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04-103702 t r- 1 Com of Federal Way Electrical Permit #:04 - 103702 - 00- EL Cctmmanity Development Services 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#1555 Project Address: 1207 S 320TH Si... Parcel I I -I 1 . q IP Project Description: Refrigeration/HVAC control system Owner Applicant Co tracto 1560 INVESTORS LLC TRUETEMP NW TRUETEMP N 200 S BROAD ST#6 TRUETEMP NW TRUETEMP NW 1627 45TH ST E SUITE 1 1627 45TH ST E SUITE 101 SUMNER WA 9839 (253)826-9640 Ele::i: res Description Quantity _ ptio uan D Quantity 1 Low Voltage-Other Commercial 55000 PERMI XPIRES March 1 005. P t issued on Septem 1 04 I hereby certify that the abov, ,�.t on t and that the cons n on e described property and the occupancy and the wil - •!1•! e with the laws,rules and ation the State of Washington and the City of Federal W. Owner or agen �J 4� �fi,�� ate: 91--/. 0 THIS CARD IS TO REMAIN ON-SITE . CITY OF A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103702-00-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. O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) .LJ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date 1 By Date ❑ Under-slab groundwork(4295) Approved By Date 33325 8th Avenue Sgpt _ D L It _ ( o - 7 o a PO Box 9tng � -- PERMIT V �- Federal Way WA 98063-9718 SF MF CO M 253-835-2607;Fax 253.835.26, i L DE EN FP www.cityoffederalway.com p .V I C1'I I ON TD The ollowi • is re•wired in or%ricitiartani it `. •fete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or . f PROPERTY INFORMATION f SITE ADDRESS 120-7 S0M f t 3 ZZ7 " F -j E7 4L- to44/ SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) iLEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for kngthy legal description) PROJECT INFORMATION . j TYPE OF PERMIT 0 BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION ILECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PRJECT DESCRIPTION(Provide detailed description of work included on thispermit on.li,) p. e-F246--e' 41-r-ovdl/H UK- cowneo L S>,j src- ' PROJECT NAME(Name of Business or Owner Last Name) 3 i4 Few A-Y /SSS' PEOPLE INFORMATION PROPERTY NAME P MARY PHONE OWNER Sidi-Fr—km- ( 2 t/ ( 2s--) qJ $ 4.c ?3 MAILING ADDRESS CITY,STATE,ZIP /l Z / /2 c r44-frve- 41, C 13e,t to u u_e / Lk)14- q S 0©5- CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE TiktE•-rrily61 Al. til. -Mue-rz�lis N LA). (0253 ) 82(0 -9/z70 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE A27 z/544-.5..r.C- StE /0 Su vt i H/e-e- wrt• q X390 (arc ) sro -72 74i/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / (�s3) 821 97S 2 B L CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE T .2. Id. ETAJ1 12 ,00 Z 1113 c2o06 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE T L67- 144/6 N.W 1-09-uern-714 p AJ.cki, (;253) /ZCo-764/0 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE /L'2 7 4//44" Sir-E, S T /o/ 561 mry / w 14, '/g 39'0 (.2o( ) 570 -727 9' RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant ❑Agent ether(Describe) CO*/7)244tTb/2— (2s3) g;�c -97 St-) CONTACT NAME CJ PRIMARY PHONE E-MAIL ADDRESS Fite I M-iJ SO tdm44.✓e 1/ (?5-"S ) 8,240 - 9&//t, LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST FIRST SECOND THIRD FOURTH -- ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT^ HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "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 REFRIG.SYSTEMS BBQS FANS HOODS(como. dal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toaeq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK Icertify 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 b, any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the re '.nce of the ,incl ding it ,fficers and employees,upon the accuracy of the information supplied to the city as a part of this application. I' NAME/TITLE // // DATE ! 15 o ('tgnature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑ Agent contractor a Architect ❑ Other FOR OFFICE USE ONLY o NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit 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) ❑ 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 O 201 -600 amp 220.50 Service or Feeder 0 601 - 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 (1-4 circuits-$58.00;Add'n circuits$6.00/ea) . COMMERCIAL/INDUSTRIAL PLAN REVIEW $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 U 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 U over 600 127.00 n/a i MISCELLANEOUS SERVICE/EQUIPMENT U #of Thermostats ❑ #of Signs IkeFirst-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) Low Voltage �^ 0 Swimming pool/hot tub $87.00 Square Feet to be served by system(s) 5J/co (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) 0 44to Cabling 0--f<e°�.t6-6(12-frnoltJIA/l-� Covrt72-0L S.j Srem."- i (Per System(s) 1•�2500 ft2- 51.00; Each add'n 2500 ft2-13.50) •Per WAG 296-46-9i0(5)(b)(i&ii) Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revised\Pernllt Application