01-102326 City of Federal Way
Cormnunity Development Services Electrical Permit #:01 - 102326 - 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: TOYS R US
Project Address: 31510 20TH*- A-ve S Parcel Number: 092104 9166
Project Description: ELE-Relocated various store fixtures.
Owner Applicant Contractor
TOYS R US D F ELECTRIC INC D F ELECTRIC INC
395 W PASSAIC ST 718 NORTH"I"ST 718 NORTH"I"ST
ROCHELLE PARK NJ TACOMA WA 98403 TACOMA WA 98403
07662-3016 (253)572-3704
Electrical Fixtures
® Quanti
, pescrlp#ion � w�,�z K ttY .. � rt��x ,.Description __�_���Qiaantlty � �� �?�p!�i?f�9p�"��' <:° � tY
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES December 9,2001,IF NO WORK IS STARTED.
Permit issued on June 12,2001
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.
'G Date: /2 —0/
Owner or agent: � � �z�'.'� ' (�(s�
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�OF ' CONSTRUCTION PERMIT APPLICATION
' � '"`fw 0. r�Cr`/ APPLICATION NUMBER: a - f az-
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+�1 �tiy i APPLICATION NUMBER: - -
;� ,A. APPLICATION NUMBER: - -
Gviwing is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
�,�^/n^ • PROPERTY INFORMATION
SITE ADDRESS: 3 l�I 4 W ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
'A ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
gr4-(-cV, o-u$ z x ro►2j
PROJECT NAME: t 0 T S g 0 s
..
• PEOPLE INFORMATION
PROPERTYjVNER: NAME: DAYTIME PHONE:
( o�S i2 0 S ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP:
3 [ 5 t 0 ao' - S� .
CONTRACTOR: _..'Amb , DAYTIME PHONE:
--1'Zlc.,� f4C (1S3 )57z-3764
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-71 ( N i .mss_ S-T, (Lr3) 5-7-2--.3"7d`1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
--7 ) N .- - - aTi ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER: :
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): 60-LTICAC Z earge&A ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ 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:Cl YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN Cl HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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)
• ■ 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 su plied to the city as a part of this application. 1//2-/0/
NAME/TITLE:
% DATE: GCS
❑ PROPERTY OWNER ❑ APPLICAIW CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION Cl REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
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