17-102476 r —
RECEIVED
y PERMIT APPLICATION
CITY OF .�,
Federal^ �y I LU 11
MAY 2 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcente nicitvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER r-17 _ J U 7(a/ 1 n
/ / l" TARGET DATE \��.JJJ
SITE ADDRESS
SUITE/UNIT#
1900 S. 314th St., Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,500.00 CC-F 0 9 2 1 0 4 - 9 1 2 5
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING IX FIRE PREVENTION
NAME OF PROJECT Walmart 2571-221 Federal Way, WA- Remodel
Remodel with fire suppression system redesign/update to ensure code compliance.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Walmart, Inc. 479-277-8061
PROPERTY OWNER MAILING ADDRESS E-MAIL
2001 S.E. 10th Street Jeremy.Goucher@walmart.com
CITY I STATEZIP
Bentonville AR I 72716-0550
NAME PHONE
TO BE DETERMINED 4 -P Sty -k-►.rk5 _ '>'7 - 7° ?
MAILING ADDRESS E-MAIL
CONTRACTOR I `F 3 S 5---vi) i stti
&U� broo 1454)a4y5, G o
CITY sTATR ZIP_ FAX
IS-/-►n 012_, COO 4 77-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Telgian Corporation (Engineering and Design Consultant) 770-432-3882
APPLICANT MAILING ADDRESS E-MAIL
900 Circle 75 Parkway, Suite 680 projadminfttelgian.com
CITYSTATE I ZIP FAX
Atlanta I GA 1 30339__ _ 480-656-3114_
NAME _ — __. PRIMARY PHONE _ __
PROJECT CONTACT Doug Kilgore 480-292-8023
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 900 Circle 75 Parkway, Suite 680 projadmin@telgian.com
concerning this application) CITY STATE ZIP FAX
Atlanta GA 30339 480-656-3114
NAME
PROJECT FINANCING N/A 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations 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 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 of such ci in), which m be made by any person,including the undersigned,and filed against the city,
but only where such claim arises ou of the relic ce of the city, including its officers and employees, upon the accuracy of the
information supplied to/
the ci as a of this a lication.
SIGNATURE: V ` DATE 5-18-17
PRINT NAME: W. D. Kilgore Jr.
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
r
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Kitchen/Utility WATER HEATERS(Eleotric
)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A Lakehaven Utility District Lakehaven Utility District $ 1,500.00
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Retail (Discount) 433,422 cizYes ❑ No Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR`
COVERED ENTRY
DECK_
GARAGE ❑ CARPORT ❑
K THER(d/e�sc/ribe)4
EXI
Area104K�S STING PROPOSED TOTAL
**NEW HOMES ONLY**«,'
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION `rea in Occupancy Group(s) Construction #of
Square Feet P y PO Type Stories Additional Information
NEW BUILDING
ADDITION .... - _. .._
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Construction #of
Square Feet Occupancy Group(s) Pe Stories Additional Information
TOTAL DING 422,549 Mercantile Mason( t ,
TENANT AREA ONLY 122,549
3-4444-444 1CZ' clux 7
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application