10-101773 Electrical
City of Federal Way • •
Community Development Services Permit #: 10-101773-00-EL
P.O.Box 9718 -tet
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FRED MEYER-GIFT REGISTRY KIOSK
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Alteration of circuit for power to gift registry kiosk.
•
Owner Applicant Contractor
FRED MEYER INC COCHRAN INC COCHRAN INC
P 0 BOX 42121 PO BOX 33524 COCHRI*088JS(4/11/12)
PORTLAND OR 97242 SEATTLE WA 98133 PO BOX 33524
SEATTLE WA 98133
!• n ts,. 'rt' ': 4 A,•,a,'42 ;YID• ` 4. .. ff;a"'y"•.T:SiW ,• . F ,
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
Circuits-Commercial 1
PERMIT EXPIRES Tuesday, May 3, 2011
Permit Issued on Monday, May 3, 2010
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: t z,,,.,/l Date: S/"�//U
FINA LE GA.no
r THIS CARD IS TO IN ON-SITE r'
CM/
OF 0 Construction Ins ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-101773-00-EL Address: 33702 21ST AVE SW
Owner: FRED MEYER INC FEDERAL WAY, WA 98023-7762
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.
El UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . . . .
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Bd7 Date S G /12
El Rough ElectricalID Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
/ ) r
cmoF .0 V - V ��
Federalwa, VPERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO M EL L DE EN FP
33530 FIRST WAY SOUTH•PO BOX 971 A\110 3 2tiit�P 77''�� I CAT I O N
FEDERAL WAY,WA 98063-9718 �j__ TO /
253-661-0115•FAX 253-661-0129 �1/
crtuof(ederalwa4 corn
T6 F FEDERAL
The allow( . aired i • .on-an inco •lets • • •lication will not be acce• Please •rint le•ib _ in or • .
• PROPERTY INFORMATION
SITE ADDRESS 3370 2 2 is r /t(Pe— Fed(s� Va.(( 'f7 q Srb al SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ! 3 C/ . / /
�✓ o - o CI I 0 LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
CEC # Acid /al Li)er tca 9Yt91'crv/ kiosk
PROJECT NAME(Name of Business or Owner Last Name) F17.( (Jay Fr[CI YVI ytV
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER MAILING AD `' >w Co. (STATE,ZIP (9)312323)?32 -gig /y
CITY,
PO . )k 112)2) t(14rT, O)2 772t
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
COCHRAN,INC. 7cvY1 �orpi..�Sk: (S03' )239-‘S-6".(i
MAILINGrAnnRFCc CITY,STATE,IZIP ^� CELL PHONE
�� -��
b.2 $ I�c�i'i.. QW 'T') 4 OR 9 7�C O37
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19 - 98105630 - 00 - BL 12 /31/2004 ) - :
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C OCHRI *088JS 4/10 /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
COCHRAN, INC. ( , ): -
MAILING ADDRESI rTTV cTATF. ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant 0 Agent o Other(Describe)EleCtrical Contractor ( ); -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Trvy &rowsk.• (.s-03 ).sz� - 5697 bora 66 C? wtsw.co►+•t.
LENDER RCW 19,27095; Lender information is NAME
regrdred VIreject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
f
EXISTING ASSESSED/APPRAISED VALUE $ OF PROPOSED WORK $ 1
SPRJNKLERED Bu ILDING? l)(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES N/NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS XXISTING }ROPOSED TOTAL TOTAL 1013811110 er TOTAL PIWOOOID8 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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comms WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower Combo) SHOWERS WATER CLOSETS(Coikt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom smlm) VACUUM BREAKERS ELECTRIC 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 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 a part of
this application. nature) yy��
NAME/TITLE 4. p�
ig �v^
(Title) 41/7//a
''DATE ' /7//U
RELATIONSHIP TO PR ❑ Owner 0 Agent 0 Contractor 0 Architect `sxOther ELECTRICAL CONTRACTOR
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
1.
. ,
S •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW CO1 MERCIAL/IIIDUSTRIAL SERVICE
CI 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 U 101-200 amp 117.50 74.00
(Inspected with service) $36.50 U 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 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 U Over 1000 amp 442.00 236.00
U Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 U Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
U 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 •LI 0 to 200 amp $ 94.50
U 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
U 0 to 200 amp $ 72.50 U over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ,) ! #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
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 U Service over 200 amps
U Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U.Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00
U #of service or feeders U 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50)
U 201 -400 87.00 n/a
U 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 U 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) 1=t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646910(5/(6/(do a)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application