05-101031 . City of Federal Way Electrical Permit #: 05 - 101031 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: HOME DEPOT
Project Address: 1715 S 352ND 51" Parcel Number: 282104 9008
Project Description: Disconnect power by the front refund desk.
Owner Applicant Contractor
HD DEV OF MARYLAND INC IDEAL SERVICES INC IDEAL SERVICES INC
1420 5TH AVE#4100 3525 S ALDER 3525 S ALDER
SEATTLE WA TACOMA WA 98409 TACOMA WA 98409
98101-2375 (253)922-1616
Electrical Fixtures
Description Quantity Description IQuantity Description Quantify!
Circuits- Commercial
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES September 3,2005.
Permit issued on March 7,2005
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 'th the laws,rules and regulations of the State of Wash' gton and
the City of Federal W. /
Owner or agent: Date: _ •
YO
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72 /
THIS CARD IS TO REMAIN Or' -SITE
AY
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101031-00-EL
Owner:
Address: 1715 S 352ND ST
FEDERAL WAY, WA 98003-8316
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.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) t❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 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 Date'
•
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: CSS` 101031 6.1._
uV RYA MAR 0 7 2005 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: _ _ _ _ _ _
BUILDING DEPT.
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
c ■ PROPERTY INFORMATION
SITE ADDRESS: '7/ S 3 Sf nd �7c+ ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
*ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): di S CO t c4 ciult.c
"crerivirh re,4 . dazl� i
PROJECT NAME: Alb'(Y L tifk..‘tat
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAIL ,orr1� � P): (as3)461 -Saab
STATE, _
IC
CONTRACTOR: NAME: DAYTIME
!� C DAYTIMEPHONE:
��kGeS (3')G 67
1 -a140
ET ADE ;CITY; :
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ,/A44 4\ elaC 701,03‘44‘tk, FAX NUMBER:
Iq• I8. - o 9E - oo �s� b11 -T217o
CONTRACTORS REGISTRATION NUMBER: ^ EXPIRATION DATE:
(copy of mrd required) =D e t► L�_011 J2._ C1 / Zz /os'
APPLICANT: NAME: DAYTIME PHONE:
Shco.A StrUiCAS t (s3)47/ -o.1(0
MAILING ADDRESS(STREET ADDRESS;CITY ATE ZIP): ulek„ EVENING PHONE:
LON TO PRO§c34.44 � +�� � FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): CCrckCadef / -�,Q
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ,Itao
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ c aG 411111"
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
' IS. 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information upplied to as a part of this application.
NAME/TITL=Oki,� k .4/ DATE:
34//05
CIPROPERTY OWNER ❑ APPLICANT 'CONTRACTOR C •
FOR OFFICE USE ONLY: ,1
NEW .' 0 ADDITION ❑ ALTERATION ❑ REPAIR- 0 TENANT IMPROVEMENT
CENSUS CODE II ,- `LOT SIZE
ZONING DESIGNATION BUILDING-SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN"--' ❑YES -, 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑'YES 0 NO
PLATTED`LOT? ' ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129