04-100515 11114111.11
City of Federal Way
v ommumty)2evelopment Services metrical Permit #:04 - 100515 - 00 - EL
33530 1st Way S :
Federal Way,WA 98003-6210 r
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WALGREENS DRUG STORE
Project Address: 28817 MILITARY>s Qa 5 Parcel Number: 042104 9030
Project Description: Electrical for new 14,490 square foot retail facility.
Owner Applicant Contractor
VILLAGE PROPERTIES SINDER ELECTRIC INC SINDER ELECTRIC INC
14335 NE 24TH ST STE 202 15022 35TH AVE W 15022 35TH AVE W
LYNNWOOD WA 98037 LYNNWOOD WA 98037
\BELLEVUE WA 98007 (425)743-9704
Electrical Fixtures
i esGriptial�.' ' Quantity _` C► Ip ion 3`' .. .'.�Qil rit►y :--'1', '°I esci�itior� .` °:: z Quantity
Service/Feeder:601-800 amps-Co 1
PERMIT EXPIRES September 4,2004.
Permit issued on March 8,2004
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: 17 ✓ Date: e v't_.A-+�J�.Q t
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DATE l` INSPECTOR ' OK CORR/REJ AREA�� AND TYPE OF INSPECTION
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CITY OF -—• —TE '" 1) r, n49806J 911891 L
Federal Way PERMIT APPLICATION 259661-4115•FAX ?596614129
inwio nt(pffoylercilwoll rom
FEB1 3 2004
For Office U.Only / � /' r `� TD
FW File Number V - - / ,, �7 I - �_
0II '9 - • I c
The ollourin• is re.uired in ormation-an incom•fete a••lication will not be acce•ted. Please •RIAL-nI't'bQ DAPinkf or -.
■ PROPERTY INFORMATION
SITE ADDRESS: 8g ,-/116., Y S SUITE/APT #
ASSESSOR'S TAX/PARCEL #: O q_ Xi O ( - / 0 3 0 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION leg Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnption)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENT'/I``ON SYSTEM / /
PROJECT DESCRIPTION (Provide detailed description of work included on this pernut onitd: /V 4/96 'A/43/V-P 4
f,�/si, ( e0 , � ,< S fore-
PROJECT NAME(Name 0 Business/Owner Last Name): & /,L ' '(/\•1
V A
• PEOPLE INFO :MATION
PROPERTY NAME PRIMARY PHONE
OWNER VI.J Ie 1�rop-eAr' 'e s • ( ) -
MAILING ADD f S(STREET A DRF;SS,) CITY TATE„7IP
I `} 33 pJ .2.el- //3e.`levue- `I?d b 7
CONTRACTOR: NAMII, COMPANY �+ f OFFICE PHONE
C, 0`1 f-71- C r -e Cie f-' S ( tri GC-P r rr I P C T o-, (yzz) 74/3 -9 74
MAILING DRF (STR�TjDD- /lye. IA) CI_711�w„TATE,ZIP 40 37 (EPHONE) 73‘).--e ':20
3Q-_e ; 2^
CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER I EXPIRATION DATE FAX NUMBER
`}
/1 ". V `J - / U6, g S f - _00 - L_ u/Z/ 3IDy ( '2c) 7Y5= Si)�'�1'
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE
-,s �
(copy of card required with each•pplication) �t '� V L `V-- "�• x / J r2 k /2/ /? / O-s
LENDER NAME DAYTIME PHONE
(If Proposed Value>$5,0001
MAILING ADDRESS(STREET AD ,( CITY,STATE,ZIP
APPLICANT: NAME COMPANY OFFICE PHONE
( )
MAILING ADDRESS(STREET ADDRESS) CITY,STATE,ZIP EVENING PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Other (Descnbej ( )
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-MAIL ADDRESS
I ■ DETAILED BUILDING INFORMATION - - -
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? n YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES n NO
WATER SERVICE PROVIDER: I I LAKEIIAVEN t I IIIGIILINE n TACOMA I I PRIVATE(WELL)
SEWER SERVICE PROVIDER ,i LAKEIIAVEN I I IIIGIILINE I I PRIVATE (SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
•
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DES.RIBS)
DECK(COVERED"))
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDR'OMS: TIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be in,tailed .r relocated as part of this project. Do not include existing fixtures to remain
MECHANICAL
Value of Mecharuns! Work $
AIR HANDLING UNITS EVAPORATIVE .00LERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commermal) W OODSTOV ES
BOILERS FIREPLACE INSE' • RANGES MISC(Describe)
._COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING
BATHTUBS(or b/Showmcombo) SHOWERS WATER CLOSETS troth.)) MISC(Describe)
DISHWASH 'S SINKS DRINKING FOUNTAINS
GAS PIPE •UTLETS SUMPS RAINWATER SYS
WASHI,G MACHINES URINALS • •SE BIBBS
LAV' (Bathroom Sulk VACUUM BREAKERS EL- RIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
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(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 accur cy of the in .rmation supplied to the city as a part of this app ication.
NAME/TITLE: t zG% - DATE: r3
(Signature (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant k ontractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES ❑ NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
r.
`''{ ■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87 00,Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ._601 -800 amp 332 00 140 50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442 00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 1 17.50 58.00 ❑ Over 600 volts surcharge $74 00
❑ 401 - 600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 LI H of circuits to be added/altered
(1-5 circuits-$74.00,Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6 00/ea)
tii-Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit.Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
- ❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
LI H of service or feeders ❑ 201 400 87.00 n/a
(First service/feeder-$58.00,each add'n-$37 50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ ti of Thermostats ❑ M of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s). (Includes additional circuit,if required)
o Fire Alarm System ❑ Yard Pole meter loops $58 00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling
0
(Per System(s): 1•,2500 ft2-$51.00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910/5)/b)(i efi u)
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