04-102066 City Federalof Way
CommunityunityDevelopment Services Electrical Permit #:04 - 102066 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax.253 661 4129 Inspection request line: 253.835.3050
Project Name: TARGET AT THE COMMONS
Project Address: 2201 S S4TAC MAIL, eoMkA( LSS Parcel Number: 762240 0010
Project Description: Fire alarm system
Owner Applicant Contractor
STEADFAST SEATAC MALL SECURITY PLUS SECURITY PLUS
20411 SW BIRCH ST SUITE 200 SECURITY PLUS SECURITY PLUS
NEWPORT BEACH CA 92660 12815 CANYON RD E SUITE 0 12815 CANYON RD E SUITE 0
PUYALLUP WA 98373 (253)548-1415
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
I Low Voltage Fire Alarm-Commercia 16000
PERMIT EXPIRES December 1,2004.
Permit issued on June 4,2004
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 laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: '7/ 2-0O
7(i o4 CO.1 •.SC . igc _
�' _0_6_6-
Federal Way PERMIT
COMMUNTIY DEVELOPMENT SERVICES SF MF CO ME L DE EN FP
33530 FIRST WAY • BOX 9718 A P IZO N TD
FEDERAL WAY,,WA WA 3-9718 / /
253661-4115•FAX 253-53-66 661-1129
www atgotrederalwau corn nn pp
The ollowin• is re•uired in ormation-an inc. Y•l-t2 •. Wion will not be acce•ted. Please •rint le•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS2 ( F F D E' '
)T � DElP�/yC� >Li/6 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1 /1.e.-6-47---
(Attach
'. .-6.44(Attach separate page for lengthy legal desonpnon)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION><FLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on tis permit on114)
1----e,)47.1)44- r /c-s0I..
.at")� 001-7 7464
PROJECT NAME(Name of Business or Owner Last Name) �40--6-4r
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( )
MAILING ADDRESS CITY,STATE,ZIP
i
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
SA.6-1,-41---,-Lry PLCs
<"'''-'.'
-. Dr ic-_ C2-5-3) Slte-OY/5-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(Z'is' G/4' o, (2F_. S4.•vr' O Pu71/I"1-1.4.,P W 95323 (Yzs-) a6' - 2-063
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
'.10 — 0 (—J o 1 6 Z '1 - BL (21/ i / (r (2.c ) S - OLr/
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
F_ C. (L P 4 9 8 c it'lN 7/ / Zany
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
00
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Lf 701'
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commcrcd) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS troart) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
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 city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE \�V \\I'�\`\� //4, r""�� `+ 644 DATE S124172-00
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent contractor ❑ Architect O Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES n NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES n NO
Bulletin#100—March 30,2004 Page 2 of 4 k\l landouts—Revised\Pernut Application