02-101449 City of Federal Way
Community Development Services Electrical Permit #:02 - 101449 - 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: SAFEWAY
Project Address: 1207 S 320TH Parcel Number: 150050 0020
Project Description: ELE-Provide(2)outlets from(1)new circuit for new telephone rack in control room.
Owner Applicant Contractor
SAFEWAY INC SPARTAN ELECTRIC SRVC INC SPARTAN ELECTRIC SRVC INC
1850 MT DIABLO BLVD#250 6263 ELLIS AVE S 6263 ELLIS AVE S
WALNUT CREEK CA SEATTLE WA 98108 SEATTLE WA 98108
94596-4426 (206)763-1144
Electrical Fixtures
x.w ri:. , Desc
1131014` +� » . ;i 1!, escription [Quanty `: Description ''' Quantity
Circuits- Commercial I I
PERMIT EXPIRES October 5,2002,IF NO WORK IS STARTED.
Permit issued on April 8,2002
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us 1 be in ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal W
)t .
Owner or agent: Date:
- z -oz rytott AkAb(QvS
le)
•
;O G CONSTRUCTION PERMIT APPLICATION
� IZRL RECEIVED APPLICATION NUMBER: O2- _ L_
APR 0 8 2002 APPLICATION NUMBER:
APPLICATION NUMBER: -
**The t bbl DIi formation-Please print(in ink)or type**
BU
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- • ' - '- ■ PROPERTY INFORMATION ' - . - -
SITE ADDRESS: /ZO 7 S. 3Z1 ' ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
, r `` -_. : '' - -; ' • = • PROJECT INFORMATION , .
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): //-0Vrc/./„- (2 ) d3.4/e •f s �6, _, (i ) ^e.-c.,'
C ire.✓i f /- A&c.I 74c%t'/a.4e "---<,4-4- z.-, Cc,..q71.,-e.)/ r-oori, ,
PROJECT NAME: -�'Y 7FG4i%/e-^ 4c5-5-
.
i5-,-
• ' • PEOPLE INFORMATION -, •
PROPERTY OWNER: NAME:
DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): (Z73 )�� -9So3
CONTRACTOR: NAME: DAYTIME PHONE: l
12e /C? tic-dr('` (2426.) 765 - //S/4
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: EVENING PHONE: i
Zc,� i//,S � S ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
/9 VS - / 2 .3—6- 7e- - o> .-( ) _
CONTRACTORS REGISTRATION NUMBER:
S / 4 4 .T E r_ a EXPIRATION DATE:
(copy of card required) J 2 0 (JQ p / _.I r / 03
APPLICANT: NAME:
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT A CONTRACTOR
•• • -• • DETAILED BUILDING INFORMATION ' ' -- ' ` -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 'Y-Co , coo
SPRINKLERED BUILDING? ❑ YES• ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
'' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
•
' • • • - • PROSECT 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
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 1
further agree to hold harmless the City of Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only w •re such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supp • . to the a as a part of this application. WC
NAME/TITLE: . / i / S :�✓1 '�— Svc �' DATE: �I
❑ PROPERTY OWNER 0 APPLICA, )CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW "'.' -'0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: -
,ZONING DESIGNATION: BUILDING SHELL,ONLY? 0 YES 0 NO
-COMP,PtAN DESIGNATION BASIC PLAN?1-`- _CI YES 0 NO • ' •
SECTION, • ;' _ •TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO'
-
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com com
■ ELECTRICAL
TABLE B
•
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $50.00 _4 of Thermostats(First-$37.50;add'n-$I I.50ca)
(First 1300 ft2-$75.00;Each add'n 500 112-$24.00) _Service and feeder $81.00 4 of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ftm-$I 1.50
_Each outbuilding or garage.. . .. . $31 00 MOBILE HOME/RV PARK Square Feet-
(Inspected with service) _4 of service or feeders ' I'cr WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage.. . . . . ....$50.00 (First service/feeder-550.00,Add'n service/ _4 of Signs(First sign-537.50,add'n sign
(Inspected separately) feeder-$32 each) $17 50 each)
_Swimming pool,hot tub,spa .. . ....$75.00
Yard I'olc meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 . ....$ 81.00
_Up to 200 amp $ 81.00. .$ 24 00 Feeder _201 -600.. ................................189 00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601- 1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201 -400 189.00 75.00 L 4 of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-S circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801- 1000 348.00........ 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 . _201-400 . 75.00
_Mast or meter repair 37.50 _401-600 101.00
-4 of circuits _over 600 . 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ca)
If service is greater than 200 amp.a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr.
■
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) / TOTAL(D)
r'3 r5e7b3 Sc)
.1
TOTAL COLUMN(D):
Total Column(D) .
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( 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-January 18, 2002