04-105030 t , • •
City of Federal Way Electrical Permit #: 04 - 105030 - 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: AUTOZONE STORE 1684
Project Address: 27300 PACIFIC S Parcel Number: 332204 9009
Project Description: Install low-voltage Cat.#5 wiring for telecom/data systems.
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC MERIT ELECTRIC INC MERIT ELECTRIC INC
11825 MANCHESTER RD 19029 36TH AVE W SUITE D 19029 36TH AVE W SUITE D
SAINT LOUIS MO LYNNWOOD WA 98109-1294 LYNNWOOD WA 98109-1294
63131-4620 (425)775-1356
Electrical Fixtures
Description Quantity Description Quantity Description IQuantity
Low Voltage-Other Commercial 14000
PERMIT EXPIRES June 12,2005.
Permit issued on December 14,2004
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 Feder. Way.
Owner or a_ • _ Date: \( I I I
FINALED
d �
THIS CARD IS TO REMAIN ON-SITEA.
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105030-00-EL
Owner:
Address: 27300 PACIFIC HWY S
FEDERAL WAY, WA 98003
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) FrFinal-Electrical(4055)
Approved Approved Approved
By Date By Date By Date/
❑ Under-slab groundwork(4295)
Approved
By Date
Q4__ - _L05- L. 2
Fo.
Cleral Way '
COMMU,Y1rrDEVELOPNENTSERyrcEs DEC 1 ," PERMIT SF MF CO ME EI PL DE EN FP
333253.8 AVENUESOUTH
25•PO BO9718 _ LI C AT I O N _____.__f
FEDERAL HAY WA 98063-9718 To
253.8352607•FAX 253.835.2609 OF �E G D
eemay.d!hor derarwomcom �t gUILDIN
The ollowin r is re•dired i ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le•ibi in i or j,
■ PROPERTY INFORMATION
� 7
SITE ADDRESS 2 7 Uf QC( ,e't; ', - - SUITE/UNIT
ASSESSOR'S TAX/PARCEL# _- LOT SIZE(sf)
—
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) A(J2'7. ?
t
(Attach separate page for lengthy legal de:e r*tior)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROIECT DESMPTI9N
N�ovide ii7 d cri tion of work included on this .- ' •Al
Ct' /v`((_ /f krn/4 reP / 0co it f'
PROJECT NAME(Name of Business or Owner Last Name) 4(AC3 Zile,
■ PEOPLE INFORMATION
PROPERTY NAME :8i,l�C' �� / ` — & Li C P gI Prlpi I - y0
OWNER I• �V1V(/� !7 lir Jnr, Iv�� l l/',�j �.J�v
, 7771'
1 STATE,ZIP'
CONTRACTOR COMPANY NAME r APPLICANT NAME OFFICE PHONE
I '1et • EXe--C-kl!L1 -L-1/1-C., (Y47J R5-(c,
�?FR5-(c,R5-(c,MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i9o,= i 3iotc'Aue (,oL SSk-e.b L.Inviw ,/a WI- 9?bs(a ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
� 0 - 0 i-L o 4L ! L Z- B L / / (qac) 7-7s--7*q
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L 1'Z 1 T 1.--Z Qy Q / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required i/'project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) '
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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 cxaTua PRoroneD TOTAL TOTAL In113TDtoa) TOTAL PROPOSED al TOTAL el
**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 include existing fixtures to remain
MECHANICAL
Value 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 for Tub/shower combo! SHOWERS WATER CLOSETS rro,iet! MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS'Bathroom Slob, 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 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 reliance the city,including its officers and employees,upon the accuracy of the information supplied to the el as a part of
this application. �f//% a�
NAME/TITLE �,te.CON 014/474, DATE f/!/
(Signature) (Title)
RELATIONSHI 0 PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o RES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
•
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
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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-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ 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 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 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 0 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 0 to 200 amp $ 94.50
O 201 -600 amp 220,50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
O #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 Service - 1,000 amps or greater
❑ 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
O 41 of service or feeders 0 101 -200 74.00 51.00
(First scrvice/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
- # of Thermostats 0 #of Signs
XFirst-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage Q /t/L ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) / li'I1( (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
0
(Per System(s)1n 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC296.46-910(5)(b)(i&ii)
Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application
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