01-101408 City o
ederal
Comwf ity Developme>>t
m Services ,. Electrical Permit #:01 - 101408 - 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: SEARS
Project Address: 1701 S GO Vv%YY)On-.5 Parcel Number: 762240 0015
Project Description: ELE-Alteration of up to(25)circuits for the relocation of displays,cash registers and reconnect cornice
lighting.
Owner Applicant Contractor
SEARS MERCHANDISE GROUP NONE E H S LLC(ELECTRICAL CONTRACTORS)
3333 BEVERLY RD 9510 STONE AVE N
HOFFMAN ESTATES IL SEATTLE WA 98103
60179-0001 NONE (206)527-4422
Electrical Fixtures
Description Quantity Description Quantity Description rQuantity
Circuits- Commercial 25
PERMIT EXPIRES October 7,2001,IF NO WORK IS STARTED.
Permit issued on April 10,2001
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 W
r✓
Owner or agent:
b Date: 9--w- 2,001
v-JZ -af f4,1-
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�I�rzFn_R C IV CONSTRUCTION PERMIT APPLICATION
VV Ry '' APPLICATION NUMBER: &''___ -/Z,
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APPLICATION NUMBER:
App102001 -
APPLICATION NUMBER: - -
�7Y OF FEDERAL WAY
** fB( %IN:Alred information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
r PROPERTY INFORMATION -
SITE ADDRESS: f ��I SQ.)4"'7 Jc4 (4G. �" 4 1 ASSESSOR'S TAX/PARCEL #: 7 v'' G-- (- 10120.—
LEGAL
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r. PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MEC NICAL • DEMOLIT ,N
X1 ELECTRICAL • GINE G❑ FIRE • EVENT SYSTE
PROJECT DESCRIPTION(Provide detailed description * l 4016.1� 4 'f ,/' f
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'
PROJECT NAME: ' A‘‘....iiiiili :
AI Illk
`DLE INFk 'MA `N
PROPERTY OWNE• NAME: Illik D• IMEPHONE:
( )
NG ADDRESS •EET ADDRESS;C , ..TE,ZIP): t-.
CONTRACTOR: NAME: •AYIIME P. •E:
C
� 7 Citi
MAILING AD IR• •EET ADDRESS;CITY, ATE,ZIP): NING PHONE:
Gj c • .+;" ..L(_ ✓ i to ' el ) -
CITY OF FEDERAL WA ESS LICENSE NUMBE• FAX NUMBER:
r - 1 0 _ - o ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
ro
(copy of card required) 4 L 0 2 3 13 %, IS / 6 3 / 03
APPLICANT: NAME: DAYTIME PHONE:
/1.1,,,e ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: •
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
I
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
"•. t
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT 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) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
DUCT(S) GAS PIPE OUTLET(S)
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 informatio upplied to e city a part of this application.
NAME TITLE: all Pm DATE: 1 / V l/�
ZOO
❑ PROPERTY OWNER ❑ APPLICANT KCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ 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 El NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129