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02-101446 City of Federal Way Cc*munrty Development Services Electrical Permit #:02 - 101446 - 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: 28810 MILITARY S Parcel Number: 042104 9110 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 ,y,i-,,`.,.1 Description; (Quantity1 escriptioriz„ :,,A.: (Quantity . ': Description [Quantity Circuits- Commercial 1 PERMIT EXPIRES October 5,2002,IF NO WORK IS STARTED. Permit issued on April 8,2002 I hereby certify that the above information is correct and that the construction on the above described property and Ill 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 0 Owner or agent: Date: U e� 3- 7,.- c)-z_ FN.&k Q 0,r0 v— ......4s 0 41 0 0 �o i v III / • RECEIVED ar'a G CONSTRUCTION PERMIT APPLICATION • N Fly 8 2002 APPLICATION NUMBER: 0Z- /1462 D� - L'"-_ CITY OF FEDERAL WAY APPLICATION NUMBER: - BUILDING DEPT. 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: ;-'-g /O /1/1/11 4u Lr, 5 , ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' - ' ;-` , • PROJECT INFORMATION . TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): pro;/��e_ (Z) /7114 Icd3 ,1 ( 1 ) n V' I r cvi r- r) CcJ l Ier LtoeLt r-c7cL jvt CC,-7 Tru / re,)A--, % PROJECT NAME: �r IC c✓C-f 41 4 7 7 ' • PEOPLE INFORMATION PROPERTY OWNER: NAME: I (DAAYTIME PHONE:L' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): `�s 3 ) 7 - ���L? CONTRACTOR: NAME: DAYTIME PHONE: 1-1.01 C//Cff(-C_ (��_ ) X3 - //II-4/MAKINADDRESS(STREET ADDRESS;CITY STATE,ZIP): EVENING PHONE: ('Z�3 g//,�c hive_ s - ( ) - CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: /9g - / © s , 7 y - ooRt_( ) - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) S I4 /g //+ T �S 2 Z n© 1`o ? / 3/ / 0 3 APPLICANT: NAME: DAYTIME PHONE: MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( ) EVENING PHONE: RELATIONSHIP TO PROJECT: ( ) FAX NUMBER: ❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) _ EMAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT g_CONTRACTOR ' ■ DETAILED BUILDING INFORMATION - ° ' EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 44-5-63 - SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 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 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 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 daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where ch daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the information supplie4 the dty as part of this application. NAME/TITLE: l -_ SFr tit �-� 41.1, DATE: /m/2_ ❑ PROPERTY OWNER 0 APPLICANT I` CONTRACTOR FOR OFFICE USE ONLY: SMS 0 ADDITION 0 ALTERATION • •' ❑ REPAIR ❑TENANT IMPROVEMENT • CENSUS CODE: - LOT SIZE: ' • . - ;YONIN,G bESYGNAIION: BUILDING S'ELL ONLY? 0 YES- 0 NO. =C'O,MP PLAN DESIGFIATION - -: ' _" BASIC PLAN?''4''_0:YES 0 NO . TOWNSHIP RANGE; _ NEW ADDR}ESS.RE!UIRED? _ : 0 YES 0 NO PLAITED.LOT? " 0 YES 0 NO -__. - CHANGE OF DSO:: 0 YES- - 0 NO' COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY 504511-1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.cityoffederalway.com • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Scrvicc or fccdcr only $50.00 _q of Thermostats(First-$37.50;add'n-S 1 I.50ca) (First 130011'-575.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 II of Low voltage fire or burglar alarms Square Feet: First 2500 li2-543.50,Each add'n 2500 ft2-S 11.50 _Each outbuildingor garage.... ... . ... $31.00 MOBILE HOME/RV PARK Square Feet, (Inspected with service) _M of service or feeders • l'er WAC 296-46-910(5)(b)(i&ii) _Each outbuildingor garagc. ...... ...$50.00 (First service/feeder-$50.00,Add'n service/ _if of Signs(First sign-537.50,add'n sign (Inspected separately) fccdcr-$32 each) $17.50 each) _Swimming pool,hot tub,spa. .. ... $75 00 Yard l'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 anip S 81.00.............$ 24 00 Feeder _201-600. 189 00 _201-400 anip 101.00 50.00 _0 to 100 S 81.00 S 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 1#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 $ 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 -0 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 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) // Ar 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) IN 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 a 100-January 18, 2002