03-100325 • )
Cit` of Federal Way Electrical Permit #:03 - 100325 - 00 - EL
Community bevelonment Services
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: AUTO ZONE
Project Address: 33510 21ST SW AV e SW Cpiur ?— Parcel Num:-r: 132103 9100
Project Description: ire, if t ,& t (A A). . (Z-S/AS L
Owner App •it ___.— .—_ Contractor
AUTOZONE INC. S&H ELECTRIC S&H ELECTRIC
60 MADISON AVE 1623 E 22RD AVE 1623 E 22RD AVE
MEMPHIS TN 38103 OLYMPIA WA 98501 OLYMPIA WA 98501
(960)786-0557
Electrical Fixtures
AffiiAloo ' mrignmorga ri,:mckescriptiolia
Eregi
Low Voltage-Other C.`�P rcial 6000
PERMIT EXPIRES July 22,2003,IF NO WORK IS STARTED.
Permit issued on January 23,2003
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: Date: !— 2 3-00
2- D 3 rif-sr `213 p`F IA-A*LL S/,ge Co.v4t, (`7 i ', 124 v P', gva
2? d3
tA)Lar V.2 6111.9a. STA GoNc2iw/ ® , `'
(1_ 0 3 'T(Te.-V pa IQ cr, E, c47m-oct. ', T; 047?--E-5; rk? s
� �2I 3 �1 �Z17( U
eCE
CONSTRUCTION PERMIT APPLICATION
CITY OF �� RECEIVEDAPPLICATION NUMBER: 93 - / 3s_az)
Federal Way APPLICATION NUMBER: -
JAN 2 3 Z()0 . (APPLICATION NUMBER: - -
**Thedfitr j d/1146Srmation—Please print(in ink)or type**
BUILDING DEPT.
Please note: Electrical, Fire rrevenuon Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 3357t oG /$7- 4rec- ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PROSECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
`ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): otc1C ZIlle / 1 'IW./ / 'MA/1 Z./6r, *'S'
PROJECT NAME: ,CG/ D �)lyi
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE-
r TO ZDwe- j ( )
MAUI G ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
I �
CONTRACTOR: NAME: DAYTIME PHONE:
S 4/-// EL6C�rc c: j )gls�7�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.Z ): EVENING PHONE'
'
/4. 23 , <:.2.2.(1 / 4/6 0z/. zao 9s-o/ (2o6) 793-2W
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (.049. ) 695:2=517
C 'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) /45 L. L 4k. o J ; 3 I / l 03
APPLICANT: NAME: ! DAYTIME PHONE:
� ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( ) -
RELATIONSHIP TO PROJECT: j FAX NUMBER:
` I o ARCHITECT ❑TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER O APPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
t SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
F ••R EXISTING SQ.FT. PROPOSED SQ.FT. j T• AL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
ALI
TOTAL:
■ FIXTURES
In. cate number of each type of fi re
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS L• (S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD( WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOUR• : 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASH'•(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECT•• a GAS
DRINKIN a FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIP •UTLET(S) SINK(S) WATER CLOSET(S) MIS . )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(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 where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application. / �jz
NAME/TITLE: DATE: L'pC3 �
o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
FOR OFFICE°USE ONLY. 1
7,N W"_ . ' b ADDITION ter:: 7 ALTERATION s v •., PAIR s� NANT IMPROVEMENTa:, �
:CENSUS CODE: , ; - - LOT SIZE. ,,,T7,-.7- .!::*1
.1 .a
ZONING DESIGNATIONS i _nom k LDINGSHE NLY7 1(ES NO ,„
COMP PLAN DESIGNATION • BASICPLAN? 8 YES ❑NO .;' : : .
SECTIyN - T S_ ,
O � � OWNSHIP' 'RAGE,��� � }:NEW'p#ODRESSREQUIRED? �;;„�'��fES .-`C3 NO
PLATTED 1017., YE$ ❑NO-1,,-,-4:44'-':-,,..„-,.'*.-::'s }; <.G.:. 0 ,�, � •, ,
CHANGE OFUSE7;� �,�t3=YES, NO�;,,,,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvoffederalway.com
■ ELE RICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _t of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500(12-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 112-$50.00;Each add'n 2500 ft`-$13.00
Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: GfOpr) SF
_
(Inspected with service) _#of service or feeders *Per VAC 296-46- 10(5)(b)(i R.ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
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 1 93.00 f
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201-40(1 amp 115.50 57.00 _0 to 100 1 93.00 1 57.00 601 - 1000 326.50
_40l -600 amp 158.50 78.50 _101 -200 115.50 72.50 _over 1000 363.00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 #of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,16 eat
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0- 100 $ 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 ____201-400 85.50
_Mast or meter repair 43.00 401 -600 115.50
#of circuits over 600 125.00
(1-4 circuits-157.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
Permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) `FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) II TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
I ENGI.NEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
I OTHER FEES
Mitigation Fee: (18) (20) (22)
SBC(Surcharge: (19) (21) (23) I
Total (pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) 1
Bulletin #100-December 23, 2002