04-100253 I
City of Federal Way
Community Development Services Electrical Permit #:04 - 100253 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: HOME DEPOT
Project Address: 1715 S 352ND 5t Parcel Number: 282104 9008
Project Description: Drop power and install 220-v outlet in vestibule near self-check out. Extend(1)circuit.
Owner Applicant Contractor
HOME DEPOT USA,INC IDEAL SERVICES INC IDEAL SERVICES INC
3800 W CHAPMAN AVE 3525 S ALDER ST 3525 S ALDER ST
TACOMA WA 98409 TACOMA WA 98409
\ORANGE CA 92868 (253)922-1616
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES July 24,2004.
Permit issued on January 26,2004
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 W
Owner or agent: / Date: 1126/D1/
r//'72-2
Ill/ ''
Di
RECEIVED ° (_-
_........._A, CONSTRUCTION PERMIT APPLICATION
CITY OF JAN 2 6 2004 APPLICATION NUMBER: Q .- 1 OQat,3- b_
Federal Way ��-� O APPLICATION NUMBER: - -
f FEDEPAL WAY -
BUILDING DEFT APPLICATION NUMBER: - -
*“`The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
: - - • "- . . : . - --• ■'PROPERTY INFORMATION . ' ,-
SITE ADDRESS: / 7/3- 5. 3 5-d-'-`1/"ri--.. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,'7 O %-e / o 7 Henls.t -- -l--i:;_ra e2e.' r/:s.•e
. .s" - " • . -. ,- ■ PROJECT INFORMATION - _.
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
(LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
1.411\ i , •• - i._ , ,
V CS tii,,, it_ 11.Pri. - ,'p(F - CIA e / C..._7--- .
6t)C 71eiel / C(`V,/d- (ei / on/7)
PROJECT NAME:
• - ■"PEOPLE INFORMATION • - . ,_ ' - - - _ . .
PROPERTY OWNER: l NAME: �/�-(//J �� ,, ,�G�//� ; DAYTIME PHONE
MAILING ADDRESS(STREET,ADDRESS;LIT�ATS(ZIP)07--
/ 1' 4(703 1 (2 3 )66,1 - v.0
171c- S'. 3 .5-0-`-'9/7.i, /&JJ./ &y, km_ Fcroo 3
CONTRACTOR: I NAME: i DAYTIME PHONE.
Idc / fe v,cc1' f.L-.c . ; (Zs-3 ) 724- - / 6/6
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP)• ! EVENING PHONE'
• i 33 S- ...5-• ti(c/cr- Si. ( ) 5.9-• -c_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER-
L 2 - j $ /oS(o 92-oc> /34_I (Lf3 )67/ -0l/70
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION TE:
(copy-eFcard required) - -e.. -._L_ J- -Z._a 1 J a1., if 79-i9-/0..
APPLICANT: NAME: DAYTIME PHONE
0 L-4-4 -7.0---
,1-4eC/ YewlCe_s ! ( 2.0 ) gad- -IG/a
MAILING ADDRESS(STREET ADDRESS;CITY, .ZIPS:_ _ EVENING PHONE'
3sds s• I- t 1 sf, T
RELATIONSHIP TO PROJECT: FAX NUMBER.
o ARCHITECT ❑TENANT o OTHER(DESCRIBE): } (2C3 )67/ -dJ I 1 0
CKAPPLT
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o CONTRACTOR � D (z2Qer+ /Serviv�.:••c.J,.41,,,,‘- • : - ' -III DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** '
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
—
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES - •
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(inducting costs,expenses,and attorneys'fees incurred In the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed againstthe City of
Federal Way,but only where su.• daim ari • - .- f the reliance of the dty,induding Its officers and employees,upon to accuracy
of the information supplied to74city pa is application.NAME/TITLE: �' ► G Lecc_4. Def DATE: / /O
r
o PROPERTY OWNER o APPLICANT ,CONTRACTOR
-FOR.OFFICE USE ONLY:;-1
3p NE1fV p ADDITION 's *q%LLTEItATIUN' -tea;REPAIR ZEif ENANT;IMPi20VEh1ENT = x -,
;CENSUS CODE: :: V,*E*Ee")k� = M, '-i LOT SIZE: t. , ;t. '- ;'4'''''Wl.":31:4;."_'1:,, r>.
'ZONINGOESIGNATION,*`- 1 BUILDING SHEL1.ONLY? f LYES- ;;.o NO :,' . .' ,:
COMP PLAN DESIGNATION ;-�5 -,;,'k= t';BASIC PLAN? a:YES =6 NO K ,' ',-----i-1:51'-•.:,'-'•:::::,:;7.''
`SECTIONV;. -5: TOWNSNIP;?" =tRANGE*,Ir+•Y; cN6eii-3DRESS REQUIRED?c ; a'YES'O'NO'
PLATTED LOT?n':'❑YES=': o1NO '`: ,!+s `, ••"'CHANGE OF USE?.`--?M "!:o YES''4=o'NO " '
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000.FAX:253-661-4129
www.dtvoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57 00 _#of Thermostats(First-$43 00,add'n-$13 00ca)
(First 1300 ft'-S85 50.Each add'n 500 ft`-527 50) _Service and feeder $93 00 ti of Low voltage fire or burglar alarms
Square Fret _ First 2500 111-$50.00.Each add'n 2500 ft`-S13 00
_Each outbuilding or garage $35 50 MOBILE HOME/RV PARK Square Feet:
(Inspected ss ith service) _4 of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage- .. .. $57 00 (First service/feeder-557 00,Add'n service/ _4 of Signs(First sign-$43 00,add'n sign
(Inspected separately) feeder-537 each) — $20 00 each)
Swimming pool,hot tub,spa -.$85 50
Yard Pole meter loops. $57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morel Altered Service or Feeders
Service Feedei Amps Service or Add'n 0 to 200.. . 5 93 00
- _up to 200 amp $ 93 00 S 27 50 Feeder _201 -600 .. . 216 50
_201 -400 amn - 115.50 . . 57.00 0 to 100 . . ..... 5 93 00._ 5 57 00 601 -1000 . . 326 50
401 -600 amp .. .. 158.50....... . ... 78.50 101 -200 ..... . . ... 115.50....... 72.50 0 Cr1000........ ... ... . .. ....363.00
_ —
601 -800 amp .......... 202.50... ........ 108.50 _201 -400 . ..... . 216.50........ 85.50 fI# f circuits
_
_Over 800 amp .. .....289.50... . . . 216 50 _401 -600- ..... 252.50...... 101.00 circuits-$72.50,Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166 50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
0 to 200 amp-........- $ 71.50 _Over 600 volts surcharge 72.50 _0- 100.............. ...................5 57.00
_201 -600 amp .. 115.50 —Mast or meter repair 78.50 _101 -200 72.50
over 600 amp . . . . ... . ...... 174.00 201 -400... .. .. . . .. . .. 85 50
_Mast or meter repair . . - . ... 43.00 _401 -600... .....115 50
#of circuits _over 600.... . - ... 125 00
—
(1-4 circuits-$.57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr
I FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i
i 7 I
i
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35) = (13)
- -- • ■ DEMOLITION - - •
Estimated Permit Fee: (14)
Bond Amount:(15)
. - . - .- ■ ENGINEERING . - - . - . .
Estimated Permit Fee:(16)
Bond Amount: (17)
' - -• ■ OTHER FEES - . .
Mitigation Fee: (18) (20)_ (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100—December 23, 2002