01-104868 r
City of Federal Way Electrical Permit #:01 - 104868 - 00 - EL
Community Development Services
ill33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: TOSCO
Project Address: 28718 MILITARY$R d S Parcel Number: 552900 0230
Project Description: ELE-Alteration of circuits for new canopy lights and canopy perimeter strip lights(work done without
permits)
Owner Applicant Contractor
TOSCO CORPORATION*TOSCO CORPORA EAGLE ELECTRIC INC EAGLE ELECTRIC INC
72 CUMMINGS POINT RD 16000 MILL CREEK BLVD SUITE 102 16000 MILL CREEK BLVD SUITE 102
STAMFORD CT MILL CREEK WA 98012 MILL CREEK WA 98012
06902-7919 (425)357-0880
G R is 0 rii vr5 P QAr,(1. t t z -- k ot? 0o/ t29--ei-
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 4
PERMIT EXPIRES June 25,2002,IF NO WORK IS STARTED.
Permit issued on December 27,2001
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: ,,___i,1,/�,_� Date: 7!�
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NI ,� G ri RECEIVED CONSTRUCT I ION PERMIT APPLICATION
uV RY FAL APPLICATION NUMBER: .QZ -I C, 'e6A-Q,-EL
® � 2 7 � � APPLICATION NUMBER: _ _ - _ _ _ _ -
�l+y OF FEO - -EhAL WAY APPLICATION NUMBER: -
-
BUILDING DEPT.
- - - - -
J **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
l SITE ADDRESS: Alr f/yre( 56'1/7447 ASSESSOR'S TAX/PARCEL#: STS 9a v _ o UO
-?lY
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
, ;'. . .'' . .'--:-.1::.:,,> PROTECT INFORMATION :-
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
JELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
, S
PROJECT DESCRIPTION(Provide detailed description): /4i,5ret/( ,/'.-tj 6-1,0' / 7/7S' '-
,9 v1 0 e v 0 t irt)4 /7/eeeZ L5 7*'r414' 41 41'15
PROJECT NAME: 6C4(/z/ 4f ( 2i" .'
• ,U 'PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
TNsc)�n ( ) -
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): -
CONTRACTOR: NAME: DAYTIME PHONE:
5,96/ e /•/C is,fiz. (YZf )3 5? -O O
MAILING ADDRSS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:P '✓ NITf -////^ih�i. Foia )
-
CITY I
OF FEDERAL L NBE (NUMBER:
(200/i 7g - /.1-7.]^ 1 - ez.- 6/2s--)33-7 -o7/
CONTRACTORS REGISTRATIO NNUMBER:_ '�/� EXPIRATION DATE:
(ropy of m 5.11
rd required) 4C-4Ci�iJ2 S2/3 / /
APPLICANT: NAME: DAYTIME PHONE:
/
I MAILING ADDRESS(/ET ADDRESS' ): (YZ, )O ce,‘ -9 ,37
1EVENING
( )
i RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT It CONTRACTOR
A
:a,.DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
I
, 01
**NEW RESIDENTIAL CONSTRUCTION ONLY**r_
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■`.PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
- OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
1 :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)
". I: 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.�A ..(
NAME/TITLE: f� f,d �r���/,Zt�— DATEZ 2 /
LI PROPERTY OWNER LI APPLICA ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW.e ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 111 No
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES - ❑ 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 253-6661-4129