04-103735 •4
City of Fedevel Way
Community Development Services Electrical Permit #:04 - 103735 - 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: MARLENE'S MARKET&DELI
Project Address: 2565'3 GATEWAY CENTER blvd S Parcel Number: 092104 9137
Project Description: Install low-voltage data cabling for tenant improvements.
Owner Applicant Contractor
GATEWAY CENTER RETAIL LLC LAZER ELECTRIC LAZER ELECTRIC
110 110TH AVE NE#101 9523 19TH AVE E 9523 19TH AVE E
BELLEVUE WA TACOMA WA 98445 TACOMA WA 98445
98004-5828 (253)535-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial 21930
PERMIT EXPIRES March 15,2005.
Permit issued on September 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 Way.
Owner or agent: Date: 9-/6-0(
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` THIS CARD IS TO REMAIN ON-SITE 1
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103735-00-EL
Owner:
Address: 2565 S GATEWAY CENTER PL
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) El 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 By,— DatyO. 44 ye
❑ Under-slab groundwork(4295)
Approved
By Date
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� �10/ � CONSTRUCTION PERMIT APPLICATION
CITY OF m ./ APPLICATION NUMBER: 04- L 0373,S- DO
Federal Way SEP 1 6 2004 APPLICATION NUMBER: -
kPPLICATION NUMBER: - -
ITY OF.FEDERAL WAY
*The followingise�e�MT((a ition-Please print(in ink)or type**
r Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
',PROPERTY INFORMATION
SITE ADDRESS: /Z.56 S So. C. rewoy �Ic.At. ASSESSOR'S TAX/PARCEL #: -
1
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING a MECHANICAL a DEMOLITION
ELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
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PROJECT QESCRIPON(Provide detailed description): L-fn �(n A
c�eS-LAC,CS
PROJECT NAME: (Aii-\Pi1nPcs iVi C.S'►\e,-.\--- O da Rg--I
1 PEOPLE INFORMATION ?-12)1U
IIPROPERTY OWNER: NAME: ! I DAY?TME PHONE:I•` MAILING ADDR (SEET ADDRESS;CITY, ATE,ZIP): i )
fld
CONTRACTOR: NAME: i�� ��� DAYTIME PHONE:
roc -- r (ZS- )53S \ 100
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): C EVENING PHONE:
l SZ-z, \C'1 L A.re._ t I cAcs. f.U4 C / ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUMBER:
! EXPIRATION DATE:
(mrd required) L. R Z t: k t: i o 3 3 D F / /
APPLICANT: NAME: DAYTIME PHONE:
�Cn ZC.T --- nCG/t t Tin C.-. ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
I
RELATIONSHIP TO PROJECT: i FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER( DESCRIBE): i ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER a APPLICANT ONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(induding costs,expenses,and attorneys'fees Incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against-tile City of
Federal Way,but only where such daim arise otattt of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the Information sup ' to the city as a part of this application.
NAME TITLE: G �/Yt •' 6_°C(
/ l ' DATE:
❑ PROPERTY OWNER a APPLICANT ❑ CONTRACTOR
1,FOR.OFFICE.USE ONLY:
C-!= " ..36 'K7-'dm v..b{.'v 1 v._ :_�:;. 7 �.S n.•,c'SCix ,*Y,-.. .: ::w
x t "° _" 5.r ./,.V HENT
sl7,�lEW;� �[7ADDI7ION'�,�I7.AL:TERATION .REP,AIRS=;�OTENANTIMPROVEMENT,:..::�-��. 3s:
'-CENSUS CODE. ,v- 7.' ; t" ,,, LOT
{ZONING;DESIGNATION . SC ;kV BUILDING SHEL ONLY? OYES' ..0 NO
COMP PLAN DESIGNATION „ � .. 'BASIC PLAN? ❑YES' 0 NO{�`i
SECTION ,, TOWNSHIP =' 'RANGE - ?A - NEW�`ADDRESS REQUIRED?, ❑'YES :❑IVO =,-
PLATTED LOT?. ,''❑•YES' _ n N0 zr: % :r ::r .CHANGE OF USE? 4 x ,,r3 YES -aNO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederalway.com
ELECTRICAL PE . IT INFORMATION •. . -
RESIDENTIAL _COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet CI 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft,-$87.00;Each add'n 500 ft2-$28.00)
CI 101 -200 amp 1 17.50 74.00
CI outbuilding or garage
(Inspected with service) $36.50CI201 -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
❑ 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
0 Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00
CI Mast or meter repair $80.00
CI 401 -600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
CI 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ Oto 200 amp $
72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 CI # of circuits to be added/altered
CI over 600 amp (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
CI Mast
Service over 200 amps
Mast or meter repair $43.50
❑ Medical/Educational/Institutional Facility -
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 Dii 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
CIService or feeder only $58.00
❑ 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
CI # of Signs
CI #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First-$43.50;add'n-$13.50/ea)
"1- Low Voltage CI Swimming pool/hot tub $87.00
;add'system(s) $$7.00/hour
❑ Security Alarm System CI Additional Plan Review
Voice Cabling (for modified submittals)
ata Cabling
0
(Per System(s) l•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(D)(i&ii)
r
Bulletin#100-March 30,2004
Page 3 of 4 k\l l indouts-Revised\Permit Application
A
•
■ ELE~ RFA
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _4 of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft1-$85.50:Each add'n 500 ft'-$27.50) Service and feeder $93.00 _b of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl'-$50.00:Each add'n 2 00 ft`-$13 i�yO '
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: ,\°30 =1IG�
(Inspected with service) _>i of service or feeders ' Per WAC 296'-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _a of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $5'7-00
II ;
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
iii (Includes three units or more) Altered Service or Feeders
- Service Feeder Amps Service or Add'n -0 to 200 5 93 00
U
p to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amn 115.50 57.00 = b oto 100 $ 93.00 5 57.00 60i -1000 326.50
If 401 -600 amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (I-5 circuits-$72.50:Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/lndustrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 101 -200 72.50
_over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401 -600 i 15.50
_#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps.a plan review is required.Fee is 35%of
nemtit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1•
i i }
'TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35) = (13)
- • 'DEMOLITION -. -
Estimated Permit Fee: (14)
Bond Amount: (15)
- • ENGINEERING . .:. ., -
Estimated Permit Fee: (16)
Bond Amount: (17)
1 OTHER FEES ._
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (pages one&Two): Line(s)(11)+412)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23,2002