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02-103636 City 5f Federal Way Community Development Services Electrical Permit #:02 - 103636 - 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: FRED MEYER Project Address: 33702 21ST SW Parcel Number: 930100 0010 Project Description: ELE-Alteration of up to(10)circuits for relocating existing light fixtures and outlets in the Home Life Section of retail store. Owner Applicant Contractor TEXAS COMMERCE BANK NATON SEA TAC ELECTRIC,INC. SEA TAC ELECTRIC INC. SEA TAC ELECTRIC,INC. 7056 S 220TH ST 7056 S 220TH ST KENT WA 98168 KENT WA 98032 (253)872-5553 Electrical Fixtures DDescriptiori° . w F � 1 +e +cr ptiati F;fir:; Kluantityr . f,= E escripticiir' 4 ;c l ntif Circuits- Commercial 10 PERMIT EXPIRES February 23,2003,IF NO WORK IS STARTED. Permit issued on August 27,2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and th- - ill be in accordance with the laws,rules and regulations of the State of Washington and the City of Federa Owner or Agent: � •. Date: /7--7 ( '- o �— l T� �{ to w-g-(( Gore teowf •?00 r .spy s ( 6 ,.a � r < titcsi B s-", l ° " 7_ ° 2- 1(Af-L & '� „ �r G RECEIVED CONSTRUCTION PERMIT APPLICATION ' 11=0 - - - - ON la- N>V Fr AUG 2 7 2002 APPLICA�I 'NUMBER: ==_ � r � - 0 APPQCA7ION_NUMBER: -` -`” - CITY OF FEDERAL WAY _,- kms, ._,. -_, __ hLy_ _ _ AP,PLTCATiON`N Mitt t;_° _4__ ' - ==_: 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: 23 X'2 )...../ 47-vt S LAK ASSESSOR'S TAX/PARCEL#: . LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ':•-'..-:.- _ - .-, .1, PROJECT INFORMATION - - _._ - - - - - TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ,IELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Ag tO C/#7 - r�.5 Z "-& 1-77 f--- ref2S5 TO iU w (Der#7 /‘' A Wei /)_0 ✓oc7- 01(._q--(c-7-5 r`8 tiC-li- (O 1i2-f9...i....- — s' z- PROJECT NAME: FR10 r 5 -'.._ ,.,,.•-. - '._., - - - . : -. _ - . ■-PEOPLE INFORMATION ::..;,_ _ - - PROPERTY OWNER: NAME: DAYTIME PHONEF' ARSmE^G{E (L,--03)3_,32. - -p SyLNGFSSSIREET AD QTy`$TA ,ZIP):� • oX' S,c. 2-2-�,g1/s /-xTC-ifs1,0 0/1, 9-)2-c,2.- CONTRACTOR: _CONTRACTOR: NAME: 5'£4-7-4c FCcZj-c DAn�Y,TrjI-•rMS�EPHONE MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): NE: -SS'�3 [/� Tc[ EVENING PHONE: QTY OF FEDERAL WAY NESS LCENSNUMBER: �T/ FAX NUMBE`JR: CONTRACTORS REGISTRATION NUMBER: ORATION DATE (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: MAILING •I.-� STREET ADDRESS;CII TE,ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: ( FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) _ E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT 'CONTRACTOR -- - _- - _ - - •.: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:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • **NEW IkESIDENTIAL CONSTRUCT*.ON 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.( ) INTERCEPTORS) SUMP(S) • ■. DISCLAIMER/SIGNATURE BLOCK _ = - I. - 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 Citi/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 - e such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information ••ppli-. o the d i.a a p. of this application. NAME/TITLE: aDATE: ❑ PROPERTY OWNERA APPLICA /CONTRACTOR triad i FOOSE WILY: • _ itleg '' ❑AQ07r"N_- ❑A.'NATIO/ "__EP_AiR ENANT MPRU1%EMENT ,_ _ �T- C£IYI1S bUE.m _ =fit = — LOrSI�F: max` _= _ =- i ZONI :WiGNATIoN__ �. __,-7�_ �.�:- a 2 : =!4- 1 D . -i .;--=moi= '-` ;i� ;�� __„�_ �QUI D NG_ ELL_� LY?- �YFS-�=_; � _ '«�MP.' ��.�u��•• _ �_ -=q.�__' ____�-_�3;;�=_-�_!i-_s��,+=�.}- _” r„�.�'-w-`_»yr�--,�� _ ESIGN• :4:0- _1:20,, _=x, =A1W C P' FI?. -- 3.7_- -xre�yy i�'�--s�—�zi'"* In s _�=._�Sig's � - +.y ..c vC- __ �'+ +6� te,� SECTIO- _ '__: _TOYYTISri=IIP _�' R ANGE _ =E_"16/' j&U[&ESS_ 'tQI IREQ7 wSj ,YES` V - y_'3 s_ �_-et-�- - - +=_e-'ta,`�i'�=`��r_=r;� — - =�'I'•�T"i `7.''-'�S�.y'_z'=} _--"-�`' -t:� _ - _"r_` . LA D'LOT?_-Til: ' S...< =NO z _ __,=.-y_r, iCEIAIVGE,pF i15E_. ;—„„_ (ES:_.._❑'NU== = = COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 • • Section 3 ❑ Plumbing :' Electrical FIXTU DESCRIPTION(A) t ___: FIXTURE+FEE> B) '-; .� "-;{NUMBER OFUNITS:(C)=�" '=�; fft 1-f ur, ps to"-4'r-C 1 • `- TOTAL COLUMN Plumbing $21.00+{ X$7.00/fixture}= Estimated Permit Fee Estimated Permit Fee X .65 = Estimated Plan Review Fee ' Miscellaneous Fixture Charge: OR Electrical Total Column(0) Estimated Permit Fee: Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25 + X.35= Section 4 ❑ Plumbing 0 Electrical =FIXTURE:DESCRIPTION(A)-: 3:-.14.-y;" F,IXTURE'FEE;{Bli WIi0 M' NUMBER`OFeUNITS;,(C)^420x; ieili;,;, , TOTAL(Dr-Ta'i ',..` Pel,r'* :NTOTAL COLUMN-(D):4c Plumbing $21.00+{ X$7.00/fixture}= Estimated Permit Fee Estimated Permit Fee X .65= Estimated Plan Review Fee Miscellaneous Fixture Charge: OR Electrical Total Column(D) Estimated Permit Fee: Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ X.35= Section 5 0 Demolition 0 Engineering 0 Other Fees Estimated Permit Fee: Bond Amount: • Estimated Permit Fee: Bond Amount: Estimated Permit Fee: Bond Amount: Estimated Permit Fee: Bond Amount: Bulletin #101—November 29,2000 ■ ELECTRICAL • TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MSC EQU(PMENT/TEMP SERVICES -Single Family Service or feeder only S48.00 _#of Thermostats(First-536.00;add'n-S 11.00ca) (First 1300 ft2-S72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 f12-542.00;Each add'n 2500 ft2-511.00 -Each outbuilding or garage . $30.00 MOBILE HOME/RV PARK Square Feet (Inspected with service) ___#of service or feeders *Per WAC 296-46-910(5)( )(i&ii) -Each outbuilding or garage. $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-S31 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......... S 78.00 S 23.00 Feeder 201-600 182.00 -401 201-400 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 _10t-200 97.00 61.00 over 1000 305.00 _ 601 800 amp.. 170.00 91.00 _201-400 182.00 72.00 of circu i _Ova 800 amp.................243.00........_._._...182.00 _401-600 212 00 85.00 ( 5 circuits ;Add'n circuits,SS ea) ALTERED SINGLE/MULTI FAMILY __60I-800 274.00 116.00 (p f y� (When inspected separately from the services.) _801-1000 335.00 140.00 TEM ORARY SERVICE Service or Feeder. _Over 1000 365.00 195.00 Residential/Mufti-Family/Commercial/Industiral 0 to 200 amp..._ S 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 _#of circuits over 600 105.00 (1-4 circuits-$48.00;Add'n circuits S5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+561.00.Add'I plan review for other submissions is$72.00/hr. F icnikellESCRipylorIVON ImMtioF.EE?FR01,45'/16L'EsI(B)' tatiti JMBER o-Etu NTTS () tgl0�" t:RO) 1 = j)J )/ t.79• JCFc©c i f.9(1-57-f--A-& 1-T$ - #iTO,TAL'(CQ[.IJMN;to) Total Column(0) 0 Estimated Permit Fee: (12) I '3 G , app Estimated Permit Fee from ine 12 Estimated Plan Review Fee: $56.25+ 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-August 20,2001