01-102653 City or Federal Way
Community Development Services Electrical Permit #:01 - 102653 - 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: SAFEWAY .
Project Address: 1207 S 320TH 5j' Parcel Number: 150050 0020
Project Description: ELE-Install circuits for entrance TV monitors.
Owner Applicant Contractor
1560 INVESTORS LLC GLOBAL ELECTRIC GLOBAL ELECTRIC
200 S BROAIS ST#6 P.O.BOX 76 P.O.BOX 76
KAPOWSIN WA 98344 KAPOWSIN WA 98344
• (253)536-4950
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES January 1,2002,IF NO WORK IS STARTED. •
Permit issued on July 5,2001
•
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.)
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Owner or agent: ''�� � Date: U
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RECEIVED - _
UT10f ' 'CONSTRUCT I ION PERMIT APPLICATION
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APPLICATION NUMBER: 'L - L Q Z 4 S 3- E.L.
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
BUILDING DEPT. APPLICATION NUMBER: - -
**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.
■.PROPERTY INFORMATION - '
SITE ADDRESS: /Re d? -'. 32 0 t� ASSESSOR'S TAX/PARCEL #: -
I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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1
_e e(e.,eQ 1,= /1,= /e4, y.` .- - ■ PRO]ECT INFORMATION -
TYPE OF PROJECT(This application): ❑ B ILDING ❑ PLUMB G I, ECHA°NICAL CI DEMOLITION
ELECTRICAL
CI
ING❑ ',RE PREVENTION SYSTEM
! PROJECT DESCRIPTION (Provide detailed description): z
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PROJECT NAME: S ` F t _ , f
■ PEOP, INFO. MATION
Y. .
PROPERTY OW,' R NAME: 5'4 1- (2 ' s-.3 '-
-.3 '- 9 soj
MAILING ADDRESS STET ADDRE` . ITY IPt
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CONTRACTOR NA • itell AYTIMEPINE:
' L06'� . t Lcc ,tic 12.53 ) 36- "SD
'i 'AILING ADDRESS(STREET ADDRSS'CITY STATE,ZIP): 4.- ENING PHO
A(14.4 .5-/ ryii e 1
a.:) OF FEDERAL WAY BUSINESS LICENS• ' BER: - - FAX NUMBER:
CONT<-I OR'S REGISTRATION NUMBER: EXPIRATION DATE: i
(copy of card required) 0 -_x,.. 0 � ? 5'VL 1 l 2./ / 0 a
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT -
CONTRACTOR
.- -
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ■ PROTECT FLOOR AREAS ;
FLOOR EXISTING SQ.FT. _ PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
a
DECK 1
GARAGE
HOW MANY FLOORS?
TOTAL:
-'FIXTURES
_ I
Indicate number of each type of fixture
MECHANICAL '
AIR HANDLING UNIT(S) GAS LOG(S) REFRIG.SYSTEM(S)EVAPORATIVE COOLER(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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( - )
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 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 4...... ------
DATE: 5/v7
❑ PROPERTY O/WN� L>' � kER ❑ APPLICANTCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? El YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253 661-4000•FAX:253-661-4129
• ELECTRICAL .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single gle Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 ft2-$67.00;Each add'n 500 01-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$38'.:75,Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per Y2 hr $33.50
_Swimming pool.hot tub.spa 67.00
Yard Pole meter loops 44.25
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 ver 1000 Ai 7 .282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 #of circuits 1 . /c J
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.2);Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801- 1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61 -100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
-Mast or meter repair 33.50 _401-600 89.75
-#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12) •
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35 = (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-January 3,2001