01-100346 City of Federal Way Electrical Permit #:01 - 100346 - 00 - EL
Commmrity Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253 661 4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: PETSMART
Project Address: 1211 S 320TH 5+ Parcel Number: 150050 0030
Project Description: EL-Electrical for wall signage.
Owner Applicant Contractor
1560 INVESTORS LLC PLUMB SIGN INC PLUMB SIGN INC
200 S BROAD ST#6 5838 S ADAMS 5838 S ADAMS
TACOMA WA 98409 TACOMA WA 98409
(000)473-3323
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Sign 1
PERMIT EXPIRES July 25,2001,IF NO WORK IS STARTED.
Permit issued on
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: . /(/
WI
EIVD
Clr;Of = CONSTRUCTION PERMIT APPLICATION
VV FAY L JAN 2 6 lilif APPLICATION NUMBER: Q L - L 0 Q 3`{L- e(,I
APPLICATION NUMBER: - -
L4I Y Or .J i-AL WAY
f14 BUILDING DEPT. APPLICATION NUMBER: - -
**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
411'
SITE ADDRESS: /oZ// t3p?Q Y.,..._ ASSESSOR'S TAX/PARS ♦Aiim4, Q – Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTH
IMIKVIENN
■ PROJECT INS ORMATION .
mow
TYPE OF PROJECT(This application): ❑ BUILD ■ PLUM 'NG ❑ ME• '•y , . 'OLITION
Nr ELECT• \ • NGIN: •ING❑ FI' • ' ON SYSTEM
PROJECT D4ESCRIPTION (Provide detailed descr' 'on): • _ ti �� ,p,,,U G-
•'Ui1/Fi D /;,/d�re - • /,._57i.ulr 1a��,2
PROJECT NAME:
L._
" PEOPLE INFORMATION
PROPERTY OWNE• NAME: 1 ME PHONE: •
MAILI ADDRESS(STREET ADDRES` ,STATE,ZIP):
... 3x10
4.11\
CONTRACTOR: NA • DAYTIME PHONE:
el/-11.45' c.ii , cs (›2_1.'3 )-5,7.3 -333x,3
MAILING i RESS(STREET ADDRESS;CITY,STA _ EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NU R: FAX NUMBER:
( 253) 5e7a �3'o 7 1
— -
CONTRACTOR'S REGISTRATION NUMBER: QEXPIRATION DATE:
(copy of card required) T ,-12.g5 c�/ 4,5 _ _ ,/ I /e) le./
APPLICANT: NAME: DAYTIME PHONE:
."1"--1;71Z4 5/Cr-,t)Sp �,t/ir/if (d53 ) f`-7.3 33:73 ?:/0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZI EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - j
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Cin4PPLICANT c.CONTRACTOR j
• 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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
4
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture 4
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 supplied to the city as a part of this application.
NAME/TITLE:�JO4h/j2t� � DATE: /
❑ PROPERTY OWNER %APPLICANT COIRACTOR
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 ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
rnmmi mirry ncvn nomPnrr cFPVICFS•'iZS"20 FIRST WAY Snl 1TH•R n ROY,171R•FFDFRAI.WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129