05-100187 -� r -
City of Federal way Electrical Permit #: 05 - 100187 - 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 21ST NV/AVe 5W Parcel Number: 930100 0010
Project Description: Installing 30-amp,3-phase feeder for new HVAC unit&altering 4 circuits for new refrigeration cases.
Owner Applicant Contractor
TEXAS COMMERCE BANK NATON COCHRAN INC. COCHRAN INC.
33702 21ST AVE SW PO BOX 33524 PO BOX 33524
FEDERAL WAY WA SEATTLE WA 98133-0524 SEATTLE WA 98133-0524
98023-7762 I (206)367-1900
Electrical Fixtures
L Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1 Circuits- Commercial 4
PERMIT EXPIRES July 17,2005.
Permit issued on January 18,2005
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 Federaly."
Owner or agent: - C" Date: I —vs
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- 0 THIS CARD IS TO REMAIN ON-SITE y
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100187-00-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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) riService(4235) ❑ Feeders/Sub-panels(4045)Approved Approved Approved
By Date Date By Date
-
❑ Rough Electrical(4225) ElCeiling Cover(4020) �� Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date I Zo 8c
❑ Under-slab groundwork(4295)
Approved
By Date
23. Z33 -ZCeO
s art 0 01_ 37-
Federal Way RECEIVEEPERMIT SF MF CO 11, PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY •Po BOX 9718 JAN tIP LI CATION
FEDERAL WAY,,WA WA 9806,3-9718
253-661-4115•FAX 253-661-4129
www.atuoffecieralwau.com
CITY OF FEDERAL WAY
The allow' , is -, iced i;y w,:.14 5, sitcom.lete a v,lication will not be , ,ted. Please . ' t le,',1 (in ink)or • .
• PROPERTY INFORMATION
SITE ADDRESS Rif) A [/ 1 - A3 7� )kr ��. C C ''ISGL A' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ _ _ LOT SIZE(Si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• 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 oniu)
CEC #
05 i -c. tj ) A-N)0 0-5ScC AT/3 6 U_A-1.3 crisis C�
PROJECT NAME(Name of Business or Owner Last Name) fii'L ROW.
• PEOPLE INFORMATION
PROPERTY NAME n n / PRIMARY PHONE
M e Y
OWNER IFS (C— e_5 9.53) �i3 - 0104i
MAILING ADDRESS C STATE,ZIP
-'370 (S} M._ &Y Lk R6:710-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
COCHRAN,INC. ( 206) 367 - 1900
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO BOX 33524 SEATTLE ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19 - 98105630 - 00 -BL 12 /31/2004 (206)368 - 3193
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C OCHRI * 088JS 4/10 /2006
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
COCHRAN, INC. ( 206)367 - 1900
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO BOX 33524 SEATTLE 98133-0524 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent o Other(Descrlbe)Electrical Contractor ( 206 )368 - 3193
CONTACT NAMFr/�uPRIMARY PHONE E-MAIL ADDRESS
11—0 � ��-��� (54)'?) - 73"1S
LENDERS , NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
89.FT. 89.FT. 89.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS ea�ervio PROPOSE) mrsL ' a ?c r 4 '
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not inchtdP existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercIai) 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(Toile) 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 cert(fg 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(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 filed against the City of Federal Way,but only where such claim
arises out of the re of the city including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE E C L C, DATE / /0 S
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent o Contractor 0 Architect Other ELECTRICAL CONTRACTOR
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet `7
(First 1300 ft2-$87.00:Each add'n 500 ft2-$28.00) 0 to 100 amp $ 94.50 $ 58.00 I[�'
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL.
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
U 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
01
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered 1-l`�
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s) 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5)(b)(i&ti)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application