07-103719 X E
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City of Federal Way Electrical Permit #: 07-103719-00�-E L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ZUMIEZ
Project Address: 1940 S COMMONS SPACE B-38 t y� Parcel Number: 762240 0010
Project Description: Electrical connection for interior signage.
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Owner Applicant Contractor
ZUMIEZ INC PACIFIC SIGN ERECTORS INC PACIFIC SIGN ERECTORS INC
6300 MERRILL CREEK PKWY SUITE B 9792 EDMONDS WAY SUITE 172 PACIFSE965CK(2/12/08)
EVERETT,WA 98203 EDMONDS WA 98020 9792 EDMONDS WAY SUITE 172
EDMONDS WA 98020
Additional Permit Information
Electrical Fixtures
Sign 1
PERMIT EXPIRES,Friday, July 4, 2008
Permit hued on Tuesday,July 10, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and in accordance with the laws,rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: " Date: /d ( 07
r1— l2-0'1 — c
THIS CARD IS TO REMAIN ON-SITE•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103719-00-EL
Owner: ZUMIEZ INC
Address: 1940 S COMMONS SPACE B-38
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.
0 Slab/Concrete Floor(4255) ❑ 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling
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Cover(4020) •❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date
❑ UFER Ground (4295)
Approved
By Date
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For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY`OF v V 1 0 2 7 / i9
Federal Way /l'�' ��E° PERMIT `J/ / -✓
CO,MMUNITYDEVELOPA1ENTSER .0 SF MF CO M 1�PL DE EN FP
37.125 8r.AVENUE SOUTH•PO BOX 9718 `_
FEDEKAL WAY,WA 9806.1-9718 zooA p p L I C AT I O N TD
.'5738.15.2607•FAX 253-835-2609,1I 1 0 /
u ril ete ierabeati tealJ, /
The following is rre)jjr •aan incomplete application will not be accepted. Please print Iegibly(in ink)or type.
l
O PROPERTY INFORMATION •
SITE ADDRESS_ —O < . C e-4N�1t' t t`= SUITE/UNIT # r .
ASSESSOR'S TAX/11ARC L# -
LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR JECT DESCRIPTION (Provide detailed description of work included on this permit oak))
ti tom= tL C_Z .,--`` 2c S T( i rte'L_ff C7-1.-,17 C C A
PROJECT NAME(Name of Business or Owner Last Name) 1 V \ ( IC.__
II PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME AP CANT NAME OFFICE PHONE
PALAr _ s
� ic.ti . c<<rLS 'I . om-tA, . -z , (La- ) 's6 - 7Sr'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
97w Z E 0,ev-kvc-vs t3 41-1.12- G, zn T>'N VA- Z-Z1/4- ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(42,) -77b - r`'3(-
COPY o[card.eq.,trea CONTRACTOR'S REGISTRATION NUMBER - EXPIRATION DATE E-MAIL ADDRESS
with each application I
'RICCI,
P5 E CI
V;
C/r- -z I
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APPLICANT COMPANY NAME PLICANT NAMS.` OFFICE PHONE
14C t rtC- (G.r_! Ck-IiL'ze s S t- (rn24-- -c'T ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
et1ci z_ � ;� ti:7, '....,-1...44-t 6-OZ Eh ry\i.,,I.:7S (FA 1c Z0 (Z.C6 ) `t j.fg - S`7/
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other (`725 ) '7 7s - (e 3(-,
PROJECT TINE PRIMARY PHONE Gs, E-MAIL ADDRESS
. CONTACT ,1` .t-- --'t2.t.;' "Z� (2.0L) y F..1 - I /1
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,-ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL'
` SQ.FT. SQ. FT. SQ. FT. 1
BASEMENT
FIRST
SECOND
{
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) -
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL PTISTING SF TOTAL PROPOSED SF TOTAL Sl -
,
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ I
■ FIXTURES
Indicate number of each type offudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL I
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) i
i
MR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerdaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
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PLUMBING '
BATHTUBS(orTub/shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrotjet) i
ELECTRIC WATER HEATERS SINKS WASHING MACHINES •
HOSE BIBBSSUMPS
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SIGNATURE
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 ,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
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NAME/TITLE 'fa_. L S /. DATE -7 !D /U-7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent zer Contractor ❑ Architect 0 Other
a NEW a ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? a YES a NO
ZONING DESIGNATION - - CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? •
a YES o NO DEMO PERMIT REQUIRED? o YES o NO
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Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Perrnit Application
C
ELECTRICAL-PERMIT'INFORMATION -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW C(' '2/INDUSTRIAL SERVICE
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0 Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ i01 -200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp '327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 0 Mast or meter repair $102.00
0 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
0 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 0 #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $I20.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
O 101 -200 amps 94.50
O 201 -400 amps 111.00
❑ 401 -600 amps 149.50
O over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats t #of SIgns
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign $26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $74.00
O Security Alarm System 0 Additional Plan Review $111.00/hour
U Voice Cabling (for modified submittals)
O Data Cabling
0 ❑ Automation Fee on all Permits $5.00
1•"2500 ft2-$65.00;
Each add'n.2500 ft2-17.00) 'Per WAC 296-46-910(5)(bK&ii)
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4 Bulletin 11100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application