05-101939 V
City of Federal Way Electrical Permit #: 05 - 101939 - 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: FRED MEYER
Project Address: 33702 21STlSSW Parcel Number: 930100 0010
Project Description: Alter(5)circuits and repair broken lights and add 5 lights
Owner Applicant Contractor
TEXAS COMMERCE BANK NATON SEA TAC ELECTRIC INC. SEA TAC ELECTRIC INC.
33702 21ST AVE SW 7056 S 220TH ST 7056 S 220TH ST
FEDERAL WAY WA KENT WA 98168 KENT WA 98168
98023-7762 (253)872-5553
Electrical Fixtures
Description Quantity Description Quantity Description jLQuantity
Circuits- Commercial 5
PERMIT EXPIRES October 24,2005.
Permit issued on April 27,2005
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 in accordance with the laws,rules and regulations of the State of Washington and
the City of Federa .f ay. /
f
Owner or agent: - Date: 14jJ 7/a5�
FINALE° /11
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V
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101939-00-EL
Owner:
Address: 33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
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RECEIVED
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Federal Way 2 7 2005
PERMIT SF MF CO Mr, DE EN FP
333258.A
VEDEV soUM •�'.4AM 7*F FEDER
2 83522 of F5xz53- 261337 UILDING DE PPLI CATI ell".
www.ctuoffederalwau.com
The of , , , is -, ired , ,n-an incom•fete , y,licatlon will not be , .. ,ted. Please , t , _ (in ink)or _j, .
r� • PROPERTY INFORMATION
SITE ADDRESS.".;'370,. ..
3?70� /.1( /11!e-, 5119 Peek41 I SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthj legal deaatptbN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onll{)
AtCirc tc Ot.AA- t titc- hie Ice-A 49 h s cull 5 413 h —S
PROJECT NAME(Name of Business or Owner Last Name) Fr-e,L mT! r---
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER FT S W 1,ertiJl eii' ( ) -
MAILING ADDRESS CITY,STATE,ZIP
3370: # .2•51"Ave, St,-) -lI(,megY i9- Cr32,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5e"Tv.- � i.11r �.�d ( )07,1 -53-3
MAILING ADDRESS CI1Y,STATE.ZIP CELL PHONE
705 6 22b,WL r,e.+,.+" (7o e )'10 ' -o?951,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Q- o' -L 612 O 3 7 & B L / / (1.613 )67a -1/40//
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
5E4rA--E F 47c' Rc_. I2 /o.3 / _
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( )
CONTACTNAME. PRIMARY PHONE E-MAIL ADDRESS
T7SLEDdb' `�e1( (q..0‘.)l/C'(, -7/76—
LENDER
NDER Per RCw 19.27,096: Lender lnjcrenation is NAME
required(f project value exceeds$6.000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHI INE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) .
.
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS MOTORS e1OPOSID TOTAL TOTAL rximao AT TOTAL rrnrwsn 17 TOTAL Al
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indirnty number of each type of fudure to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Vahiv 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(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Touea MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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
am authorised 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(including costs,crepenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its , ::, and employees,upon the accuracy of the information supplied to the city as a part of
this application. •
J
NAME/TITLE "" � DATE ?7/a(
/v
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor 0 Architect 0 Other
El NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o TES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o 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 ❑ 601-800 amp 398.50 168.50
❑ 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
U 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
00e°to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits.$7.00/ea)
❑ #of 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
U 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
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling U Automation Fee on all Permits .. $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 29646-910(5)(b)li&iU
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application •