04-100699 r t
Cityof unity ityFederal
FIL
Commulopment Services Way lectrical Permit #:04 - 100699 - 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: WALGREENS DRUG STORE
Project Address: 34020 HOYT SW Parcel Number: 308900 0315
Project Description: Install new 800 amp electrical service; (8)0-100amp feeders; (5)101-200amp feeders&associated
wiring. Also includes 6 thermostats and L/V wiring for security alarm,fire alarm,voice cabling and data
cabling.
Owner Applicant Contractor
AMERICAN DRUG STORES INC R-C TRUE LINE CORP R-C TRUE LINE CORP
101 C CAPITOL BLVD 10322 150TH ST CT 10322 150TH ST CT
BOISE ID PUYALLUP WA 98374 PUYALLUP WA 98374
83702 (253)845-8875
Electrical Fixtures
Description Quantity Description Quantity Description ]Quantity
Low Voltage-Other Commercial 14478 Low Voltage Burglar Alarm -Comm( 14478 Low Voltage Fire Alarm-Commercia 14478
Service/Feeder: 0-100 amps-Comm. 8 Service/Feeder: 101-200 amps-Comr1 5 Service/Feeder:601-800 amps-Comr 1
Thermostat 6
PERMIT EXPIRES September 11,2004.
Permit issued on March 15,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th- - 1 be in :ccordan •t_th the .ws,rules and regulations of the State of Washington and
the City of Federal r.
Owner or agent: r ....,_ Date: 3 -/S
FILE
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FILE
INSPECTION LOG
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1&;, COMMUNITY DEVELOPMENT SERVICES
I
33530 FIRST WAY SOUTH•PO BOX 9718
CITY OF FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661-4115•FAX:253-661-4129
1 �p / 1 ??._ /,,,J''� www offe.-a1wooco
For Office Uae Ody: f /- I / / / _ -//7J JTD:
FW File Number: 041 - if- l/rL/ 11G/. f4/LJ Ll l/L/ , „,,,
q
Theollowi • is re,aired in ormation-an inco •lete a••lication will not be acce•ted. Please •Tint le%iTrl inn ''i or
�( • PROPERTY INFORMATION
SITE ADDRESS: 3 ( O O 0/ O - SUITE/APT# ,—
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM /
PROJECT ESCRI ION ovide detailed scription of wor�lnclu ed on this permit onlu): �/
I vt Ac.- O c.._ p of C /to -.P._ r� ,P , S f' c/t c--c_. -00 / �--�
` /
c� 'c- Z.-- �X /w t, 7-7 i
oma- H+t.�. ICvl` ar' ,S'/, bis m s 1D6Z �, TiC .'
PROJI.ET NAME(Name of Business/Owner Last Name): 6)q / IC•Q v1•---S
• PEOPLE INFORMATION/c.„
PROPERTY Nwgi°i/ a ` `I (RIMARY PHONE:OWNER //,,// `f -
MAILING ADDRESS(STREET/CDDRESS;(: C TY,STAT ZIP
X33 3 cec //ate /91 1I.- / / L✓, '7Sog3
CONTRA/CTO NAMC COMPANY/{� / (O.F�FICE'SPHONE'/��i Q Q
3,0 j LC °L ; crPe /"" /\ C-- 7b- G'"�L IDS$✓) 19 ft - r/�J 75--
MAILING ADDRESS(STREET ADDRESS,): CITY,S TE,ZIP CELL PHONE:
/S.3,1- / /O5 '`sI�-eie i7 .(z Gam, /9. 32 53)37 > - 2/7/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: XPI ION DA E: FAX NUMBER:
0Li—1 0 --9 S6 C 1g 1-----a-,02-
/ (A5:3)gY5>-= yG5,,),
CONTRACTOR'S REGISTRATION NUMBER: /�_J/�� Z �/,�/ EXPIRATION DATE•
(copy of card required with each application) X C f/ / V 2 C D .J 5 t-C 6 // / 0 / os—
LENDER:
s—
LENDER: NAME. DAYTIME PHONE'
(If Proposed Value o$5,000)
( ) _
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP l
APPLICANT: N : ...( COMPANY OFFICE PHONE.
a. X C ��C.•,e..— 21 ._.Q_ 0.53)9q =$9?5`
MAIAILING ADDRESS(STREET ADDRES : / T,STATE EVENING PHONE:
/73 l /O�" ) l� �( /� � 3?, �AX NUMBER
RELATIONSHIP TO PROJECT: /'
❑ Architect 0 Tenant ther(Describe): . C'. e4.-- (63 )V Y y
- ip 5
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ? Contractor ❑ ApplicantNeTU4?,,,/erek)COAL
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE: Ps- lira _
p L.e!
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WOJ Q
$ / ( 7/ J OO ,00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00' I�'I' it
❑ Detached outbuilding or garage Li101101 -200 amp 117.50 74.00 -
} (Inspected with service) $36.50 Li201-400 amp 220.50 87.00
Cl Detached outbuilding or garage ❑ 401 600 256.50_ 103.00
(Inspected separately) $58.00 01 00 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ;a-801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
O 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
0 Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
O #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW �j
O Service Over 400 amps i4a.fe-N 'r(J� e12.$74.00 plus 35%of Permit Fee
604 '
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
O Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
O #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
/� MISCELLANEOUS SERVICE/EQUIPMENT
2s �f #of Thermostats ,( ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) 1/) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage 1 LI Swimming pool/hot tub $87.00
re Feet to be served by system(s): 1y (Includes additional circuit,if required)
Alarm SystemLFire ❑ Yard Pole meter loops $58.00
ecurity Alarm System CI Additional Plan Review $87.00/hour
Sit Voice Cabling (for modified submittals)
Dt Cab}ing
Per System(s): 1.,2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) 'Per WAC 29646-970(5)(6)(1&ii)
Page 3
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST /4/7000
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS _ HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
• I)ISCLAIMLK/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 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, and
filed against the City of -- -rai Way , t only where su arises out of the reliance of the city, including its officers
and employees,upon racy -r t nfo� on to the city as a part of this application.
ittp
NAME/TITLE: Jr' At 19,-e S ri. DATE: vL O
/ (Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner 0 Applicanttractor ❑ Architect 0
FOR OFFICE USE ONLY:
R NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 13,2004 Page 2 of 4 k:\Handouts—Revised\Permit Application