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City unity Development el Way
lopment Services
Community Electrical Permit #:04 — 100790 — 00 — EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253 661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WALGREENS DRUG STORE
Project Address: 28817 MILITARY S Parcel Number: 042104 9030
Project Description: Installation of fire alarm system
Owner Applicant Contractor
VILLAGE PROPERTIES FIRE COM NW LLC FIRE COM NW LLC
14335 NE 24TH ST STE 202 FIRE COM NW LLC FIRE COM NW LLC
PO BOX 3932 PO BOX 3932
\BELLEVUE WA 98007 SEATTLE WA 98124 (206)234-5700
Electrical Fixtures
Description Quantiti Description IQuantity Description 'Quantity
Low Voltage Fire Alarm-Commerciai 13736
PERMIT EXPIRES November 6,2004.
Permit issued on May 10,2004
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: Date: —DU\
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33530 FIRST WAY SOUTH•PO BOX 9718
CITY Of FEDERAL WAY,WA 98063-9718
Federal WaAR 0 5 2004 PERMIT APPLICATION AR 0 5 2004 253-6614113-
ped 253- 11-129
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OFfEDERAL WAY ulLipirte Prpmbeer: — I a 0 —71 a �LDINpa DEPT.WAYERAL /
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• PROPERTY INFORMATION
SITE ADDRESS: 28817 - Military Road South SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed d cription of work included on this permit onli/k
Installation of a new fire alarm system.
PROJECT NAME(Name of Business/Owner Last Name): Walgreen's Store #6910
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: ( )
MAILING ADDRESS(STREET ADDRESS,): CITY,STATE,ZIP
CONTRACTOR: NAME Jeff Dunlap COMPANY Fire Corn NW LLC OFFICE PHONE:
( 206) 234 - 5700
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
PO Box 3932 Seattle WA 98124 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER' EXPIRATION DATE: FAX NUMBER:
- - - / / (206) 244 - 1957
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) FIRECNL988NR 8/19/04
LENDER: NAME DAYTIME PHONE:
(If Proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME COMPANY OFFICE PHONE'
Jeff Dunlap Fire Corn NW LLC ( 206) 234 - 5700
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
PO Box 3932 Seattle WA 98124
RELATIONSHIP TO PROJECT FAX NUMBER:
0 Architect 0 Tenant 0 Other(Describe): (206) 244 - 1957
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE: Retail Store
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $6,000.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 13,736 13,736
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL ExmDNG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerce.)) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'Mb/Shower Combo) SHOWERS WATER CLOSETS(Toile.) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sm,00m smk VACUUM BREAKERS ELECTRIC WATER HEATERS
• , I
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 authorised 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 accuracy of the information supplied to the city as apart of this application. l
NAME/TITLE: \ _ > i -("4.‘.. )L DATE: l L`
`z two (itle)
RELATIONSHIP IFFFRO ' 0 Property 0• er 0 Applicant ❑ Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SII? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00
U 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) U 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 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U 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
U 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 U #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U 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 U 101 -200 74.00 51.00
❑ #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
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1st 2500 fta-$51.00;
Each add'n 2500 ft2-13.50) "Per WAC 29646-910(5)(b)(i&ii)