02-101447 City of Federal Way
Community Development Services Electrical Permit #:02 - 101447 - 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: 2109 SW 336TH Parcel Number: 873217 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
- Description QutJ R!ffetwitDoScription IQuantity .‘W Description " . :Quantity
Circuits- Commercial 1
PERMIT EXPIRES October 5,2002,IF NO WORK IS STARTED.
Permit issued on April 8,2002
11,I hereby certify that the abov- ' ormation is correct and that the construction on the above described property and
the occupancy and the :- wil se ..accordance with the .ws,rules and regulations of the State of Washington and
the City of Federal ay.
Owner or agent: ti-- Date:
Fktiw� lu.cpro✓
o�
Al
49
(-7
:°' G RECEIVED CONSTRUCTION PERMIT APPLICATION
--" EDE L APPLICATION NUMBER: 2.- 101 eL
\)\) APR 0 8 2002 - -
APPLICATION NUMBER: - -
CITYOFFEDERAL WAY APPLICATION NUMBER: - -
**TheilTolloowing as equired 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: 2 /OCi S- (,-4/- >361-L-47 s' - ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
";" • ■ PRO]ECTINFORMATION a • , . •- .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
JAI ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pro ide detailed description): tri /r1j �/,,._ (.) pc-/ t "1 S 40 len , ) ei mac,✓
C �
rLI, f 7'0I- et e w' .'(- (-Cre 1Giael C /. CI- /,i Co..i 1-ro1 r Oc.)r/1-, . .
PROJECT NAME: . 5-
07-7-CZ t/'r?c. 5Sd
- ■ PEOPLE INFORMATION . •
PROPERTY OWNER: NAME: DAYTIME PHONE: /�j
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( 3) ��� /�/
CONTRACTOR: NAME: -
DAYTIME PHONE:
—C,e2c-stel LA, C/e r: "f C--_ (2o ? ) 7673- //(/4t
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE: I
�o2 ca3 /�JS Ave ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: I
/9 g - / 0S 7 ' - 00 -( ) -
CONTRACTOR'S REGISTRATION NUMBER: / �+ �f/7 EXPIRATION DATE:
(copy of card required) J 4 le 7-E• S 2-2_0 1 2 8"l .3f / 02_
APPLICANT: NAME:
DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PH ONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) _
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,CONTRACTOR
- - , . ■ DETAILED BUILDING INFORMATION ' - ' ' ' . . ,
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ (5-5'4)6
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
'**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• ■ PROJECT 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)
BOILER(S) 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 ❑ 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(induding 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 against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supp' to the d as a part of this application.
NAME/TITLE: Vice c: �• DATE: g/J/C
❑ PROPERTY OWNER 0 APPLICAN V.CONTRACTOR
U
FOR OFFICE USE ONLY:
-D NEW= '4 `0 ADDITION 0 ALTERATION ❑•REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: - - LOT SIZE: -
,ZONING DESIGNATION: ' - - BUILDING S E -ONLY? 0 YES- 0 NO..
_bMP P A 1DESIGNA'TION' ;' _ "gA$!C PLAtiz=`-_I�SYES 0 NO '
TOWNSHIP RANGE 4. NEW ADDRESS,REQUIRED? 0 YES 0 NO
PL'ATTD.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
• • ELECTRICAL
TABLE B
•
•
NEW RESIDENTIAL SERVICES • MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only......................$50.00 _N of Thermostats(First-$37.50;add'n-$I I.50ca)
(First 1300 ft2-575.00;Each add'n 500 112-S24.00) _Service and feeder $81.00 N of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$43.50,Each add'n 2500 ft'-$11.50
_Each outbuildingor garage.... . ....$31 00 MOBILE HOME/RV PARK Square feet'
(Inspected with service) _N of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-S50.00,Add.n service/ _N of Signs(First sign-$37.50,add'n sign
(Inspected separately) fecdcr-$32 each) S17 50 each)
_Swimming pool,hot tub,spa ... ... $75.00
_Yard Pole 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 S 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 S 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 N of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 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 S 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
_N of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is rcq'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)
ry 3-5-0 63.5D
,
TOTAL COLUMN(D):
Total Column(0)
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