08-102623 City ofFederal Way r Electrical Permi•: 08-102623-00-EL
Community Ded6,iopment Services
P.O.Box 9718
Fede?al Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FRED MEYER PHARMACY DRIVE THRU
Project Address: 33702 21ST AVE SW 7 7 Parcel Number: 930100 0010
Project Description: Install L/V drive-up system fro pharmacy Li et
`
Owner Applicant Contractor
TEXAS COMMERCE BANK NATION DIEBOLD INC DIEBOLD INC
33702 21ST AVE SW 3315 S 116TH ST SUITE 149 DIEBOI*179J5(6/30/08)
FEDERAL WAY WA 98023-7762 SEATTLE WA 98168 3315 S 116TH ST SUITE 149
SEATTLE WA 98168
Additional Permit Information
Service greater.than 1000 Amps? No
Electrical Fixtures
Low Voltapz Other(Commercial' 2,000
X.`ez`r' wpak;'t, PER l PIRES Tuesy, November 25, 2005
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V� °ii;7Jl�1i i;��i � Ff-• ��p'�,, i„W',” �; , �p l� •S r�3� k. r,„
the occupanI°4p: :mom"e will • +n ace: - a s d r, ,, r; �,k,f the of i ., N�;��
a • ,e Yo
eder tWay"
Owner or agent: ! Date: S/2 4�k
i
c/A/!4
THIS CARD IS TOAIN ON-SITE
tY P Inspection OF Pommuni Develo me t Ins ection Record
• ,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102623-00-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.
0 UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) Ei Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(40.55)
Approved
By Date g'/ L -az)
•
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�'"a CEIV ERMIT
aoxxv>rlrY.nsvatorxaNrs��ih SF FCO ME(EL�PL DE EN FP
33325DRLWA ,Wr17!•6o APPLICATION �`--��
53435-2 WAY,FAX
53435-260
T53-t35-2607•FAX 453dJ5-1609
uww.caw r .gym MAY 2 9 2008
The following is required information-an{rico •tete application will not be accepted. Please print legibly(in ink)or type.
iglu a ! A L t
PROPERTY INFORMATION
ro
SITE ADDRESS_ 3 37,02- 2/ 3' ,9 L& 5'Gt> SUITE/UNIT I_
ASSESSOR'S TAX/PARCEL 9 - __ LOT SIZE Of)
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
1aswilition)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING C] MECHANICAL
❑ DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
_OA/ '-e_ 47, -5-7.��
PROJECT NAME(Name of Business or Owner Last Name) 7 /#1-e-40 �.Q-00e-
is PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNERQ.Q ��CO E-MAILC. �iC/l..f �- ( )
MAILING AD STATE,ZIP ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ar (0-a,) 25// - !o/
r LING ADDRESS CITY,STATE,ZIP CELL PHONE
33/5 S //!7#S �;/4 € , 9e/4,t? (V2-51-fig - /IS/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
61C7e, z. /f - 34.5-7
CONTRACTOWi REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
404Z-4-/544,..Z—* (7 93-45—
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant a Agent a Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if prefect salue exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
• DETAILED BUILDING INFORMATION l ) •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
111 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 IMMITIDO PROPOSED TOTAL TOTAL smmao sr TOTAL PROM=ST TOTAL sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type off Lure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
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 HOODSIcm.moa.q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIO.SYSTEMS
PLUMBING
BATHTUBS orTub/shearc•mbs LAVS(Bathrooms URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(ao
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I eerie)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 Wag 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.
Ifurther 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, amt./lied 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 part of this application.
SIGNATURE: _•••• /2 Q/��
DATE
�perty Owner end/or Authorized Agent
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 1,2008 Page 2 of 4 k\Handouts\Permit Application
• i
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ Oto 200 amp $96.00
❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
t/Muiti-Faintly $67.50
❑ #of service or feeders .
(First service/feeder-$76.50;each add'n-$50.00) Commercial/1'ndustrfal Service or Feeder Ampacity
❑ 0-100 amps $76.50
O 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ $of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
.ow Voltage ❑ Swimming pool/hot tub $115.00
$$gquare Feet to be served by system(s) 2-a00 (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $76.50 '
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour '
❑ Voice Cabling (for modified submittals)
❑ Data Cablinglir 4.070 -5-757-..e-,...,--
Automation Fee on all Permits .. $5.50
l 2500 ft2-$67.50; �f'%a-w�
Each add'n 2500 ft2-$17.50) •Per WAC 296.46-910(5)(b)(di a
.,
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application