06-105457 •
City of Federal WaysElectrical Permit #: 06-105457-00-EL
Community Development Service
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WAL-MART
Project Address: 34520 16TH AVE S Parcel Number: 212104 9010
Project Description: Low-voltage for fire alarm,burglar alarm CCTV,& EAS security at doors.
Owner Applicant Contractor
WAL-MART STORES INC LOW VOLTAGE SERVICES,INC. LOW VOLTAGE SERVICES,INC.
WAL-MART STORES INC PO BOX 7522 LOWVOVS955D2 03/22/2007
1301 SE 10TH ST BONNEY LAKE WA 98390 PO BOX 7522
BENTONVILLE AR BONNEY LAKE WA 98390
72716-0001
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -Cor!12,00
PER IIT EXPIRES Monday, April 23,2007
Permit Issued on Wednesday, October 25, 2006
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:
7,/
-/‘ Date:
THIS CARD IS TO REMAIN ON-SITE
cInOP Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105457-00-EL
Owner: WAL-MART STORES INC
Address: 34520 16TH AVE S
FEDERAL WAY, WA 98003-6841
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ 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
By Date By Date Bye, Date v_
❑ Under-slab groundwork(4295)
Approved
By Date
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33325 8n,AVENUE SOUTH•PO BOX 9718 f ���RAP
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The ollowin• is re. fired information-an inco •lets a••lication will not be acce•ted. Please •rint legib n in or pe.
■ PROPERTY INFORMATION
,, ll
SITE ADDRESS `"1 ,rq I� t a /' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# `— ( 7- 1 c h - 1 o 1 0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
lAttach ReParatePago.fortngHgrlarddewiPtkol
IN PROJECT INFORrIATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION/ALECTRICAL 0 ENGINEERINGIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
eft- RL416"4 J74,4,-C?(.�-Z__ 0it .,M -
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PROJECT NAME(Name of Business or Owner Last Name) (/V at 4- Ma"'1
MI PEOPLE INFORMATION
PROPERTY NAME
OWNER //114t.. ; �:�_
PRIMARY PHONE
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MAILING ADDR3SSCITY,STATE,ZIP a
//Er. -,.0_ j?i, Sivee� g✓tio#, L7 /G4 ,. TT(z--
CONTRACTOR COMPANY NtME APPLICANT NAME OFFICE PHONE
eit,` 11")TAL �cZ tg-rn i;L. ./ ,• , ,5bfv-) (-zcil ay- - 14:37
MAILING ADDRESS 1 CITY,STATE,ZIP / CELL PHONE c�
2/0(,FEDE��W 6/74 G BUSINESS LICENSE NUMBER ��ZEXpi/4-C DB 9 1/(2FAS3NUM) r t'i /
2- 0-0 -� 0 c3-BL. . 12-13) /.o(-' (ZS-5) Fr -5'z'Z.—
CONTRACTOR'S, ISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
y \I L72.- 3 / 2L /2 ,
APPLICANT COMPANY N EAPPUCANT NAME OFFICE PH
' iONE
'el c vr' •. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) (
CONTACT NAM
�4 PRIMARY PHS E-MAIL ADDRESS _
/ 210 SI��,' v' ( ) �SjSr- )`L,?tel L / -r- c�C `:S!•'J 7
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
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■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF.PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL) .
SEWER SERVICE PROVIDER ❑LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESC• •' ION EXISTING; PROPOSED TOTAL
SQ. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) •,
GARAGE❑ CARPORT 0
ssntma PROFOUND rot
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTI ► D 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 VAPORATIVE COO •S GAS LOGS REFRIG.SYSTEMS
BBQS F HOODS(Commercii WOODSTOVES
BOILERS FIREP,CE I. 'ERTS RANGES MISC(Describe)
COMPRESSORS FURNAC•• GAS WATER HEATERS
DUCTS GAS " `E U,; ETS
PLUMBING
BATHTUBS for Tab/Shower Combo) /' SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS ( SINKS \ DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sham) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perfidy 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 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. / - C
NAME/TITLE /<--- 7/
l DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT U Owner 0 Agent Contractor O Architect o Other
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Rnlletin#100—January 1.2006 Pane 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300112-$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 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50 0 601-800 amp 410.00 173.50
Cl 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 ❑ Mast or meter repair $99.00
❑ 401 600 amp 198.50 99:00 ALTERED COMMERCIAL/INDUSTRIAL
Q 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 . 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTIFAMILY 0 201.-600 amp 272.00
O 601 .1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
O 201 -600 amp 145.00 0 #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 COMMERCIAL/INDUSTRIAL 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
O Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
O 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) Commercialfindustrial Service or Feeder Ampacity
❑ 0-100.amps $71.50
0 101-200 amps 91.50
O 201-400 amps 107.50
O 401-600 amps 145.00
O over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • ❑ #of Signs
Nyti (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
Low Voltage >I' i0 ❑ Swimming pool/hot tub $107.50
Nuare Feet to be served by system(s) G ) . (Includes additional circuit,if required)
ire Alarm System ❑ Yard Pole meter loops $71.50
xi Security Alarm System ❑ Additional Plan Review $107.50/hour
0 Voice Cabling ` ,(for modified submittals)
❑,Data Cab' g
cr
u1- Automation Fee on all Permits .. $5.00
System(s)1"2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) Per WAC 296-6-910(5)(b)(i&n)
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Bulletin#100-January 1,2006 Pane 3 of 4 ' k\Handouts\Permit Application