09-104518 * city of Federal Way
• Electrical
Community Development Services Per It : 09-104518-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 P q (253)835-3050
I
Project Name: SAFEWAY#3501
Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020
Project Description: Low voltage security-CCTV.Replace existing cameras and add new cameras
Owner Applicant Contractor
SAFEWAY INC STORE 3501 R F I COMM&SECURITY SYSTEMS R F I COMM&SECURITY SYSTEMS
1371 OAKLAND BLVD UNIT 200 636 INDUSTRY DR RFICOS*990MC(7/3/11)
WALNUT CREEK CA 94596-8408 TUKWILA WA 98188 636 INDUSTRY DR
TUKWILA WA 98188
4/4;4 "` : - - -. °.: , V.A
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
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Low Voltage-Other(Commercial 1
PERMIT EXPIRES Thursday, November 18, 2010
Permit Issued on Wednesday, November 18, 2009
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
nd the City of Federal Way. /
Owner or agent: --i • •"' 9 �'�'� Date:
.c--
;fAclitlei
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104518-00-EL Address: 2109 SW 336TH ST i
Owner: SAFEWAY INC STORE 3501 FEDERAL WAY, WA 98023-2847
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 UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By �14.,„.., Date NN.Ls_it.
ct
r 0 Rough Electrical CI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4 31 • 5D 1) 33 - $ -- Chi I OS-Ai
Ai
cinor R _ /`E ig
Federal W n9 — —
4• COM MENDEVELOPMEM VICES Nov 8 Z°J PERMIT SF MF CO ME 'L PE- EN FP
33325E 1:26V0 �UfH•POBOX 8 of FED �'I CATI O N
FBDBRAL WAY,WA 98063 97 8
253 PAX ZS /
unew.cituo r
CDS
The oliowin• is re• ired information-an inco •fete a••lication will not be acce•ted. Please •rint legibl in in or •e.
• PROPERTY INFORMATION
SITE ADDRESS i. '09 , s . t LAO
�' 0 =UITE/UNIT#
ASSESSOR'S TAX/PARCEL# ♦ r7 3 O I - 12 l 1 a- `J ' LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) --1191)3614 I
!3 c
(Attach separate gar lengthy legal des
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION VELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
I PROJECT DESC ION(Provide detail description of wo k included on this emit onl
o ' Aar) -< . Q io
•
PROJECT NAME(Name of Business or Owner Last Name) t IMP
4
• PEOPLE INFORMATION
e
PROPERTY NAM / PRIMARYPPH
OWNER L0 is i' / 7` � dJ� �(l i
MAILIN DD CITY AT ZIP
1 0 ' 4 S� Ui-1 9�O 3
CONTRACTOR I ^nMPANY NAME • NT NAM „la
PHONE
-JC-. e\U-11 t o i ! U SS iA 5 75 �-
tJNOADDRESS CITY,STATE, (1 �� 1 CELL PHONE
GAf
gITYEI WAY RUSIN L C S V EXPIRATION D 1�2 FAX NUMBER
1 - _-1 C_ 7 _ _'75-B L • • 10-/ 3 l / 09 ?COS-7G-0999
CT REGISTRATION
S IIUMARfr4oic1
(_py of azd required with each application) 9 EXPIRATIONDATE
i idol/
APPLICANT 0 NAM ` ! APgLI NAME OFFICE PHONE
j NAME
-(111() (-.[414 c 975 QD
CC��MAILI�ADDRE33 � - CITY,STATE. P �A/n��� � PONE..
'RELATIONSHIP TO PROJECT �f n , ' FAX NUMBER/
❑Architect CI Tenant 0 Agent tither(Describe)V-9-Q- ,)T70r1% 5
CONTACT �U iLH 7 .;.3.04 E-MAIL ADDRESS
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
-
■ DETAILED BUILDINGf INFORMATION
EXISTING USE PROPOSED USE i
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
. • •
•
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
**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 REFRIO.SYSTEMS
BBQS FANS HOODS(commerdeq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHT(JBS(orTub/shower Combo) SHOWERS WATER CLOSETS(rote) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS melee=mike 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 authorised by the owner of the above premises to perform the work for which the permit application is.blade. 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 �� • ---"AW, �'�r � DATE /��j7C '
(Signature) (Title) //
RELATIONSHIP TO PROJECT Q Owner 0 Agent 0 Contractor 0 Architect U Other •
i
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE . NEW COMMERCIAL/INDUSTRIAL SERVICE.
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ha-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 -1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL •
q 601 -800 amp 254.00 136.00
q Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
❑ 601-.1000 amp 410.00
service or Feeder ❑ over 1000 amp 456.50
❑ 0t 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 • (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
❑ #of circuits to be added/altered COMMERCIALJINDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES •
❑ Service or feeder only $71.50 -
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV.PARK ResidentiaVMulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/litdustrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
.Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be'served by system(s)SO)000 (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
Pat Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
Ca Data Cabling ❑ Automation Fee on all Permits .. $5.00
El '
(Per System(s)1st 2500 ft2-$63.00; •
Each add'n 2500 ft2-16:50) •Aer WAC 296-46-910(5)(b)Ci&ii)
* f LQ,, .