07-105839• City of Federal Way Electrical Permit #• • 07-105839-00-tl:'
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: RITE AID
Project Address: 32015 PACIFIC HWY S t I :.__..._ _ Parcel Number: 150050 0110
Project Description: Low -voltage voice & data cable for remodel.
Owner
Applicant
Contractor
RITE AID CORPORATION
CUSTOM COMMUNICATIONS INC
CUSTOM COMMUNICATIONS INC
14880 24TH ST
801 85TH ST E
CUSTOCI000ML (7/13/08)
REDMOND WA 98052
TACOMA WA 98445
801 85TH ST E
TACOMA WA 98445
Additional Permit hlformation
Service greater than 1000 Amps?...........................No
Owner or agent:
Date: /0 d Z 2 - D 7
ATHIS CARD IS TO REMAIN ON-SITE I
CITY F Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105839 -00 -EL
Owner: RITE AID CORPORATION
Address: 32015 PACIFIC HWY S
. 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)
❑
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
Date l L VZ,d
❑
UFER Ground (4295)
Approved
By
Date
For !!Is ector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date L �- `lz 4,7
RECEIVED
FWralMy T 2 2 2017
COMMlN/1YDsvELOPBBM PERM I' SF MF CO ME L L DE EN FP
33325 Aft AVENUB sOvnl • PO 9 1� ilii' E RAl. Wq
PBDBRA6WAr,wA 98063.971�d 4'IktDlfWEi I- FjA 'PLICA L DEPT. TD
259.835.2607• FAX 253-935-2669
The following to required information -an incomplete application will not be accepted. Please print. legibly On" or type.
L3 0_Q
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT• •
TYPE OF PERMIT O BUILDING 0 PLUMBING . O MECHANICAL
SUITE/UNI'? g
O DEMOLITION JZ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descr(ption of work ingkded on this permit onTy)
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
�7
APPLICANT
PROJECT
CONTACT
LENDER
0 PEOPLE INFORIIIATION
NAME
PHONE
0, w� sr7,4 � '
(PRI�) 15f/ - �Zl
MAILING ADDRESS CITY, STATE, ZIP
&MAIL ADDRESS
LING ADDRESS
CITY, STATE. ZIP
COMPANY NAME `
APPLICANT NAME
OFFICE PHONE
42a2 `P,44.1,6-
(24U_Ct_r
(2S-3 ) - 91?3
LING ADDRESS
CITY, STATE. ZIP
CZLLPHONZ
FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-oy- /b2 SS '-ooFC
,Z
(u3) S3G - Sys l
CONTRACTOR'S RE018TRATION NUMBIR
BFIRATION DATE
E MAIL ADDRE33
COMP
APPLICANT NAME
OFFICE PHONE
MA LINU ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect O Tenant o Agent o Other
NAME PRIMARY PHONE E-MAIL ADDRESS
,jt.l.sf►..> d P,15 (A 5-3) S3G- 918'3 G -✓ice: (", ct+sr�wl-tcl .ca��-1
NAME
Per RCW 19.9.7.095:
Lender igjormation is required I/project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE SED USE
EXISTING ASSESSED/APPRAISED VALUE $_ VALUE OPOSED WORK $
SPRINKLERED BUILDING? D YES /�.?i FIRE SUPPRESSION SYSTEM PRO /REQUIRED? o YES ONO
WATER SERVICE PROVIDER O LAKLHAVEN O HIGHLINE O TACOMA O PRIVAT L)
SEWER SERVICE PROVIDER O LAKEHAVEN o HIGHLINE O PRIVATE (SEPTIC)
PROJECT ••-
AREAS
a REPAIR o TENANT IMPROVEMENT
TOTAL
SQ. FT.
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SO. FT.
BASEMENT
o NO
ZONING DESIGNATION
FIRST
o YES
o NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
a NO
THIRD
a YES a NO
DEMO PERMIT REQUIRED?
a YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (O COVERED OR D UNCOVERED?)
GARAGE 0 CARPORT D
NUMBER OF FLOORS
Zan=
nooro•so
Tore%,
rorncsasnsou
roranwmawsr
roracu
••NEW HOAM ONLY"• . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MAST BE INCLUDED W17H APPLICA77019
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS jorTub/mwe combo
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS Mft. maA
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS Icommem q
RANGES
REFRIG. SYSTEMS"
URINALS .
VACUUM BREAKERS
WATER CLOSETS (reaeq
WASHING MACHINES
WOODSTOVES
MISC (Deacnbe)
MISC (Describe)
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best of my
knowledge, the ir{formation submitted in support of this permit application is true and correct. I cert(& that I will comply with an applicable
City of l ederal.Way regulations pertaining to tho 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 elaW4 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.
n /I
SIGNATURE:
Owner and/or Authorized
/O '- 2 Z -O ?
a NEW a ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CE1ANQE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO.
Bulletin #100 = August 16, 2007 Page 2 of 4 . k\HandoutsTennit Application