05-102552 City of Federal Way Electrical Permit #: 05 - 102552 - 00 - EL
Community Development Services
P.O.Box 9718 •
Federal Way,WA 98063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: WAL-MART#2571
Project Address: 1900 S 314TH ST Parcel Number: 092104 9125
Project Description: Install refridgeration/HVAC control system
Owner Applicant Contractor
WAL-MART STORES INC TRUETEMP NW TRUETEMP NW
1900 S 314TH ST TRUETEMP NW TRUETEMP NW
FEDERAL WAY WA 1627 45TH ST E SUITE 101 1627 45TH ST E SUITE 101
98003-5622 SUMNER WA 98390 (253)826-9640
Electrical Fixtures
- - -Description - - [Quantity - - - -Description 1Quantityi[ Description Quantity
Thermostat 12
PERMIT EXPIRES November 28,2005.
Permit issued on June 1,2005
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 i accor•:•ce with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: ! ` / '� Date: 1j—/"OS—
p,�ED
F1N
-� S
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102552-00-EL
Owner:
Address: 1900 S 314TH ST
FEDERAL WAY, WA 98003-4917
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.
0 Slab/Concrete Floor(4255) ' ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
— _By - - - - - - -Date- - - - - - - - - By - - - Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Fin ectrical(4055)
Approved Approved Approved ���
By Date By Date y Date 2.--z 5"e)
❑ Under-slab groundwork(4295)
Approved
By Date
N,01q
_ ��� � RECEIVED # - --/' a 2112-
Federal Way
`' (� PERMIT SF MF CO IVIE L DE EN FP
33,9 �1VENUDEVELOPMENT
LE So(H•YPSERVICES 718.3 ti Pi i1 o
- FEDERAL WAY,WA 98083-9718 PPLICATION
r
/ /
253-8362607•FAX 253-835-2809u,ww.dtuotf�ralwatbcornCITYOF FEEDEnR�ApL WA�(
The Llowi is :., sd �rir�hl4bYi-nn Inc. ,fete a y,tication will not be acre•ted. Please , t le, "I ink)or j'-•
• PROPERTY INFORMATION
SITE ADDRESS 1900 So ant 31 '14"" 5' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL N O q 2 / 0 7 - q / S LOT SIZE(s,j)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Winch separate pope.ftr lengthy legal descrlpaay
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION %ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work Included on this permit only)
SNS p4-/I ReFvz-t 6- jrnoAi/'/I/f4c__ c..6"1.77-7240 L v Ls7"Em
PROJECT NAME(Name of Business or Owner Last Name) W/'TbJ 472.7- # .2571
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER (06/1-M412—r-
(Y?9 ) 20'1 -aSn 3
MAWIG ADDRESS CITY.STATE.ZIP
2.00/ S•£. /° 1'` . Be IJVTIle., '_ 1 —712
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7/24i.Elan P /U, Gi. F21p-►.i , ..,L47711,1/e/1/ (253) 0-4 -161/(D
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
)6 27 gs"` r E sre /e)/ Su(wwe-12 i 14l(1- 9g39v ( 2P( 510 1).
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
a? d -10 -i36 a. inL-BL /2 / 3/ / 0s (.153 ) g,1_4 - g25 .12
CONTRACTOR'S REGISTRATION NUMBER(copy of card voluted with each application) EXPIRATION DATE
r u 6 -r-LV . g � 2 b3 3 / 7-3 / o7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-aI LC'P A,1. W• Fb 2114-r'1 So L tT we f( ( 2s3) ib._(;, - 9140
G ADD CITY,STATE,ZIP
CELL PHONE
/62.7 1/3"�T £,Ste-/0 / SI.t», I LOR83?o (zoo ) 5/0 727'1
RELATIONSHIP TO FAX NUMBER
❑Architect o Tenant o Agent Ar0.ther(Describe) CO n 712-04-f----V E-- f s i)&2.6 -9751D
CONTACT NAME PRI MIATRY PHONE
0 n 1 AiJ S o ��l(1 ( ) Fat.
- c'4 q E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME v
o
required(jptoject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE Ae fid/L PROPOSED USE /e' )L
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 13/ 000
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIOHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. Sg.FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS ms'ao PROPOS= TOTAL TOS/OUTDO/OUTDa . TOTALPROIPOISID a TOTAL
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture fixture to be installed or relocated as part of this prqject Do not include exlsung 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(orTub/Shower Comm) SHOWERS WATER CLOSETS fines) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) 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
harmlessam authorised
theby the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
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 riled against the City g f Federal Way,but only where such claim
t�apout t of th e.re of the ty,including its ogicers and employees,upon the accuracy of the information supplied to the city as a part of
NAME/TITLE 1,`L.:h,4.a.frfr# DATE > /�fo c-
(sigOBh"T) (Mie)
RELATIONSHIP TO PROJECT ❑Owner 0 Agent ntractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50
0 601-800 amp 398.50 168.50
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
0 401 -600 amp 193.00 96.00
El 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/IINDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
Service or Feeder ❑ 601 - 1000 amp 398.50
CI to 200 amp $87.00 ❑ over 1000 amp 443.50
❑ 201 -600 amp 141.00 Cl #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits.$7.00/ea)
Elof circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50:Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50:each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
Cl 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
ocitirs
❑ 711 of Thermostats ❑ S of Signs
t-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
w Voltage
Square Feet to be served by system(s) '2 ? El Swimming pool/hot tub $87.00
/ (Includes additional circuit.1f required)
❑ Fire Alarm System
❑ Yard Pole meter loops $104.50
0 Security Alarm System
0 Voice Cabling El Additional Plan Review $104.50/hour
❑ Data Cab (for modified submittals)
0 ❑ Automation Fee on all Permits .. $5.00
(Per System(s)la 2500 ft2461.00;
Each add'n 2500 62-16.00)•Per WAC 296-46-91IX5](b/(t&W
Bulletin#100-January 7,2005 Page 3 of 4 l\Handouts\Pernrit Application