03-101254 City of Federal Way
Community Development Services Electrical Permit #:03 - 101254 - 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: DOLLAR TREE
Project Address: 31014 PACIFIC S Parcel Number: 785360 0200
Project Description: Rewire low-voltage sprinkler,tamper and flow switch.
Owner Applicant Contractor
TACOMA GOODWILL INDUSTRIE GLOBAL SECURITY GLOBAL SECURITY
714 S 27TH ST GLOBAL SECURITY GLOBAL SECURITY
TACOMA WA 32700 PACIFIC HWY S UNIT 14 32700 PACIFIC HWY S UNIT 14
98409-8130 FEDERAL WAY WA (253)661-2250
Electrical Fixtures
!E;.WK:V3031:ti;,!:01indefilain' Ei .f';.i!' l51106 Vag 0*# Fttg:1,43i,O4115*Itt : (;ljii6-ttY
Low Voltage-Other Commercial 1
PERMIT EXPIRES September 28,2003.
Permit issued on April 1,2003
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: - b/ - 0->
4- 5— ° -
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(0717
letruo CONSTRUCTION PERMIT APPLICATION
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EMIN.1100ft.., 111111011MBERNINE
10111M1110.
•
**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.
• PROPERTY INFORMATION
SITE ADDRESS: 3/0/y P1-44,fic_
Jim( ASSESSOR'S TAX/PARCEL it:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): EA,174/ / c 74)(4,
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING a PLUMBING a MECHANICAL a DEMOLITION
(ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Pa---(Ai t(_e_ /0 w Jo4-e9s Seri')ktt-
Thm pi,- 4 ,C/oj.jS LA) 1---Lix •
PROJECT NAME: AW/ 7
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
I r...L.& (763) 6? -/Y4"/
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,IIP):
CONTRACTOR: NN 4E: DAYTIME PHONE
fi)bAr .5_</-Gar- "LY e,9,41/in- (2s7-3)Z6/ -• -- -
MAZUNG ADDRESS(age ADVN5E,s6;_arc SP"ZIP): _II WINING PHONE3 01700 PAC/ /C- /1-4y A( kitli 9 ra3
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
2 76262'/ O 9,64 (253 )9<2.5"-DOI/ •
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) e2i g 99 -5- 7/3/ .02
APPLICANT: NAME: DAYTIME PHONE
NAILING ADDRESS(STREET ADDRESS;QIY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT a OTHER(DESCRIBE):
E-MAIL ADDRESS:
I,
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT a CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: Re I / PROPOSED VALUATION FOR IMPROVEMENTS: $ /S-be.)
SPRINKLERED BUILDING? pt_YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 4410
WATER SERVICE PROVIDER: .A(LAKEHAVEN a HIGHUNE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: ,BAAICEHAVEN ci HIGHLINE a PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** ti
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST i,,01 000
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 COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
HOOD(S)OBQ( WOODSTOVE(S)
BOILER(S) FIREPPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:a ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAIIER(S) O ELECTRIC O GAS
DRINKING FOUNTAINS) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( )
INTERCEPTORS) SUMP(S)
■ 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,inducting the undersigned,and flied against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,including lb officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: /22/4. y s�t// / 1n.4—it- DATE: —9/ —
O PROPERTY OWNER a APPLICANT .CCON7RACTOR
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
rww.cityoffederalway.com