08-101180 •
City of Federal Way Electrical Pert #: 08-101180-00-EL
Community Development Services
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: FRED MEYER
Project Address: 33702 21ST AVE SW " Parcel Number: 930100 0010
Project Description: Installation of L/V cabling,Data/voice,paging,security and fire alarm cabling.(cabling
only)
Owner Applicant Contractor
FRED MEYER INC. APPLIED TECHNICAL SYSTEMS INC APPLIED TECHNICAL SYSTEMS INC
PO BOX 42121 6024 SW JEAN RD SUITE E-200 APPLITS066KD 5/4/2008
PORTLAND OR 97242 LAKE OSWEGO OR 97035 6024 SW JEAN RD SUITE E-200
LAKE OSWEGO OR 97035
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Low Voltage-Other Commercial.160,00 Low Voltage Burglar Alarm -CorI60,00 Low Voltage Fire Alarm-Commel 60,00
PERMIT EXPIRES Thursday, March 5, 2009
Permit Issued on Monday, March 10, 2008
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: Date:
THIS CARD IS TO WAIN ON-SITE - ,
CITY of Community Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-305(0
PERMIT#: 08-101180-00-EL
Owner: FRED MEYER INC.
Address: 33702 21ST 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.
O 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 By Date e //- co
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
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The following is►required ration-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION/ '
SITE ADDRESS_ 7DZ G2/-1;t911( _)1 /' SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 c7 ') ¶2 1 0 - __ __ LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) e4 —Th
filaadh.,P.mt.pw.lbr +w + V
• PROJECT INFORIIIATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION FELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPT ON(Provide detailed d scription of work includ4 on this permit only)
,
r e Afar ,' - COK
PROJECT NAME(Name of Business or Owner Last Name) 7cal ��y Lf✓.
{ • PEOPLE INFORMATION
II PROPERTY NAME / �/J PRIMARY PHONE
OWNER J e O l /'e.-,�e✓ ( ) -
MAILING ADDRESS / CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY AM NAME OFFICE PHONE
MAIC-NG ADDRESS e.
L e A'u.D// e-.5 k, /IQ4 t, VW))LL �.5?v -9'6.S 7
60 / 7 i.J 3!� F Gi^ G2Cfr) _a.'Ae ni.,./rie, a.DATE v70.55 F')E�9/ - 45/1O
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER (/p
COawl:
t't REGISTRATION 0A NO07 % - Ob I�EXPIRATION DATE, E-MAIL C C
Al,64SD66,F� S .-•--f - 0�
APPLICANT COMP��+Y�`NAME f/ _ APPLICANT NAME OFFICE PHONE
(�E7✓\ N' c. ( ) -
MAILING ADDRESS art,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect a Tenant ❑Agent ❑ Other ( ) -
PROJECTNAMC{"�✓PP- - PRIMARY PHONE E-MAIL ADD WS
CONTACT N !r/ O.''t e WO&)3� - /k 3 /1t4 . awspar, rem
LENDER NAME Per RCW 19.27.095:
Lender information is required ifproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
• DETAILED BUILDING INFORMATION l
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
i PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED • TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
MIT=
FROre`W TOTAL ram 100111310 or TOTAL mwwse IF TOTALS?
•
•
**NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(C.mmuaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combe) LAVS(maim=sni URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS maws
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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
when 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: / DATE /Q .X!f"
Pro.a , Owner and/or Authorized Agent
a NEW o ADDITION a ALTERATION a REPAIR a•TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
• NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 kkHandouts\Permit Application