10-103012City of Federal Way
Community Development Services
P O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WAL-MART
Project Address: 34520 16TH AVE S
Electrical
Permit #: 10 -103012 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Project Description: Addition of a new IN wirie for EMS on existing refrigeration cases.
Owner Apoll-ca Contractor
FEDERAL WAY MARKETPLACE SOURCE REFRIGERATION SOURCE REFRIGERATION
INVESTORS LLC 3902 W VALLEY HWY N SOURCRH992PB (10/8/11)
5743 CORSA AVE SUITE 216 AUBURN WA 98001 3902 W VALLEY HWY N
WEST LAKE VILLAGE, CA 91362 AUBURN WA 98001
Additional Permit Information
Is Use Educational or Institutional?....................... No Service greater than 999 Amps? .............................No
.i.
Electrical Fixtures
Thermostat ............................ ::....... 1
PERMIT EXPIRES Friday, July 15, 2011
Permit Issued on Thursday, July 15, 2010
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 le�rules and regulations of the State of Washington
and eral Way. .
Owner or agent:
Date: —/Aozzo
Fit',,...- -, I/1y/o
THIS CARD IS TO REMAIN ON-SITE
CITY OF AV:& Construction Ins tr ' ction Record
Federal Way INSPECTION REQi]ESTS: (253) 835-3050
PERMIT #: 10 -103012 -00 -EL Address: 34520 16TH AVE S
Owner: FEDERAL WAY MARKETPLACE IN FEDERAL WAY, WA 98003-6841
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.
❑ Rough Llectrt
Approved
By Date
Approved
Date
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
EDCITY OF AV
Fe '�aq) ELECTRICAL
I'T' APPLICATION
Coy
*41ii> I,Ipinrtriral nprmits may he obtained on-line at www.citvoffederalway.com**
Y certilfy under penalty of pert try that I am the property owner or authorised agent of the property owner. I cerNjy that to the best
of my knowledge, the Wormation submitted to support of this permit application is true and correct. I certa& that I will comply with
all applicable City of Federal Way regulatlons pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental Iaws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneysfees incurred in
the investigation and defense of such clatmjl, which may be made by any person, Including the undersigned, and filed against the city,
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 apart of this application.
SIGNATURE: 21 DATE
PRINT NAME -
333258 1h
AME:
333258ih Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com NA
Bulletin #160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
PROPERTY INFORMATION
SITE ADDRESS:r
SUITE/UNIT/SPACE 8
ASSESSOR'S TAR/PARCEL S
CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
L
Tenant or Homeowner Last Name)
r dati Ill
&L o'� diL/
'r
ii't [y��� t, ��,� G [ a-kck .
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER
I11 G .;' �"
� > >
) �1 - {iIj ;"
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
r I K 60
(
} -
NAME
PRIMARY PHONE
ztwsr
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
Ala; �l� �� d,• t; /1 i'
{;5"Adi
PRIMARY PHONE
} 7�! - i0 % `
APPLICANT
M/AILIN�GG ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
L 'r. • �.
)
PROJECT CONTACT
NAME id
�f�i¢;' /?'7,iF is ! ,`
( "�i`
PRIMARY PHONE
/'.}7
Y certilfy under penalty of pert try that I am the property owner or authorised agent of the property owner. I cerNjy that to the best
of my knowledge, the Wormation submitted to support of this permit application is true and correct. I certa& that I will comply with
all applicable City of Federal Way regulatlons pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental Iaws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneysfees incurred in
the investigation and defense of such clatmjl, which may be made by any person, Including the undersigned, and filed against the city,
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 apart of this application.
SIGNATURE: 21 DATE
PRINT NAME -
333258 1h
AME:
333258ih Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com NA
Bulletin #160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
111 Service/Feeder Additional Feeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 ampx $164.00 x $103.50
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 X 141 sn
1st Service/Feeder Additional Feeders
601 - 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
201 - 400 amp x $164.00 x $ 80.50
801 - 1.000 amp x $565.00 x $236.50
401 - 600 amp x $224.00 x $111.50
Over 1000 amp x $616.00 x $328.50
601 - 800 amp x $287.00 x $153.50
Over 800 amp x $410.50 x $307.00
Over 600 volts surcharge x $103.50
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1s1 Service/Feeder
lst Service/Feeder Additional Feeders
0 - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
Mast or meter repair $60.50
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for:
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/E UIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
1st Service/Feeder Additional Feeders
❑ Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
Area to be served by system:
61 - 100 amp x $ 80.50 x $ 39.00
Pt 2,500 ft2-$71.00; each additional 2,500 £t2- $18.50
101 - 200 amp' x $103.50 x $ 51.00
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
First $60.50; each additional $18.50
401 - 600 amp x $164.00 x $ 80.50
Over 600 amp x $184.50 x $ 92.00
# of Signs
FEE CALCULATIONS
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transfer equipment) x $101.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover/ inspection only x $121.00
253-835-2607
333258 1h Avenue Soulh ♦ PO Box 9718 ♦ Federal Way ♦ WA
98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 k:\Handouts\Electrical Permit Application