09-100760 • •
E ect?ical
City of Fed�al Way • Q
Commuriity Development Services Permit #: 09-100760-00-E L
PC.Box 9718
Federal Way,WA 98063-9718 • ^� Inspection Request Line: (253) 835-3050
Ph.(253)835-2607 Fax (253)835-2609 ; p q
rs r "•�0
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Installation of low voltage voice&data cabling
Owner Applicant Contractor
TEXAS COMMERCE BANK NATION APPLIED TECHNICAL SYSTEMS INC APPLIED TECHNICAL SYSTEMS INC
33702 21ST AVE SW 6024 SW JEAN RD SUITE E-200 APPLITS066KD(5/4/10)
FEDERAL WAY WA 98023-7762 LAKE OSWEGO OR 97035 6024 SW JEAN RD SUITE E-200
LAKE OSWEGO OR 97035
d. h,t,N rr«{F,f 5�.4'�.:�ayn'. 7£. �� fy� � � •f�' _ �1. : f f.<t
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Service greater than 1000 Amps? No
L. _.�•y m' �•,Z�:'.. ;�ti,N;yY x,•<': � .. ^. i� ' •'� �it'•<,•-G• .y "^
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Vftfi•s xfi7” >
Low Voltage-Other(Commercial' 1
PERMIT EXPIRES Saturday, February 27, 2010
Permit Issued on Friday, February 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
and the City of Federal Way.
Owner or agent: , " Date: 2-727,/9-7
FINAL.
�D
THIS CARD IS T*MAIN ON-SITE
CITY OF 111111 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100760-00-EL
Owner: TEXAS COMMERCE BANK NATION
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. 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.
❑ 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) to Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date 3
•
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
.,A49 _ 00 7. 60
FederalWaj\E�LJ • - -
VC
�ERMIT
coYIRINI7YDEVELOPYENTSERVICES SF MF COM EL PL DE EN FP
3332r"AVENUESOIIIN•POBOX97'fEB 2 7 2°1PPLI CATI O N �°
FEDERAL WAY,FAX
53435.260 / /
253435-2607.FAX 453 63S26pg
[uwn.attuoIB e
OF FEDERAL WAY
The following is required • •n-an incomplete application will not be accepted. Please print legibly(in ink)or typo.
diil~ • PROPERTY INFORIIIATION
SITE ADDRESS_ '33 762 d-154- AVC SA)
SUITE/UNIT
F ASSESSOR'S TAX/PARCEL# . Q I D O - ‘2 0 L 0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
reach++rya I ePwfor MWw>roed elescriPtieN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desaiption of work included on this permit only)
1-6 w Vd'k e - bartA/A14en e l crtcr
cal tW,.'o h .
PROJECT NAME(Name of Business or Owner Last Name) Cled i97 ' XI C' F-4/C! L/
IS PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER cd Met few- ,rue/ S v-C. (z5 ) 9S2 - aloe
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
03 70 2. a l 2f'> e- 51-4-I `ed 7 . Ccs 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
01,/iCei 'Tile-con-14 deer)n S 61e ie- /1E44-s ( S103) 713 - 7412(
i 1 G ADDRESS CITY,STATE,ZIP CEL.PHONE
OCL4 of FEDERAL LWWAY BUSINESS LICENSE NUMBER 7Cl kio`/EXPIATION DATE
FAX NUMB)E793
9 3 -? 1
LA) ant ( ) -
CO>i1'RACTC>t'S iOlf��� EXPIRATION DATE E-MAIL.ADDRESS
14PPL-x-r5 c6,4 R,1)
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect ❑Tenant 0 Agent 0 Other ( )PROJECT
CONTACTNAM J/ ' e PRIMARY PHONE E-MAIL ADDRESS
( 503) ?53 - 7e/2./ 5•&.74-s(0A-r5s 4rA. 'a
LENDER NAME PerRCW 19.27.095:
Lender information is r egtdred if project value exceeds$5,000
MAILING ADDRESS CTIT,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION /-�
EXISTING USE PROPOSED USE -fel t_=
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ `�iO O 'd,6 a
SPR NKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
FIRST
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ICOSTING
OorO TOTAL TOTAL saa
.rwSr TOTAL reawcesosr TOTAL sr
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLYTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IldBOWEICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(c....ei t
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS Ceuta/se.e.r cobs LAYS tars,...now URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(r.ap
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that t am the property owner or authorized agent of the property owner.I curt(fg 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 Rather agree to hold harmless the City of Federal Way as to any claim fincluding costs, aepmses,and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including the ratdersigned, and filed against the city, 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 port of this app
SIGNATURE: DATE 2/ 7/(Y?
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
o YES a.NO
- ZONING DESIGNATION CHANGE OF USE?
a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?
DYES aN0
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
11110 .
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
El Family Square Feet Service or Feeder Each Add'n
(First 1300 lt2-$121.00;Each add%500 a2-$39.00) ❑ 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
U Detached outbuilding or garage(w/service) $51.00 ❑ 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50
U Swimming Pool / ce) $80.00 ❑ 601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50 ❑ 801- 1000 amp 562.50 235.50
❑ Hot tub/spa/sauna(w/service) $51.00
CIHot tub/spa/sauna(inspected separately) $80.00 ❑ Over 1000 amp 613.00 327.00
❑ Septic pumping system(a'/sere) $51.00
IDMas
❑ MasSeptic pumping system(inspected separately) $80.00 U 600 volts surcharge $103.00t or meter repair
$111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
Service or Feeders
❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
0 201 -400 amp 163.00 80.00 0 201 -600 amp 305.50
0 401-600 amp 223.00 111.00 0 601 - 1000 amp 460.50
0 601 -800 amp 285.50 152.50 ❑ over 1000 amp 513.00
0 Over 800 amp 408.50 305.50
O #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW •
0 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
El Service- 1,000 amps or greater
❑ 201 -600 amp 163.00
ElMedical/Educational/Institutional Facility
El over 600 amp 245.50
❑ Additional plan review for
El 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 ' ,,t' a RARY 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
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 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;addh-$18.50/ea) ❑ 1«of Signs
iA Low Voltage / (First sign-$60.50;addh sign$28.50/ea)
Square Feet to be served by system(s) 7,-.000 ❑ Yard Pole/meter loops/pedestal $80.00
0 Fire Alarm System ❑ Portable Generator(transfer equipment)......$100.50
0 Security Alarm system ❑ Ditch cover/inspection only $120.50
Voice Cabling •
.to Cabling,
CZTV
1st 2500 fn-$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 k\Handouts\Permit Application