03-101046 City of Federal Way
Community Development Services Electrical Permit#:03 - 101046 - 00 - EL
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: DOLLAR TREE
Project Address: 31014 PACIFIC S Parcel Number: 785360 0200
Project Description: ELE-Electrical tenant improvement; althering existing 1200 amp service and adding(50)circuits
Owner Applicant Contractor
TACOMA GOODWILL INDUSTRIE CORRIDOR ELECTRIC CORRIDOR ELECTRIC
714 S 27TH ST 2021 108TH ST SE 2021 108TH ST SE
TACOMA WA EVERETT WA 98208 EVERETT WA 98208
98409-8130 (425)379-6421
Electrical Fixtures
nA T„ iAtoow. . = t V ...T iki (oti4a1 cdplton..r. 4._Aluar titi
Alt.Serv./Feed Over 1000 amps-Corm 1 Circuits- Commercial 50
PERMIT EXPIRES September 24,2003.
Permit issued on March 28,2003
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: iiiiDate: S---2-€—a`-j
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COMMUNITY DEVELOP' E + DEPAR'TMEM CONSTRUCT I ION PERMIT APPLICATION
CITY OF 41111111114%..." APPLICATION NUMBER: Dg- L 0 _ Q f .Y!-
Federal Way Ak " x(1[1; 'APPLICATION NUMBER: - c -
`APPLICATION NUMBER: - -
1
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
► •
/1 PROPERTY INFORMATION
SITE ADDRESS: -Lt.',®(� ?r1L1'Fi C_ 'S ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
ISI PROJECT INFORMATION
TYPE OF PROJECT(This application): oU LD NG ❑ PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1.014,,C 21 CO O S c. 1' LA.,/z..._
TAR- �-, Le—t---E, , "E..7“-e-,--\--i0-s CP \-1-00 A , -12� (._E r
PROJECT NAME: .--D-----. L-A.)2 7102 E-E- `.>\e3 . -
LI PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
j
CONTRACTOR: NAME: DAYTIME PHONE:
V2_,0--k `2 EL-EG. -V (4-25 ) 3r1 - 8 f3g5
_
---_MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): -. - -. ___-_.. -I-EVENING PHONE---. -
1 353 \ FA,0..1E- Ails , e"--
v-e3/2-£« ( - I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 1
- - (q.-LS ) 31-1 -gel--S1
ONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) I /
APPLICANT: ( NAME: DAYTIME PHONE:
E
MAILING D�RESSSTRE ADDRESS;CITY,STA ZIP): (4EVEc )NG PHONE: ��
-- s-a- 1 ,R4, �>G A,5E_ _ — 1 ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER: '. '
o ARCHITECT o TENANT `OTHER( DESCRIBE): t121CAL Cv>vT (4,25.) 3n - pgadrf'�
E-MAIL ADDRESS: 'Z I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT laeCQNTRACTOR
■ DETAILED BUILDING INFORMATION
EXI . - • EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPCTSED USE: •ROPOSED VALUATION FOR IMPROVEMENT
SPRINKLERED BUILDING? 0 YES 0 NQ_.-------- "TIRE SUP• • • SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROy.ID€tr- ❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRI • . ELL)
SE SYERVICE PROV1.7ER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FL'OR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FJXTURES
Indicate n ••r of each type of fixtu -
MECHANICAL
AIR HANDLING UNIT(S) ''APORATIVE COOLER(S) GAS LOG(S REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELE ' RIC ❑ GAS
PLUMBING
BATHTU: ) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISH •SHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
D:• KING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
AS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) MP(S)
I DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha 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 claim),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 city,induding its officers and employees,upon the accuracy
of the informations 'ed to the city as a part of this application.
a
NAME/ • eW�C�� DATE: "J" 1 DD3
❑ PROPER NER o AP' 'NT YrsQNTRACTOR
,FOR.OFFICE,USE ONLY ,r;
vNEW_ .- ® ADDITION} ..p ALTERATION; a REPAIR 0 TENANT IMPROVEMENTS;� .,
;CENSUS CODE 4:1W4000114F,
'ZONING DESIGNATION, . * sBUILDING.SHELLONLY?,-0 YES 7_.❑ NO .•� ,
COMP PLANrDESIGNATION • }BASIC;PLAN?7'�','o YES `.
SECTION TOWNSHIP- RANGE , NEW ADDRESS REQUIRED? . v':❑•YES D NO
PLATTED'LOT?. :a YES „;o NO lf -Mtn 'CHANGE OF USE?. ❑YES
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
it ,,
TABLE B
IEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 f of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50,Each add'n 500 f11-$27.50) _Service and feeder $93.00 a of Low voltage fire or burglar alarms
'square Feet _ First 2500 fl'-$50.00;Each add'n 2500 ft`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _d of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-157.00;Add'n service/ _aof 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 5 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 57.00 _601 -1000 326.50
_
_401 -600 amp 158.50 78.50 _101 -200 115.50 72.50 )<lover 1000 363.00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 D ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 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
a of circuits over 600 125.00
(1-4 circuits-$57.00;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) TO • (D)
1
{
TOTAL COL N(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated•: mit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( .35) = (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15) Allikkhh.
• • ENGINEERING
I
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES 1
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23) y
TotaI (Pages On: : Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002