10-103314 _,� F�'��ct�i�al
Gity of Federal Way - A �
Community Development Services Permit #: 1 0-1 0331 4�oo-EL
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: DISCOiJNT TIRE AT FEDERAL WAY MARKETPLACE
Project Address: 34428 16TH AVE S Parcel Number: 250090 0020
Project Description: Low Voltage for Fire Alarm System
wn r Apolicant Contractor
MARKETPLACE WEST FEDWAY EVERGREEN FIRE ALARMS EVERGREEN FIRE ALARMS
3700 BEAZER RD 3215 S 12TH ST EVERGFAOOOLG (6/8/1� �$
BELLINGHAM WA TACOMA WA 98405 3215 S 12TH ST
98226-8835 TACOMA WA 98405
v� � �� � � � �� �, � ..
� ,.�.. .,,� :������ `� a,�s.�..��z��:; ��- .. ,� ,, r. u£ �, .� ..
Is Use Educational or Institutional?.......................No Service greater than 999 Amps?.............................NO
&�, � ,� � . , t ,�.� � � n ,� , � � � ,,
>`i' ��� �� � � ��� s � ��� 4 ,�i �� �s '° �°: � �; ��' �.
��.. �'�i:.h. ��:,.s�u°,�,��z,_.,.,.s E',.a 'q`���`:'}�'�r�,�. . �� ���:. .,°ut ��� . �
�. , , ,.�c' .., , . . s � . .'���.:r�a�s.:,� .. ... ., . . ... �" .. �,...��. . „�.,. ,&3 , ...,.:� , 'a,�r,z:.F� .�. ,� ... .
Low Voltage-Fire Alarm(Commf 2
PERMIT EXPIRES Wednesday, August 3, 2011
Permit Issued on Tuesday, August 3, 2010 `
I hereby certify that the above information is correct and #hat the construction�n the above described property and
the occupancy and e us will be i cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. `
Owner or agent: Date: �" 3"��
FIt�1���� � q 3 /t�
� THIS CARD IS TO IN ON-SITE
�,►oF �r�� � Construction In ction Record � � � ��
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT #: 10-103314-00•EL Address: 34428 16TH AVE S
Owner: MARKETPLACE WEST FEDWAY FEDERAL WAY, WA 98003
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.
� UFER Ground (4295) � Ditch cover(4030) � Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
� Pool Bonding(4195) � Temporary Power(4275) � Service(4235)
Approved Approved Approved
By Date By Date By Date
� Feeders/Sub-panels(4045) � Rough Electrical(4225) � Ceiling Cover(4020)
Approved Approved Approved
By Date By Date $•(p• /� By Date
� Final-Electrical(4055)
Approved
By Date ��3•�d
� Rough Electrical � Final Electrical � Ri�ht of Way
Approved Approved Approved
By Date By Date By Date
, , � �� ������ ,
a�G � 32��.� 1� - 1�� ���
CITY OF �I�`�1�
Federal W�� �� ���ICAL
PER IT APPLICATION
**Most electrical ermits may be obtained on-line at www.ci o ederalway.com**
�:'
;
SITE ADDRESS: 3�(e/�`� /�v� u �r E�L �..�A� �.7 `t5tx7.:� -l2FS
SUITE/LTNIT/SPACE# ASSESSOR'3 TAR/PAR L�i CURRENT/PROPOSED USE
Z S � C�� � C� - � C� �Z C3 f�E I F�I �
. ...i" YR� { . e _�. ..� . � - _ _ g . �
..-. ... _ .� ,.' � � ..
�14;w � 9 .�e . _ 'yti�+ � �.»k��.. � � . �., ;. :���. . .,-T..�s;� x.. ,: <� . ..,M .. " .�: , ",�x. �i2� .E h6i"�-�:
PROJECT NAME
(Tenant or Homeowner Last Name) ���G��� T(Q-�
r�s� AL[, ry�W �'r e A La2r1 s ec u��r� S �r� �
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
� „-, ; �.
_ ���s � � �ty��•, ,r.�F�.�.� ��` � ��. �'�� . ,���
�� .r'xf'� �kt� 6(�(5'�'.°n���5S'�t .� . . ..�aa.x<A.. �..,..r�. ... '.. ,. �.,: �' S`} . .�..<e,C� ...4�� ...... 4.
. _ � NAME PRIMARY PHONE...
PROPERTY OWNER D�sc a.�,,.►; TI�--E� (b t�t6'A n� ( ) -
MAII.ING ADDRESS UMAIL
i 2 r,Jv2r P��K�A
� CITY ST ZIP FAR
�>TIfE L 1�-'-A- $0 1 I ( ) -
NAME PRIMARY PHONE
��E2CCP-E n� E-.� L�a�-r � (zs3 )�Z9 - 3 `75 t
MAIi.ING ADDRESS UMAIL
ELECTRICAL '��c7 � ,tTK �T ST2�cl Nc�aN4��vE c-, �EPJc�� ,�
CONTRACTOR CITY STATE ZIP FAR
1�cor�-�� e..3`� 9'S'��� (�s l bz� - ��o
WA STATE CONTRACTOR'S LICENSE M E%PIRATION DATE FEDERAi.WAY BUSINE33 LICENSE#
E��2�',c�o���L �/��`6 /ac�Z �- oz-/cw�zi- oo -(�t.
NAME PRIMARY PHONE
APPLICANT �--���/ (2�3 ) ��� - 3 7�
MAII.ING DRESS UMAII.
� � � �C51.CTl� � S�J eb�i � NL2An16�EUElLC'126����RE�.Co."I
CITY STATE ZIP FAX
�t1CcM � ��" �FSyn �2s3) �C29 - �l�c'7
NAME PRIMARY PHONE
PROJECT CONTACT � K C��' (Z53 )E,z� - 3'7��/
I certify under penalty of perjury that I am the property owner or authorized agent oj the property owner.I certiJy that to the best
of my knou�ledge, Lhe injormation submitted in support of this permit application is true and correct.I cert�fy that I will comply u�ith
all applicable City oj Federal Way regulations pertaining to the work authorized by the issuance of a permit.1 understand that the
issuance of this permit does not remove the ou�ner's responsibility for compliance with iceal, state, or federal laws regulating
construcNon or environmental laws.
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 oj such clai�,which may 6e made by any person,including the undersigned,and filed against the city,
6ut only where such claim arises out of the reliance of the city, including its o,�f'icers and employees, upon the accuracy of the
information supplied to t city as a art of this application.
SIGNATURE: ` DATE C''P�/�Z�Lb%D
PRINT NAME: ) C��!N E
33325 8'"Avenue South�PO Box 9718�Federal Way 1 WA 1 98063-9718�253-835-2607�fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 1 of 2 k:�Handouts�Electrical Pernut Application
_ , , ,
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1��Seruice/Feeder Additional Feeders
0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101 - 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00 201- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401 - 600 amp x$358.00 x$143.50
ls�Seruice/Feeder AdditiDnal Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 g01- 1000 amp _x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 st Seruice/Feeder 15`Seruice/Feeder Addilional 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 Circults
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each addiUonal$8.00
Mast or meter repair $60.50
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 s�
Security Alarm System 1 Seruice/Feeder Additionai Feeders
❑ Voice/Data Cabling ' 0- 60 amp x $ 71.00 x $ 32.00
❑ Other C� �gz 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system: ��
la�2,500 ft2-$71.00;each addillonal 2,500 ftz-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each addiUonal$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
#of signs
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.
• For assistance in calculating fees or complet3ng the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00
253-835-2607
33325 8`�Avenue South�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 Pernut Application