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05-103539 e- a City of Federal Way Electrical Permit#: 05 - 103539 - 00 - EL A 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: TJ MAXX Project Address: 1910 S 320TH 5-r Parcel Number: 092104 9208 Project Description: Install 2 data and 1 voice low-voltage system. Owner Applicant Contractor STEADFAST SEA-TAC I LLC& New Concept Technologies New Concept Technologies 1928 S SEATAC MALL 12713 NE 90TH ST 12713 NE 90TH ST FEDERAL WAY WA KIRKLAND WA 98033 KIRKLAND WA 98033 98003-6013 (206)365-2888 Electrical Fixtures Description Quantity Description Quantity Description Quantity --------- Low Voltage-Other Commercial 2400 CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES January 16,200 , 14 Permit issued on July 20,2005 , 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: See Application Date: /?—,i 'CEJ 40.A...i.,;14.1- 4/a-we C(1)5V- 007" '? ,2-1 bit!' 1 THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103539-00-EL Owner: Address: 1910 S 320TH ST FEDERAL WAY, WA 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) ❑ Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved 4, By Date By Date By.'41 Date a Ia` ❑ Under-slab groundwork(4295) Approved By Date 1 A ,..... • , ..c2 - _t_ Q_ . 5-_ _ 5__. Federal Way PERMIT COMMUNTTPDEVELOPMENT SERVICES SF MF CO ME©pL DE EN FP 33325 8^f AVENUE SOUTH•PO BOX 9718 53343 607FAX253 97 APPLICATION * uww.cituoffederatwau.eom The ollowi , is • fired in ormation-an i • o,y,,Tete a•'lication will not be acce•ted. Please •rint le,ibi n in or IL PROPERTY INFORMATION I1 ' SITE ADDRESS 'IV --- _ - /77 5• . _ -,, crr°et SUITE/UNIT# OM O .5- ASSESSOR'S ASSESSOR'S TAX/PARCEL# - LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) fAaadt'Vann.Page for legaiderafp(ion) VA 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 pertnit only) . Data 1�. 1. .twe,efr!l;+ie®''.,©fir/�T..� ... ::,.. PROJECT NAME(Name of Business or Owner Last Name) / , 12 M Q X i • IN PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE 1 OWNER '. J a A4ax,( (353)q7/ -.2eg7 MAILING ADDRESS CITY,STATE,ZIP /9/o S r 3?0 to Str e{ ,,,aera/ (XJ 6 f 9 km 3 CONTRACTOR COMPANY NAME APPLICANT NAME /�a J�� OFFICE PHONE Aka.) �.veepf %e�A,,.o/dc Ms`s r . 1` Seer- (Pa) 361 -,)888 MAILING ADDRESS J CITY,STATE,ZIP ( CELL PHONE /62-7/ 3 /,E. 90O(..S't, / /:•—/4/4,.//), u/ 40..3j(` ) ?e2/ r_ f CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER p - - -B L / / (A6 ) 346— -.09,r / / CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME �.' /�_7 - b RACTETA OFFICE PHONE X1'_7 Y I/l.-- e A6,ove) _ Ve MAILING ADDRESS C� CITY,STA E,ZIP CELL PHONE Stc (- A ( ) - RELATIONSHIP TO PROJECT (/ `^�U j1 FAX NUMBER a Architect 0 Tenant a Agent 1216ther(Describe) f rR Cl-et r- ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ......;e-- -,r6 3.S- e I,' , 3:f ,,_________,/ LENDER a } ef.- da r e-4 (4. l.t rr x; NAME 1 , ,•,• r ,fit-:•t • •,( •--,,.r. �. �.•re'4; �& -- - N MAILING ADDRESS CITY,STAT ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE P• ;PO • : _ EXISTING ASSESSED/APPRAISED VALUE $ ALUE • ' ;•OPOSED WORK $ SPRINKLERED BUILDING a a NO r • S '• • • :ION S i ^e •RO•• '` I/REQUIRED? a YES ❑ NO R WAT : _ - - ' CE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) rt SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) / • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED • AL 4 SQ.FT. SQ.FT. -Q.FT. 4 BASEMENT FIRST SECOND THIRD FOURTH . ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) GARAGE CARPORT❑ NUMBER OF FLOORS MEMO PROPOS= TOTAL **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be' 'lied or relocated as part of this project. Do not include existing fixtures to remain. MECEWA ICAL 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 OAS PIPE OUTLETS PLUMBING BA :S(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Tones MISC(Describe) HWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(s.rtyoomatnla( VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMIER/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 of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application./....... `� `�/� /��✓ NAMAE/TITLE (5) .% DATE / 4" O t% — v J Signatu ) (nue) TIONSHIP TO PROJECT -� .-"r 0 AgentContractor ❑Architect ❑ Other PW.7 vt'l_Jr .1(C04 Vl,gti tg;t,r+(e.j ,ID), r;e 1 ',•, 4±f'r :_ i')z4e ..- ( ?r;t` •.. zl7()4�:trt(©Nf 0)tIli) °';,) ..f(r6 l/ m : �lol� 53. INe '- i:1:.t,.; Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application 1 ELECTRICAL PERMIT INFtMATION 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 398.54 . 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 ❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 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 ❑ 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;Addh 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 ❑ 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 O 0-100 amps _ $69.50 ❑ I01-200 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 i- (First-$52.00;add'n-$16.00/ea) 514W 5/s (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage ,; s. V. ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) ;jr.'Pe',;r " -' (Includes additional circuit,if required) ❑ Fire Alarm System �T(,�, 0 ❑ Yard Pole meter loops $104.50 . "--' ❑ Security Alarm System J ❑ Additional Plan Review (for modified submittals) $104.50/hour d� Voice Cabling 1�"Data Cabling CI 75-D 1�,J14--Pee4- ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 14 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 296-16.910(5X6/(1 8 GJ ( I Bulletin#100-January 7,2005 Page 3 of 4 lkHandoutsTermit Application t.