04-103243 f ,
City ofFederal
Development Services eveWay
Community DElectrical Permit #:04 - 103243 - 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: FRED MEYER
Project Address: 33702 21ST X77 Parcel Number: 930100 0010
Project Description: Install wiring for dock leveler in the food stockroom.
Owner Applicant Contractor
TEXAS COMMERCE BANK NATON COCHRAN INC. COCHRAN INC.
33702 21ST AVE SW PO BOX 33524 PO BOX 33524
FEDERAL WAY WA SEATTLE WA 98133-0524 SEATTLE WA 98133-0524
98023-7762 (206)367-1900
Electrical Fixtures
I_ Description Quantity Description Description 'Quantity'
Circuits- Commercial 1
PERMIT EXPIRES February 12,2005.
Permit issued on August 16,2004
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 Wa,. i
Owner or agent: / Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY OF "'t Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103243-00-EL
Owner:
Address: 33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
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 inspe;.tions
are logged on the back of this card.
0 Slab/Concrete Floor(4255) '❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approred Approved
By Date By Date By Date
. .
❑ Temporary Power(4275) 0 Service(4235) '❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
'❑ Rough Electrical(4225) ❑ Ceiling Cover (4020) r❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By �„ C.-- Dates -a S'— ca'i/
�—
❑ Under-slab groundwork(4295)
Approved
By Date
MAR-10-1996 1'7: 11 RECEIVED BY j - __LO ca
Federal Way ► t�'DEVELOPMENT DEPAR ENS
�.. * 1 SF MF CO ME EL PL D.E EN FP
WNMJM7YDEVELOPMENT .� A Dr ,
13520F7R.YPWAY30OTH•PO,, •:a tt11►r' '-/ APPLICAT RRGcL
FEDERAL WAY,WA 98063-97S3-U141 7D
453L61./J75•FAX?55�6J.4] �-7(J }-
�‘'.Immo itltl4lL bu.mm
.he alto , , Is • fired ormation ince •Ida •Neation mai net be acce,led. Please •tint Ie: • , n In or _J•e.
^� III PROPERTY INFORMATIONSITE ADDRESS 33 !0 2 ZJ s*/ L(LL�S• YV - 8UYTE/UNIT#
ASSESSOR'S TAX/PARCEL 0 - LOT SIZE(of)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) .
µa.v...tmPeuPmtlarWON/kidi diaeUPdON
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 FLUMBU G 0 MECRANICAL
0 DEMOLITIONECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION
(Provide detailed description of work included on this permit ardy)
71-61
i
lw I ri rt 7�r riP.tdj d rick
_ IP Lie-- ,3
PROJECT NAME(Name of Business or Owner Last Name) C i9 �if _ -
. • PEOPLE INFORIIIATION
PROPERTY NAM$,--- PRIMARY PHONE
OWNER a 'fr- (
MAILING ADDRESS crrr STATE,ZIP
35 702. Z/cS SiA) reltil Aifty kVA-.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
COCHRAN,INC. SI _1 - ( 206 367 - 1900
MAILING ADDR:" CITY,STATE,MP `' CELL PHONE
PO BOX 33524 SEATTLE (2C6) 9,3 2.734-
CI1Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 - 9 8 1 0 5 6 3 0 - 0 0 - B L 12 /31/2004 (206)368 - 3193
CONTRACTOR'S REGISTRATION NUMBER(e.py of raid requited with sack application) EXPIRATION DATE
C OCHRI * 088JS 4/10 /2006
APPLICANT COMPANY NAME tbcr 'J
OFFICE PHONECOCHRAN, INC. /-k] - ( 206 )367 - 1900
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO BOX 33524 SEATTLE 98133-0524 ( ) -
RBLATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tennant 0 Agent a Other(Desonbe)EIectrical Contractor ( 206 )368 - 3193 PHONEPRIMARY
CONTACT N / P.//'C1 (.2C 9 �7 - /lU�l l`tL(.{./1 LUIt(
LENDER Per RCW19.J7i.09 1•LehOer*forrnatlon i/ NAME /.'
r.4tr4+ d_ i3O.0Ct.wstiil,are..ds*
. 3;000:/
MAILING ADDRESS CITY,STATE,ZIP
r DETAILED BUILDING INFORMATION
: :•STING USE PROPOSED USE
STING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $-
8PRINRLERED BUILD/ G? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a LAIC UAVEN 0 HIGHLINE in TACOMA CI PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIOHLINE a PRIVATE(SEPTIC)
•
MAR-10-1996 1? 11 P.02iO4
PROJECT FLOOR AREAS
"` AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
,.ASEMENT
ST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
WINO OF FLOORS ipa !ROTOR° TOTAL TOTAL EMOTING V TOTAL rworsao'er tout LP
"NEW HOMES ONLY NUMBER OF BEDROOM SESTIMATED 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.
ACECLUNICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BHQS FANS HOODS(Coamerci.1) _ WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
r'KrM ENG
BATHTUBS(orrubrehoweecomno) SHOWERS WATER CLOSETS fr'oueq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE emtume, VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIC:NATURE 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 authortsed by the owner of the above prensises to perform the work for which the permit application to made. I further agree to hold
harmless the City of Federal Way as to any Cialm(including costs, expensees, and attorneys'fees incurred In the inoeatiyatlon and defense of
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Wag,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 \4.40t DATE 8r// ./ —
(Signature) critic)
RELATIONSHIP TO PROJECT O Owner O Agent O Contractor t]Architect o Other ELECTRICAL CONTRA OR
NEW'. ''.v ADDITION.'. o ALTERATION G REPAIR . ' a.TENANT IMPROVEMENT _
DUILDIittQ.SHEEL OILY?: . .' a YES a NO. • BASIC'PLAN? a YES >z NO
ZONING DES>tGNATraN.. CHANGE'OF USE? o YES 'o NO
NEW ADDRESS REQUIRED? a YES p NO IIP/BEPA/SU? o YES a NO
PLATTED LOT? a YES o NO DEMO'PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\iandouts-Revised\Perntit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00 •
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
. .❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50 I
❑ over 600 amp 177.00 ( # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
.(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $58.00
O Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
O Data Cabling
(Per• System(s) 1s,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5/(b/(i&ii)
•
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Pcrmit Application