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09-104842 • "" .Electrical • City of Federal Way {� Q dommumtyDevelopment Services Permit #: 09-104842-00-EL P.O.Box 9718 FILE Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: FRED MEYER FUEL FACILITY Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010 Project Description: Alter(2)circuits for illuminated fuel price signs. Owner Applicant Contractor FRED MEYER STORES INC TRI-M ELECTRIC LLC TRI-M ELECTRIC LLC 3800 22ND AVE PO BOX 1342 TRIMEL*981PS(10/10/10) PORTLAND OR 97202 EDMONDS WA 98020 PO BOX 1342 EDMONDS WA 98020 • ::r irk;., ' a :t <M •.:�s= , :i �F.aS3 's'` i�• .:,� ;,1.^ ' N i,! +N= t 1 "'y.,,i`<a'•'. Is Use Educational or Institutional? No Service greater than 1000 Amps? No Circuits-Commercial 2 PERMIT EXPIRES Saturday, December 11, 2010 Permit Issued on Friday, December 11, 2009 I hereby certify that the above information is correct and at the construction on the above described property and the occupancy and the use will •- accorda = wi a e laws, rules and regulations of the State of Washington /Aiel -n• e rz of Federal Way. Owner or agent: ii i/ Date: rt-/I 6 7 ,a 04;064.) ifi+/ °' • THIS CARD IS TO MAIN ON-SITE , N 1. CITY OF4A. Construction In ection Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 09-104842-00-EL Address: 33702 21ST AVE SW Owner: FRED MEYER STORES 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) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By C ..1 Date 127%4 `meq By Date . . El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical (4055) Approved By Com., Date 12-11-t ••a a • o Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date , A RECEIVEu 9 - L o V �� Federal Way DEC 1 1Aii PERMIT MF CO M EL L DE EN FP COMMUNITY T ES _ CATION 253-835.2607.FA 253-35-2609 "-""M"MfMelrfOF FED j!'P'r,- �7 .k` 'r .., 't z:^w,rr`x -s•,--,i-a .,-. .;' r''':,�.. r.r.p.^¢,'..:P"n-rV. "' - SITE ADDRESS r ; ' 71OZ Sr-r- 4v 5, c3. SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# NAME OF PROJECT ,; 1 ... (Tenant or Homeowner Name) / j) r - )f�� 0 BUILDING 0 PLUMBING 0 MECHANICAL TYPE OF PERMIT 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION eD c/ to — _i —tio _ _ C--LJ PROJECT DESCRIPTION v' Detailed description of work to TO / ``JAL ' GF /Al1../ e / /7 be included on this permit only t — -Sr 0 L-:--- 4 .. J., nc ,, „, t ,., d ' . ,..„,„:„,,,'....'_•.rsi3•�..�' mr ,1,40.4.,[r"3"� Y.;.25IIF,n?, ,*,r,,Ty. _t,,,,,, µ .�A y -1.r...%n,,,,r;W'CY.1 "1 'M” 57,,, NAME c......„..--- PRIMARY PHONE PROPERTY OWNER -(__f ) dt+\k" ( ) MAILING ADDRESS,CITY,STATE,ZIP E-MAIL577-76 z s/ 4 OWNER IS ALSO: El CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT PRIMARY PHONE 1#1 ...„..../-1/7(`/� '/� ( ) CONTRACTOR MA73bD17,CITY,STATE,ZIP �� FAX k /W2- >�0x1.1l- Z© ( ) - WA STATE CONTRACTOR'S CENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 7 , - - X--/g/P5 fa SAO ' 0 NAMECf APPLICANT - j /•- Jt// --'---.1 ----G Tel C- ( )PRNrARY PHONE_ MAILING ADDRESS,CITY,STATE,ZIP FAX ( ) - PROJECT CONTACT NAME A -� ,�-,�-- PRIMARY PHONE Mie. _(The individual to receive and ie. V t K30 ( '2j�773-167 7 respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) (OZST-778- /o' 6 ALTERNATE CONTACT NAME: PRIMARY PHONE IE-MAIL X✓I• 44,1 PROJECT FINANCING NAME Ei OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that • the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating • construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the city, but only where such claim aris .. out of the reliance f the city, including its officers and employees, upon the accuracy of the information supplied to the/ 1,• • •: c• • ,n. �j fit♦ /0q SIGNATURE: �� 1',� ��� DATE f /f/PRINT NAME: (,C4% 04 C-K Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application • MECHANICAL FIXTU :. Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type offixture to be installed or relocated as part of this project. Do rtot include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES " PLUMBING 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. BATHTUBS(or Tub/shower combo) LAVS(nand sink.) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electnc) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ oo0 $ EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR — COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) ------ susTmo PROPOSED TOTALArea Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL NEW/ADDITION AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL---REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—4/17/2009 Page 2 of 4 k:\i-Iandouts\Permit Application III ELECTRICAL • RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): 0- 100 amp x$131.50 x$ 80.00 FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00 x$103.00 Each additional 500 ft2 $39.00 201- 400 amp x$305.50 x$120.50 NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50 In Service/Feeder Additional Feeders 601- 800 amp x$460.50 x$195.00 0- 200 amp x $131.50 x $ 39.00 801- 1000 amp x$562.50 x$235.50 201 -400 amp x $163.00 x $ 80.00 Over 1000 amp x$613.00 x$327.00 401 -600 amp x $223.00 x $111.00 601 -800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00 Over 800 amp x $408.50 x $305.50 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders 0- 200 amp x $100.50 x $ 39.00 0- 200 amp x$131.50 x$103.00 201 -600 amp x $163.00 x $ 80.00 201- 600 amp x$305.50 x$142.50 Over 600 amp x $245.50 x $111.00 601-1000 amp x$460.50 x$235.50 Over 1000 amp x$513.00 x$327.00 Added or Altered Circuits 1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits 1-5 circuits$103.00;each additional$8.00 Mast or meter repair $60.50 Mast or meter repair $111.00 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder only x $ 80.00 $103.00 plus 35%of Permit Fee;Plan Review required for: Service and feeder x $131.50 ❑ New,or alteration to,service of 1,000 amps or greater ❑ Medical/Educational/Institutional Facility Plan review for modified submittals $120.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00 ❑ Other 61-100 amp x $ 80.00 x $ 39.00 Area to be served by system: Pt 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00 201-400 amp x $120.00 x $ 60.50 #of Thermostats 401-600 amp x $163.50 x $ 80.00 First$60.50;each additional$18.50 Over 600 amp x $183.00 x $ 92.00 #of Signs **NOTE: an automation fee of$6.00 will be charged First$60.50;each additional$28.50on all permits** Yard Pole/meter loops/pedestal x$ 80.00 • Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at Ditch cover/inspection only x$120.50 253-835-2607 Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application