09-100301 Electrical
City of Federal WayAtm },-
Community Development Services ,
Permit #: 09-100301-00 EL
P.O Box 9718
Federal Way,WA 98063-9718 ',.Y L., , Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax (253)835-2609 p q
Project Name: FRED MEYER GASOLINE FACILITY
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Install 101-200 amp service to provide power to fuel sales kiosk,(5)fuel dispensers,(3)fuel
turbines,&lighting to canopy.
Owner Applicant Contractor
TEXAS COMMERCE BANK NATION TRI-M ELECTRIC LLC TRI-M ELECTRIC LLC
33702 21ST AVE SW PO BOX 1342 TRIMEL*981PS(10/10/10)
FEDERAL WAY WA 98023-7762 EDMONDS WA 98020 PO BOX 1342
EDMONDS WA 98020
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Service greater than 1000 Amps? No
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New Service/Feeder: 101-200 am 1
PERMIT EXPIRES Friday, January 22, 2010
Permit Issued on Thursday, January 22, 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 •: in accorda e , ith the laws, rules and regulations of the State of Washington
4 -►. t • City of Federal Way.
Owner or agent: — — Date: / O
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% ' THIS CARD IS TO MAIN ON-SITE +
CITY OF 11111Community Developrnnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100301-00-EL
Owner: TEXAS COMMERCE BANK NATION
Address: 33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
This card is part ofyour 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.
0 UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date /' i6 .d7 By Date By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By 0 lJ Date S —S—p9
For inspector reference only _ __ __
0 Rough Electrical 0 FINAL-Electrical
Approved Approved j
By Date By Date
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CO �YOBV C PERMIT SF
DEVELOPMENT SERVICES MF CO ME®PL DE EN FP
33325 8�' BNUSOUTH 51.0P641927
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9718 �� 2 2 2000APPLI CATI O N �°
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The follo i#r ERWAY
ormatioALn-an incomplete application will not be accepted. Please print legibly fire ink)or type.
e� • PROPERTY INFORMATION
SITE ADDRESS_ 33 702-- 2/ Ave Stn) SUITE/UNIT#
Q
ASSESSOR'S TAX/PARCEL 9 -1 3 Q I a (2- Do / D LOT SIZE(s,f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
titiad*Wands Pea•fark eeyt> dasap y
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING O MECHANICAL
0 DEMOLITION KfiLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
• 1:, DESCRIPTI• ; 1• .vide detailed descriptie_pf work included on this permit only)
M r (.
1. • •••_... _I •. _ j
Pt cy r A)(-, c7N `Y-1 P t.Icl?!
PROJECT NAME(Name of Business or Owner Last Name) h E) E)E R -t--v t LA.T
• PEOPLE INFORMATION
PROPERTY �� Y PRIMARY PHONE
OWNERWNER l�-� �7 ( )
S-7 o Z -1� SMAILING ADDRESS �5ITY, . . ^, / _ ^At E-MAIL ADDRESS
'0' . CTOR .COMPANY NAME APPLICANT NAME W OFFICE PHONE
' 1, IR I-
RE (G— <S AT r�i�)CSO�ZIP (41Z� 1 / /e5 -OZG0
, 13t4—t b5 u �18o?.a f2 773 -` ?7
Cl;*�'FE B'• WAY'S LICENSE R EXPIRATION DATE FAX NUMBER
2709
47
• •iNe IIu IR>QWA1TOIr D�Ti E-MAIL ADDRESS ,
�� • (J2tr(?-084
�Z!s-1EL-*9$1f lD(AO/0 -fi'r.,r.el&fi^(t�a .ret
APPLICANT COMPANY NAME APPLICANTNAME OFFICE PHONE
l/Nr4 era k_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect a Tenant a Agent a Other ( ) _
PROJECTNAME
CONTACT �/([_' �� St9 Z�( _ 46_77 E-MAIL ADDRESS
LENDER NAME—_____, Per RCW 19.27.095:
_`moi,` Lender information is required if project value exceeds*5,000
MAILING ADDRESS CITY,STATE,ZIP _ — PHONE -
l
In
DETAILED BUILDING INFORMATION
EXISTING USE�, " -- PROPOSED-USE
EXISTING ASSESSED/APPRAISED VALUE$ iT VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES o NO
WATER SERVICE PRO a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKFSTAV N 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 zoomrsoreeeo TOTAL 4, TOTAL=la=r rorcc w,sr TOTALS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS _ ESTIMA SELLING PRICE $
FLXTURES
Indicate number of each type of fixture to be; ,I-, or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work$ (A «e• OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS _ y APORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS "ANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(co.aseyy
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Moms.Cod* LAVS(s. ,ss %,kz URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS ! j
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roo.t
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
ii
I
certify ander 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 qj this permit application is true and correct.I certtly 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 Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which be mads by any person, including the undersigned, and filed against the city, but only
where such claim arises out of reliance including its officers and employees,upon theofthe*formation
the city as a part of this �oop accuracy supplied
SIGNATURE: DATE /1'2" O I I
perty Owner and/or Authorized Agent
",i�ff.'s-� ,_•-•_ _
• 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 UP/SEPA/SU? a YES a NO
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
. , ' . I
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
ID Family Square Feet Service or Feeder Each Add'n
(First 1300111-$121.00;Each ado 300 a,_$39,00) 1:: 0-to 100 amp $131.50 $80.00
101-200 amp 163.00 103.00
0 Detached outbuilding or garage(w/service) $51.00 0 201-400 amp 305.50 120.50
0 Detached outbuilding or garage(inspected separately) $80.00
0 401-600 amp 356.00 142.50
❑ Swimming pool(w/aervice) $80.00
0 601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50
CIHot tub/spa/sauna(w/aervice) $51.00 0 801- 1000 amp 562.50 235.50
❑ Hot tub 0 Over 1000 amp 613.00 327.00
/spa/sauna(inspected separately) $80.00
0 Septic pumping system(w/service) $51.00 0 Over 600 volts
CI Septic pumping system(inspected separately) $80.00 surcharge $103.00
❑ Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
Service or Feeders
o Up to 200 amp $131.50 $39.00
0 0 to 200 amp $131.50
O 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
❑ 601 -800 amp 285.50 152.50 0 over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
O #of circuits to be added/altered
(1-5 circuits-$103.00;Add'n 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
CI Service-1,000 amps or greater
❑ 201 -600 amp 163.00
❑ over 600 amp 245.50 0 Medical/Educational/Institutional Facility
0 Additional plan review for
0 #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 0 to 60 amp $ 71.00 $32.00
0 Service or feeder only $80.00 0 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 0 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK 0 401-600 amp 163.50 80.00
❑ #of service or feeders 0 Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
O #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) 0 Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System 0 Portable Generator(transfer equipment) $100.50
❑ Security Alarm System LiDitch cover/inspection only $120.50 .
❑ Voice Cabling
❑ Data Cabling
0
1.t 2500 tr-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ft-2-$18.50) 253435-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application