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05-103938
• City of Federal Way Electrical Permit #: 05 - 103938 - 00 - EL Community Development Services t P.O.Box 9718 Federal Way,WA 98063-9718 i Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: HOLLYWOOD VIDEO Project Address: 27320 PACIFIC S Parcel Number: 332204 9009 Project Description: Low voltage wiring for merchandise monitoring system at front of store. Owner Applicant Contractor BALDRIDGE-FEDERAL WAY LLC ATRONICS,INC ATRONICS,INC 11825 MANCHESTER RD 405 S BRANDON ST 405 S BRANDON ST SAINT LOUIS MO SEATTLE WA 98108 SEATTLE WA 98108 63131-4620 (206)762-4600 Electrical Fixtures Description Quantity) Description Quantity Description Quantity Low Voltage Burglar Alarm -Comme 2500 PERMIT EXPIRES February 4,2006. Permit issued on August 8,2005 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 Federal Way. Owner or agent: ✓ U Date: eO S S c6\"\ a THIS CARD IS TO REMAIN ON-SITE CITY OF Community�Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103938-00-EL Owner: Address: 27320 PACIFIC HWY S FEDERAL WAY, WA 98003-6999 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. O 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) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover (4020) IJ Final-Electrical(4055) Approved Approved Approved By Date By Date Bet ... Date 8 kiclos- O Under-slab groundwork(4295) Approved By Date A,.. 0 5_ j b 2 -5..3 I. Federal WayR — — PERMIT DE EN FP OOAmaudeYDRVEI14 ENT3ER 6 O S 200 SF MF CO ME� 333ZS D R L WAY, Ai}!•I'O9UX P LI C ATI ON FEDERAL FAX 98063-9718 / / 253-835-2607•FAX 253-835-2609 www.ategt�Y OF FEDERAL WA I -1 SING DEPT. The ollowi • is , •it e'din ormation-an inco •lete a••lication will not be acce•ted Please •rtnt le•ibi n to or • PROPERTY INFORMATION p SITE ADDRESS Q"--2 3 20 G.i�C kg S s SUITE/UNIT# ASSESSOR'S TAX/PARCEL# ��// - _ _ LOT SIZE(sJ) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page jar(erethv iega(deaaiptlaaJ ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL - 0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM ? PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 7 ,_ �_ v r PROJECT NAME(Name of Business or Owner Last Name) g LL yc.,apoLI V 11-.0f.-0 #o5' 70 ?1%..... I. PEOPLE INFORMATION ROPERTY NAME •WNERL. `` PRIMARY PHONE MAILIN6ADDRE33 , iD f — i1 f( , L �A LC ( ) - CITY,STATE IP ,I67c MP-,AC 45ifte (2t S•T . LaccsA /7c> c3/3/ 5 z > CONTRACTOR `)MPANY NAME APPLICANT NAME OFFICE PHONE AVZ0/01 C 5 ,..1.,c (07C )762- -1/4sen, MAILING ADDRESS CITY,STATE,ZIP CELL PHONE `f'c 5. 81zANz0-1. 5-7-. , ,i—e .Cc)A- ` $/O$ (,. ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -B L. / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE fa-r- fzorJi .1 © c, 6T� cia ' /06 APPLICANT COMPANY NAME APPLICANT NAME _ OFFICE PHONE A71ZoNt GS1 y.)c ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant o Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS • ( ) LENDER ? .�a�rr>r Y r•�o'''-'t �,t NAME 1, ,—, srfellY Y,i-, a P,g .)..)t .1, c•• --,e,--cif; •PS.S I S MAILING ADDRESS CITY, 't ..,ZIP ■ DETAILFS BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED V- -0 $ ALUE OF PROPOSED WORK a SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION • ' T „ PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑FIIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) y - PROJECT FLOOR AREAS r AREA DESCRIPTION EXISTING PROPOSED I TOTAL SQ.FT. SQ.FT. J SQ.FT. BASEMENT id • FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 LUSTING morose= el. .d , _iy ..,, it l Ate' " NUMBER OF FLOORS `•) w7,' ,. of r "*NEW HOMES ONLY"* NUMBER OF BEDROOMS •. TED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be tailed or relocated as part of this p'.:eat. Do not include existing fixtures to remain. MECHANICAL \ Value of Mechanical Work $ N N. AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(comme,etay WOODSTOVES BOILERS FIREPLACE INSERTS RANGES ' MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUB (or Tub/Shower Combo( SHOWERS WATER CLOSETS(roleq MISC = scribe) DISHW HERS SINKS DRINKING FOUNTAINS OAS P E 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 • 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, 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 reliance 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 ____s____-7 ..___,1_zeLcZ_:),Z D c.,...).4././2,1.. DATE S' e> (/v os- (Sign (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ) "contractor ❑ Architect ❑ Other " .:PW.. .t)Of Ne,) . i •*.41,x.1(n)_t 7 451 En + t:A,1,,0 t t,vi:)(.L 'R :' .-?(tt`';' ;Nt,t)to(e', 1 tDitf C)_4€.,7'., -D1.:, �(a) ,i !(E .E l`e.t �t-.1 4.Pf ic),PN.(e. 5)D1...-.)(04,,k. e(e)4 - i ),(d�(e)s,et2 � );yi .'41�( ,(( 6 t bG;)o),):-. i•6+'aanlE0.i_�l).) 7 D',:i , (cJ , C il_`1P) 'Finisif., • �- .Ceti x. .;71.„,01,,,,,51--e fX.. t:::f ',rod C,-.)=4-,,,, -'1-5)-t.,),`,ghr_,da.)tg 4:Ao > , 1:4" c(� S Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Perinit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ffl-$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 ❑ 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 ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 O 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 0 over 600 amp 212.50 (1-5 circuits-$89.00;Addh circuits,$7.00/ea) 0 #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 ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE 1 MOBILE HOME/RV PARK Resldential/Multi-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commerciai/Industriai 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 O #of Thermostats Zr'1j ,1A 0 #of Signs (First-$52.00;add'n-$16.00/ea) 77 to / (First sign-$52.00;add'n sign$24.50/ea) O Low Voltage I_la i= ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) i (Includes additional circuit,if required) ❑ Fire Alarm System 0 Yard Pole meter loops $104.50 .p.Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1a 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 296-46.910(5)(6/(&of ' H Bulletin - , 5 Page 3 of 4 Id Handouts\Permit Application ,