04-102734 of Feder el Way
Community Development Services Electrical Permit #:04 - 102734 - 00
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: 28817 MILITARYSid Parcel Number: 042104 9030
Project Description: Low voltage CCTV
Owner Applicant Contractor
WALGREEN CO*MARGARITA E KELLEN I GLOBAL SECURITY&COMM OF WA INC GLOBAL SECURITY&COMM OF WA INC
WALGREEN CO GLOBAL SECURITY GLOBAL SECURITY
PO BOX 901 32700 PACIFIC HWY S UNIT 14 32700 PACIFIC HWY S UNIT 14
DEERFIELD IL 60015 FEDERAL WAY WA (253)661-2250
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Commt 14478
PERMIT EXPIRES January 5,2005.
Permit issued on July 9,2004
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 Way.
Owner or agent: .t Date: 7-9—d rf
( 4 — c
Y \� /
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FINALED �°
THIS CARD IS TO REMAIN ON-SITE
CITY OF 44 Community Development Inspection-Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102734-00-EL
Owner: MARGARITA E KELLEN ASST. SECT.
Address: 28817 MILITARY RD S
FEDERAL WAY, WA 98003
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
06/10/2004 16:59 FAX 2536614129 CITY FEDERALWAY ( J002
r
Federal Way Get\I PERMIT SF MF CO MD EL 'L DE EN FP
COMMUNDIY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•POBOX 9711 ,l o PLI CATI O N / /
FEDERAL WAY,WA 98063-9718
253-661.1715•FAX 253-661-1129 U d `
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PROPERTY INFORMATION
� - r �
SITE ADDRESS SUITE/UNIT#
• r ��
ASSESSOR'S TAX/PARCEL# _ — _- — LOT SIZE(s})
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach acparotePage/ar langthy teed description)
PROJECT INFORP,IATION
TYPE OF PERMIT ❑ BUILDING ❑PLUMBING 0 MECHANICAL
D DEMOLITION AELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onitl)
1 -') � \3 C -C- C\ CC\\( -
PROJECT NAME(Name of Business or Owner Last Name)k. .)3C�l-\CSC e e-� 14' el GI
PEOPLE INFORMATION
PROPERTY NAMk
PRIMARY PHONE
OWNER dQ��
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ADDRESSMAILING CITY,9m1 �'1 \� � QN‘.
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CONTRACTOR COMPANY NAME APPLICANT N `) CE PHONE
CXX(- _ ,. V- -'..C.._. `9531 I -93(-30
MAILING `RESS /1 CTrY,,{STAAT(E,ZIP ei� CELL PHONE C^'
• �71v II Y) P Q ) 110EN3E R/4 QcSQ �\ L EXPIRATION Et3 (FAX ER o - a0(a
CITY OF FEDERAL WAY BUSINESS
1 5-5 a-1 Q a62.ci.L-B L ) alai /0c/ (053)ga'? -CD5iO
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
• ❑ Architect ❑ Tenant ❑Agent o Other(Describe) (
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(
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LENDER "•;i i a a7i. Q•n., .. rF_s'E�y
MAILING ADDRESS • CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE -PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?. 0 YES b NO
WATER SERVICE PROVIDER 0 LAKE}IAVEN ❑ HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
•
jiELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single 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
etached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
etached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
'W MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
to 200 amp $ 94.50 $ 28.00
J1 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
I 401 600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 CI over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58 00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50
0 Service over 200 amps
U Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
U #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58 00,each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea)1.4
(First sign-$43.50;add'n sign$20.50/ea)
1 Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) f 11 (Includes additional circuit,if required)
0 Fire Alarm System U Yard Pole meter loops $58.00
y.Security Alarm System ❑ Additional Plan Review $87.00/hour
Voice Cabling (for modified submittals)
❑ Data Cabling
El
(Per System(s) 1.2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(b)(&it)
Bulletin#100-March 30,2004 Page 3 of 4 .
Revised\Permit Application
If
06/10/2004,16:59 FAX 2536614129 CITY FEDERALWAY 4/1003
PROJECT FLOOR AREAS
EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
AREA DESCRIPTION •
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE/CARPORT •
FLOORS?
HOW MANY
**NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(c.mmaci.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING MISC(Describe)BATHTUBS(or74b/Sha .rcymbal SHOWERS WATER CLOSETS Irou.q
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(B.fb..om sink.) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 mads. 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 Federal Way,but only where such claim
arises out of the reliance of the city,inc ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ' ,�,/ �7 G �y
NAME/TITLE n,J y i it /vt4H0%Ce. DATE 1 - ` -C
"tun) (Title)
RELATIONSHIP TO PROJECT ❑Owner ❑Agent ❑ Contractor ❑Architect ❑ Other
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pemlit Application