a plan review is rcq'd.Pee is 35%of permit fee+556.25.Add'i plan review for other submissions is 567.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B() NUMBER OF UNITS(C) TOTAL(o)
TOTAL COLUMN(D);
•
Total Column(D).
Estimated Permit Fee: (12) 2- -(CU
Estimated Permit Pse from line 12
Estimated Plan Review Fee: $56.25+ X.35.=(1.3)
■ DEMOLITION
Estimated Permit Fee: (1.4) _ -
Bond Amount:(15)
- . - . . IN ENGINEERING
Estimated Permit Fee:(1.6)
Bond Amount (17)
. . - - ■ OTHER FEES - -
Mitigation Fee!(1.8) ,___ (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Pages one a Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 3,2001.