04-103991 City of Federal Way Electrical Permit #: 04 - 103991 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: PETSMART
Project Address: 31705 PACIFIC‘S., Parcel Number: 082104 9196
Project Description: Extend one circuit and add duplex receptacle to serve quick-tag machine.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC WILDERNESS ELECTRIC INC. WILDERNESS ELECTRIC INC.
HARSCH INVESTMENT PROPERTIES LLC 23220 MAPLE VAL-BLK DIA RD SE SUITE: 23220 MAPLE VAL-BLK DIA RD SE SUITE
1121 SW SALMON ST MAPLE VALLEY WA 98038-0250 MAPLE VALLEY WA 98038-0250
PORTLAND OR 97205 (425)432-1747
Electrical Fixtures
DescriptionQuantity Description Quantity I Description Quantity
Alt.Serv./Feeder up to 200 amps-t-41 1 1
PERMIT EXPIRES March 29,2005.
Permit issued on September 30,2004
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 W
Owner or agent: /Jz _ Date: ?ffi v
4/44 ‘
A „, ,
THIS CARD IS TO REMAIN ONSITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103991-00-EL
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31705 PACIFIC HVVY S
FEDERAL WAY, WA 98003-5407
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) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By7 Date
O Rough Electrical (4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date :- 1" ' Date 6 - d;
.
❑ Under-slab groundwork(4295)
Approved
By Date �Q5 .• P"C
4, J �
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RECEIVED COMMUNITY3DEVELOPMENT SERVICES
! 3530 FIRST WAY SOUTH•PO BOX 9718
CITY OF�� FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 2536614115.FAX:253-6614129
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SEP 3 0 2004
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For Once U:Only
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BUILDING DEPT.
The ollourin• is re•uired in ormatfon-an incom•tete a••lication will not be acce•ted. Please •tint le•ibl (in ink)or .
J • PROPERTY INFORMATION
SITE ADDRESS: .a'1 0 0 etit U 11(J k1 - S , SUITE/APT#
ASSESSOR'S TAX/PARCEL 4t: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION •
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
yi ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
/SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onl4): -C/t /ad J )" 611,a,
littUir 1 IW - a as d tex v-e,-twfa , ) Jac ktM aung mut
---TtLqA'(I s-Ii g �� iry
PROJECT NAME(Name of Business/Owner Last Name): P^'74Nl -
(1-
■ PEOPLE INFORMATION
PROPERTY NAME- QQ�{� AA//��(( - PRIMARY PHONE:�^� /�
OWNER v,C:JJIVIU`1 1 (253)521 - G3
MAILING ADDRESSJ$TREET ADDRESS;): � CITY, ZIP I� '�� ��� �`�
)110) fi� �V( F I/t„�/,`A,� a �l( / ,� /
1 CONTRACTOR NANAME
VI�/�l�a MI
NIADDRi )Yk COMPANY OFFICE PHONE::
47
Z 1141
AI!LNG ADDRESS(STREET E " 'CITY,STATE,ZIP
)
l2CeriOF DERALW USINE ICE NUMBECU n ��`ND � CELLON
EXPIRATION NUMBER:
IGS-T X- UU 0Q ILi-
00 - E,L 1-1, 1-3„) lm- (42s4i..,-- )161
CONTRACTOR'S REGISTRATION NUMBER: 1 a0-1/.)-14
EXPIRATION DATE:
1_61._ .,e.(copy of card required with each application) I— �, 1 _! 01/ �
/ a
LENDER NAME: DAYTIME PHONE:
(If Proposed Value>$5,000) ( ) —
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
( APPLICANT: NAME: COMPANY OFFICE PHONE:
( )
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant ❑ Other (Describe). ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 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 PROPOSED TOTAL EXISTING 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(commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tob/show,combo) SHOWERS WATER CLOSETS crawl) 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, 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 al part of this application.
NAME/TITLE: 6 1 DATE: (6 3°10
(Signature( (Title}
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant Xontractor 0 Architect ❑
FOR OFFICE USE ONLY:
❑NEW c ADDITION r_:ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES ❑NO BASIC PLAN? c YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? c YES o NO
NEW ADDRESS REQUIRED? : YES n NO UP/SEPA/SU? L YES ❑ NO
PLATTED LOT? n YES rl NO DEMO PERMIT REQUIRED? ❑YES ❑NO
• ELECTRICAL PERMIT INFORMATION -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft'-$37.00; Each add'n 500 ft-- $28-00) U 0 to 100 amp S 91.50 5 58.00
❑ Detached outbuilding or garage U 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) S 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
0 201 -400 amp 117.50 58.00
❑ Over 600 volts surcharge S 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
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
(Inspected separately from service) U 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
U 0 to 200 amp S 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
U over 600 amp 177.00 lif I # 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 NREVIEW_
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
U Service and feeder $94.50 Commercial Residential
❑ o- 100 $$8.00 $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)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ i of Signs
(First-$43.50; add'n-$13.50/ea) (First sign-543.50; 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 U Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
❑ •
(Per System(s): 1,,2500 ft---S51.00; ,
Each add'n 2500 112-13.50) •a,r sac 29644 970(3)(b(i,5,i5)