04-103779 •
L'4
City of Federal Way
Community Development Services Electrical Permit #:04 - 103779 - 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 Parcel Number: 150050 0020
Project Description: Altering 100amp feeder for new store remodel from existing panels; change out light fixtures
Owner Applicant Contractor
1560 INVESTORS LLC TANDEM ELECTRIC,INC TANDEM ELECTRIC,INC
200 S BROAD ST SUITE 6 5836 S 228TH 5836 S 228TH
PHILADELPHIA PA 19102
\KENT WA 98032 (253)395-8806
Electrical Fixtures
Description iQuantityl Description [Quantityl Descriptioni!Quantity
Alt.Serv./Feeder up to 200 amps-Coli I-- l
PERMIT EXPIRES March 19,2005.
Permit issued on September 20,2004
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 Way. A4
Owner or agent: �L� 41
Date: /� -61
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' THIS CARD IS TO REMAIN ON-SITE
CITY OF . Community Development Inspection Record
Federal Way IVR INSPECTI:N,R;EQUEST PHONE # (253) 835-3050
PERMIT #: 04-103779-00-EL
Owner:
Address: 1207 S 320TH ST
FEDERAL WAY, WA 98003-5339
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.
0 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) 0 Service (4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) .LI Ceiling Cover (4020) � Final-Electrical (4055)
Approved Approved Approved
By Date By Date 13y/. Date ( aL 1 -
r❑ Under-slab groundwork(4295) ,
Approved
By Date
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COMMUNITY DEVELOPMENT SERVICES
1 S C P 2 0 2 O f 4 335 FEDERAL WAY,W0 FIRST WAY A 9806 90X8 718
co. Of SEP
Federal Way PERMIT APPLICATION 253-wwm atuo(federalwau.com661115.FA)C:EDERA
129
PorOtriceUseOnly FW File-Number: -IN
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The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint legibly(in ink)or ty•e.
I
II PROPERTY INFORMATIONI
SITE ADDRESS: /(?C --Sac. i- ,3,7(� y S(�' '(�''7� SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnption)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ? BUILDING ? PLUMBING ?MECHANICAL ? DEMOLITION
/7 ELECTRIC)? ENGINEERING? FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ovide detailed descnption of work inclu ed on this permit only):
Co ‘r2 ,d-fee Safe v. c•-_,,i �S i-e_ r e 1(..--. 721 6V\
P . \S i-n 5 (2G-iA-e, . /it r ild tPoke ci-n^C d`-4- e ka w1 s .
c Imo-v-s-e o - C s ( - d'i 1--4-vv--es.
PROJECT NAME(Name of Business/Owner Last Name):
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
CONTRACTOR: NAME COMPANY OFFICE PHONE:
/) j tri Vie. e7 -61""062141 ��� >� , I S'3 )3 5 -
MAI G ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
Id' �o vo- c�3.+' - `e J- (r Agh 3 1,96(., ) 5'7/ -S7f l
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
LQ–Y –Lv 'T...v qy - 00 .t- la / 3/ / 0 3)3i5 - - Ho
CONTRACTOR'S REGISTRATION NUMBER: �I, 6--
�1 (�1 /�� EXPIRATION�DATE: //
(copy of card required with each q.plication) j 4 74 7 G CI V y / % ? CJ 31 Q - / V C,
LENDER: NAME: DAYTIME PHONE:
or Propowd Value>$3,0001 ( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: Co�1PANY I OFFICE PHONE:
CO 64,9 RA Graz it/:_o. / ( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
? Architect ? Tenant ? Other(Describe):C -
/ J C c w( co A.4,-,-,...),r, ( ) -
CONTACrPERSOII FOR:THI&PRO IECTi: ?Pro Owner ?Contractor- :` ?`/Applicant : . � S`
• DETAILED BUILDING INFORMATION
EXISTING USE: Cc)L-e e-Lt ' �j I'�
J PROPOSED USE: 5 0 v/'`€.'
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ / 7 9 '50 ��fie'•
SPRINKLERED BUILDING? ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ? YES ? NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ? HIGHLINE ?TACOMA ? PRIVATE(WELL)
SEWER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOS£6 TOTAL E\0STING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is 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 REFRIG.SYSTEMS
BBQS FANS HOODS(Commercuall WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTEb/shower combo) SHOWERS WATER CLOSETS(Toilet( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink 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 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, •ut only where such claim arises out of the reliance of the city, including its officers
and employees,upon he accura of he n o ation supplied to the city as a partof this application.
NAME/TITLE: ,04/14 aer v v`' DATE: / _,7v_e 9
Si nature)
RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant Contractor ? Architect ?
FOR OFFICE USE ONLY:
?NEW ?ADDITION ?ALTERATION ?REPAIR ?TENANT IMPROVEMENT
BUILDING SHELL ONLY? ?YES ?NO BASIC PLAN? ?YES ?NO
ZONING DESIGNATION: CHANGE OF USE? ?YES ?NO
NEW ADDRESS REQUIRED? ?YES ?NO UP/SEPA/SU? ?YES ?NO
PLATTED LOT? ?YES ?NO DEMO PERMIT REQUIRED? ?YES ?NO
Bulletin#100—January 13,2004 Page 2 of 4 k:\Handouts—Revised\Permit Application
0 '
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL `` COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 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) ❑ 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
M Service or Feeders
ALTERED SINGLE/MULTI FAMILY g 0 to 200 amp $ 94.50
(Inspected separately from service) 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
❑ 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)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
U Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0-100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
U 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #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)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
O Data Cabling
(Per System(s): 1•e 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(b)(i&ii)
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application