09-101149 !� f! V
Electrical
City of Federal Way 411
Community Development Services Permit #: 09-101149-00-EL
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: Add/alter up to 20 circuits on 220-amp panel for replacement of 117 fluorescent lighting
fixtures in sales floor area.
Owner Applicant Contractor
FRED MEYER C J ELECTRICAL SUPPLY&SERVICES C J ELECTRICAL SUPPLY&SERVICES
33702 21ST AVE SW 1134 INDUSTRY DR BLDG 38 CJELEES966M7 (10/23/10)
FEDERAL WAY WA 98023 TUKWILA WA 98788 1134 INDUSTRY DR BLDG 38
TUKWILA WA 98788
;;.�'!:; •.S; >y'. •€` '" ,,^• zs v ,�, ,(�.?�� f
., i3. t � : •..>�'�N..i:� ..� �!rcY:'� `,F'.::•' ... •.;W' .•'�.< m.y��':E' ya. .. r ,
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
• ;: �;,. < • rte:aN s-v :' ; i tr1cr€ Fixtures.. >:4 • :r�; ' : rt , .�; •µr ,,A•
w .?xr•.] li •r.•s.• . •� ••k,,s l h'23 :N':�<.> e. Ott' • • ,7 • .. ,. • " '�" w�.••`w€
Circuits-Commercial 20
PERMIT EXPIRES Saturday, March 27, 2010
Permit Issued on Friday, March 27, 2009
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
a the City of Federal Way.
Owner or agent: 4/ a 7 Date: T -1—c
FINALED
THIS CARD IS TIOAEMAIN ON-SITE
CITY OF 4111/11 . Community Developnient Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101149-00-EL
Owner: FRED MEYER
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. p0 NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read lett 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.
•
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
Byes Date 2-\_01-o
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
0„A RECEI D Q - i o / / _ _2`
Federal Way E RM IT
cOMMUM/YUsyscordf8/YrSERVICES
MAR 2ÜLICATION
SFMFCOME •LDE ► FP
P53435.260
www.cituGffechralwa"°"CITY OF FEDERAL WAY
The following is required i'f°rmaeclaincomplete application win not be accepted • • print legibly(in ink)or type.
• PROPERTY' INFORMATION
SITE ADDRESS 5.31 o Z 2 I St- , SVSrf t iIC'1 A 1 SUITE/UNIT I
ASSESSOR'S TAX/PARCEL# I ✓ _Q j 0 _ O O L ) LOT SIZE($fl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION h' ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of Excluded os this permit onlyd
'1/4)E(kJ CO L . -El - K K.Rtabil , 4/-00(.0 . Ilk t-l____ILL
PROJECT NAME(Name ofairtganor Owner Last Name) 412E1) Ma-y.4_el
• PEOPLE INFORMATION
PROPERTY NAME •''
PRIMARY PHONE
OWNER 'tO)I� hI 1 - ,4 5 — ( ) -
MAILING ADDRESS `/ CITY ST 41P IS-MAIL ADDRESS
CONTRACTOR cbMP APPu E (FFM_ QIioNE
E L�/�C�/Lic Dr /,/ ,t �/y�l ST�_ �7
MAILING ADDRESS
. N4. Zit- A m ,s`f PHONEP CELL 11" -WC
CITY OF FEDERAL WAY BUSINESS LICEN NUMBER EXPIRATION DATE FAX NUMBER
07-/C 16 7 ( 2c4)c7C -7516--
CONTRACTOR'S //1�/ EXPIRATION DATE ADDRESS
asaan.�a oxTh
lc?, �Ge,h4 7 ADDRESS
[ .Cal.t
APPLICANT COMPANY NAME :•�� APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJECT NAMEPHONE E- ADD
CONTACT r / t) - - 4' - 25� -�S� e_ -/Aid' , . .
LENDER NAME Per RCW 19.27.095:
Lender information is required lf prefect value exceeds 55,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORvIAt'ION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES a NO
WATER SERVICE PROVIDER LAKEHAVEN a HIGELINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
it 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 1113281120O
/rt•O PIPIPOo TOTAL ' ,AL 12:111910 w
ay.ear TOTAL TOTALS!
"NEW HOMES ONLY" NUMBER OF BEDROOMS -'+ i , TED SELLING PRICE $
■ FLXTJRES
Indicate number of each type of fixture to be installed or re ,•, ed as•. of this project. Do not include existing fixtures to remain.
MECELLNICAL
Value of Mechanical Work$ (A COPY OF:iS OR ESTIMATE,, BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS EVAPO- TIVE COOLERS PIPE OUTLETS WOODSTOVES
BBQS FAN- = WATER HEATERS MISC(Describe)
BOILERS • E INSERTS H...S
COMPRESSORS ' - ACES RANG
DUCTS GAS LOG SETS REFRIG. ' STEMS
PLUMBING
BATHTUBS ter n,e/arwrc.wq LAVS(a.mu..a.ry URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Irl&
re
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certity under penalty of perjury that I are 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 authorized 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 Wag as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of clam,), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises • .f the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to
the city as apart of this...plication.
SIGNATURES DATE Z/ 7/6
: Property Owner and/or Authorized Agent
. . I
a NEW a 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 IIP/SEPA/SII?
a YES ONO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 1dHandouts\Pemait Application
• •
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 tta-$121.00;each add'n 500 m-$39.00) 0 0 to 100 amp $131.50 $80.00
0 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00
0 201-400 amp 305.50 120.50,-'
C3 Detached outbuilding or garage(inspected separately) $80,00
0 Swimming0 401-600 amp 356.00 142.50
pool(w/service) 0 601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50 ❑ 801-1000 amp 562.50 235.50
CIHot tub/spa/sauna(w/service) $51.00
o Hot tub/spa/sauna(inspected separately) $80.00 ❑ Over 1000 amp 613.00 327.00
❑ Septic pumping system(w/aervice) $51.00
❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 0 Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
ServiceFeeder (Does not include circuits.)
❑ U 200 Service or Feeders
P to amp $131.50 $39.00 ❑ to 200 amp $131.50
0 201-400 amp 163.00 80.00 201-600 amp 305.50 r
0 401-600 amp 223.00 111.00 0 601 - 1000 amp 460.50
❑ 601-800 amp 285.50 152.50
CI over 1 Id p 513.00
❑ Over 800 amp 408.50 305.50
•f circuits to be added/altered
(1-5 circuits-$103.00;Addh circuits,$8.00/ea)
ALTERED SINGLE/MULTI FAMILY
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
CI 201-600 amp 163.00
❑ Medical/Educational/Institutional Facility
CI over 600 amp 245.50
❑ Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
0 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK 0 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
(First-$60.50;add'n-$18.50/ea) 0 #of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea) ,
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System ❑ Ditch cover/inspection only $120.50
CI Voice Cabling _
❑ Data Cabling
0
1' 2500 ftp-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 82-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 lc\Handouts\Pemit Application