02-101627 Cit;of Fede-al Way
Cornm:u»ty Development lopment Services -
iii33530 1st Way S
Federal Way,WA 98003-6210 Electrical Permit #:02 - 101627 - 00 - EL
Ph 253.661 4000 Fax 253 661.4129 Inspection request line: 253.835.3050
Project Name: FRED MEYER SHOES
Project Address: 33702 21ST SW Parcel Number: 930100 0010
Project Description: ELE-Alteration of(5)circuits for the installation of overhead and shelf lighting and(2)new receptacles,
located in the shoe department.
Owner Applicant Contractor
TEXAS COMMERCE BANK NATON SEA TAC ELECTRIC INC. SEA TAC ELECTRIC INC.
7056 S 220TH ST 7056 S 220TH ST
KENT WA 98168 KENT WA 98168
(253)872-5553
Electrical Fixtures
n"'; Description : , [Qgantity] '= Description's `A.r!-"Itiiteritlg',„::-1"''-;',i;, Description" ;,,j Quantity
Circuits- Commercial 5
PERMIT EXPIRES October 14,2002,IF NO WORK IS STARTED.
Permit issued on April 17,2002
Ilkhereby 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 w' the laws,rules and regulations of the State of Washington and
the City of Federal Way. �f
Owner or agent: Date: g'. / l o,
AA-7.'1- o c_.....1.An _ r lititav-rd
5 - 3` 0 2.. FM. ..\ catpv-0vtt7 S
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_ a�, E�vEa CONSTRUCTION PERMIT APPLICATION
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. `vv F APR 1 APPLICATION NUMBER: e.52. - (49/ 6Z 7 cb t'L
APPLICATION NUMBER: -WY OF FEDERAL ti'VA''APPLICATION NUMBER:
BUILDING DEPT
**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: Rr ,r t w 7/'e° S �/ASSESSOR'S TAX/PARCEL#: tv/j DV
- Oio
' -70z p& Avg-J' 1
LEGAL DESCRIPTIO S ECT PRO (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
=:1• PROJECT INFORMATION - -TYPE OF PROJECT(This application): ❑ E3JILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): VMO �Jc t'.51-(A ((} L ?1J
f vr1z4- t.-t G.441 t &( / t .S CL F - �4 :,J C Aria E.,,, ST;L.L. 2 tjrc)
IZ C CAre-'-r
PROJECT NAME: 444) 14, tNo C.-(--
■ PEOPLE INFORMATION -, := -- - •
-
PROPERTY OWNER: NAME: DAYTIME PHONE:
4e JL, (53 )Z3Z - 3qq
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3$(30 5- 0- 22- ,JD ,VC. ra i2-t 9 7 2,0 2
CONTRACTOR: NAME: DAYTIME PHONE:
5644 13C (253)�
MAILING ADDRESS(STREET ;CITY,STATE, PEVENING PHONE:
7056 5 �� � � ��L1
�O -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2t1.64 2 �° �°0376 _00_13L (25.5 )812 -i//2-
CONTRACTORS
CONTRACTORS REGISTRATI BER: EXPIRATION DATE:
( ,����, ) SCA-IA-Cr0�71Z(,) /2_ / /t /ZOD3
APPLICANT: NAME: . DAYTIME PHONE:
,,
l./�D -
MAILING ADO (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: .,_,�,' ,�,,� FAX NUMBER:
❑ ARCHITECT ❑ TENANT 1� OTHER(DESCRIBE): ae wr iGL�/w/ ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• 1...DETAILED BUILDING INFORMATION - - :-
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- M. 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 ma.: by any person,induding the undersigned,and filed against the City of
Federal Way,but only wh such daim a • t of th- eliance of the city,induding its officers and employees,upon the accuracy
of the information sup to , • city as p of thi .pplication.
NAME/TITLE: / / DATE: 1-7- 1 7- 0
❑ PROPERTY OW ER ••PPLICA T .: ONTRACTOR
:FOROFFICE USE:ONLY:
❑ NEW 7 '_- ❑ADDITION ❑ ALTERATION -❑;REPAIR rs❑ TENANT IMPROVEMENT
-CENSUS".:CODE: `:=--':' `LOTSIZE:- •-_ -
ZONING�QESIGNATION - _ _ - BUILDING SHELL ONLY? YES El NO - - _
CUMP*PL N'DESIGNATION - BASIC PLAN? '.`❑:YES ❑ NO'
ECTIONs=x] ==TOWNSHIP RANGE - NEW ADDRESS REQUIRED? - -❑ YES -❑.NO
,PLATTED'LOT? _ -❑YES ❑ NO CHANGE OF.USE?- - ' ❑YES ❑ NO , =
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129
. ■ ELECTRICAL •
TABLE B e
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _N of Thermostats(First-$36.00;add'n-S 11.00ca)
(First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
Each outbuilding or garage $30.00 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. $48.00 (First service/feeder-$48.00;Add'n service/ _N of Signs(First sign-$36.00;add'n sign
(Inspected separately) . feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
-Yard Pole meter loops 48.00
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 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 S 78.00 S 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 .11/of circuits
_Ova 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600. 97.00
8 of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
NFIXTUREDESCRIKION XA)WIS IEXTUREFEE<FROMTABLE:B'(B)i `NUMBEROF,UNITSXC)t '=0 !. TOTAL(D)414W '=
-. _. .'--2-.TOTAL COLUMN(D)f; Ob. ow
Estimated Permit Fee: (12) !!�� / ,
00 To.Column(o)
Estimated Permit Fee from toe 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
- - - - • DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
1
- IIENGINEERING
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) 41(Q00
Bulletin#100-August 20,2001