01-104753 Cony°tFellerao ei Electrical Permit #:O1 - 10475" - UO'— EL
Conn-nutty De�ieloF3nent Services
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: COSTCO GAS
Project Address: 35100 ENCHANTED& PKWY S Parcel Number: 219260 0180
Project Description: ELE-Install 200 AMP service for gas station. Rev.5/1/02 to include low voltage security alarm,data
and phone cabling.
Owner Applicant Contractor
COSTCO WHOLESALE CORPORATION INTERIOR ELECTRIC INC INTERIOR ELECTRIC INC
999 LAKE DR 21428 167TH AVE SE 21428 167TH AVE SE
ISSAQUAH,WA MONROE WA 98272 MONROE WA 98272
98027 (425)478-3832
Electrical Fixtures
•
eser t1or 1F auar%t Descript ori Quantity
==t�ecrlptinrY�.��, QtaMc k
Low Voltage-Other Commercial 1 Low Voltage Burglar Alarm -Comm 1 Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES June 12,2002,IF NO WORK IS STARTED.
Permit issued on December 14,2001
41)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: siez epte Date: .///e`
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City oefederal Way
Commudiry Development Services FILE Electrical Permit #:01 - 10475' +
- 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Go ey Inspection request line: 253.835.3050
•
Project Name: COSTCO GAS
Project Address: 35100 ENCHANTED S Parcel Number: 219260 0180
Project Description: ELE-Install 200 AMP service for gas station
Owner Applicant Contractor
COSTCO WHOLESALE CORPORATION INTERIOR ELECTRIC INC INTERIOR ELECTRIC INC
999 LAKE DR INTERIOR ELECTRIC INC INTERIOR ELECTRIC INC
ISSAQUAH,WA 21428 167TH AVE SE 21428 167TH AVE SE
98027 MONROE WA 98272 (425)478-3832
Electrical Fixtures
DescriptiO *h Quantity Z rDescriptionu'%w, yr ,'x Quantity
Service/Feeder:101-200 amps-Comr 1
PERMIT EXPIRES June 12,2002,IF NO WORK IS STARTED.
Permit issued on December 14,2001
•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: C/L�,�Q �) Date: /
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44 ) sti ) T �� - , e are( 6 -
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G CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: b
APPLICATION NUMBER: _ _ - _ - _
APPLICATION NUMBER _ _ _ _ _ _ _
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention S tems and Engineering permits may require a separate application.
{- :. . . = ►.:/ PROPERTY INFORMATION _
SITE ADDRESS: 3510 0 C�(1CI1Ci ?twO 5. ASSESSOR'S TAX/PARCEL#: 21_ 12. o - 015.0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTI,N IF LENGTHY):
Who\(scAL.¢ 6cesc) .:t:�
VI=.PROJECT INFORMATION -
TYPE OF PROJECT(This application): BUILDING 0 PLUMBING 0 MECHANICAL Cl DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):es
?_.00AMc �7EQ. LC Ic �(T C .P.E. e4
PROJECT NAME:
1:1. PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
CSUSTC.0 W\RO�cS�� (`12s )3 ► ?
MAKING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
010101 La K,e v C�
CONTRACTOR: NAME: DAYTIME PHONE:
T EQ�c�,z_ LtCr �c, TNS t (L75 )yeti -3Cg3a
FAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
21y2b - 'leo : -t Ate{ S `1. (b( ' JJ %VQ (425 )ted -21H
QTY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
Monr - (425 ) -204
CONTRACTOR'S REGISTRATION NUMBER: DATE:
EXPIRATION DAT
(coPY of Card required) L L z
APPLICANT: NAME: DAYTIME PHONE:
( lffiC' I ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: L+eC' CCi( CG"-CY4C X NUMBER.
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): l
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
1;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: ❑ LAKEHAVEN ❑ HIGHLINE 0 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:
;; i FIXTURES
Indicate n mber 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) URINALS) 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)
- `-': .. VZ: DISCLAIMER/SIGNATURE BLOCK -
I certify under penalty of perjury th.t 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied tothe,city as a part of this applicatio . ,\
NAME/TITLE: ' -C \11.1..J� C� ) C(L % DATE: 12\ 14 V ‘
ElPROPERTY OWNER ❑ APPLICANT ¢�CONTRACTO
.FOROFFICE"USEONLY
LI NEW: -.❑ADDITION ❑ ALTERATION ❑';REPAIR - " ❑ TENANT IMPROVEMENT
CENSUS.CODE LOTSIZE ,._ - "
`ZONING DESIGNATION BUILDING SHELL ONLY?-x❑ YES ❑ NO
COMPPLAN DESIGNATION - BASIC PLAN? -.11 YES ❑ NO'
SECTION-_. _ .' _TOWNSHIP RANGE - . NEW ADDRESS REQUIRED? '.❑ YES ❑.NO
PL.ATTED'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:253-661-4129