03-104072 of
City ity Development Services Federal Way
CommunityElectrical Permit #:03 - 104072 - 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: FEDERAL WAY ACADEMY
Project Address: 34620 9TH b. pruGS Parcel Number: 926480 0050
Project Description: Install low-voltage controls for fire alarm system.
Owner Applicant Contractor
BALLI ROAD LLC NONE EXCEL ELECTRIC OF TACOMA
31620 23RD AVE S#218 5832 S ADAMS SUITE A
FEDERAL WAY WA TACOMA WA 98409
98003-5049 NONE (253)475-6950
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial 1
PERMIT EXPIRES March 29,2004.
Permit issued on October 1,2003
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 b; m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: .. Date: ` —/—b3
App
C:\
1
0
�� CONSTRUCTION PERMIT APPLICATION
CITY OF �.� RECEIVED APPLICATION NUMBER: Q3- -olz-co
Federal Way APPLICATION NUMBER: - -
SEP 0 2 2003 APPLICATION NUMBER: - -
"The folloGi4i®i=eff@ Azov cion–Please print(in ink)or type"
BUILDINGDEPT
Please note: Electrical, Fire Prevention Systems anti Engineering permits may require a separate application.
R PROPERTY INFORMATION
SITE ADDRESS: 3(f. 62.6 cut /4V, S ASSESSOR'S TAX/PARCEL Jt: ii Z C__LtLR-n _ 0a_s_)— —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- '' 1 PROSECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING 0 MECHANICAL a DEMOLITION
XLECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
A 014 VOL.-of cmc_ p e /9-c 44-Ie.b-t c vr-pe-
PROJECT NAME: FL E t A L VA t{ A-CocpI frf Y
- I PEOPLE INFORMATION ,
PROPERTY OWNER: NAME: ; DAYTIME PHONE'.
Ft..-1)(5-1C 14-i.- t& f P 0&-1 C. SCt+o04S ; (2C ) 5tiS -S93
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
to CG S 32otft Sr -)t t.nL wfY wit) 9e003
CONTRACTOR: NAME: { DAYTIME PHONE:
L-:XCI_L tcLc.Gilt c. ' (z 3 ) 4-?s - - 41ro
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP):
� EVENING PHONE:
&3z. c *3)et 5 c SVITs- - A Mcowm Iketec, (Zs 3 ) 3sio - io !!
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( FAX NUMBER:
Gx CL L- (Ta 77 r 0 H - "D- _ (243 ) 4-7 S - 66 Soi
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) P W L(c * g z x.(21_0 3 ) ; / /
APPLICANT: ( NAME: -d!
(�,�e�� _'j�•�✓ /_' DAYTIME PHONE:
MA[UNGADD1(5- REETADOnR SS; �c �P). j (z ) l�r - �-t3?44
EVENING PHONE:
31IrZo zSi-s--4- S 5...:L 207 ('.ed. Wa 6✓149daoj(2oG ) �lV -5�6y :
RELA NSHIP TO PROJECT: { FAX NUMBER:
ARCHITECT o TENANT o OTHER(DESCRIBE): (ZS3 ) f." 11�/21
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER a APPLICANT ❑ CONTRACTOR I
• DETAILED'BUILDING INFORMATION . . .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o 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:
:• 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: a ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 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
gederal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information suppli to the dty as a part of this application.
MAME/TITLE: DATE: /(-1-1
—
a PROPERTY OWNER ❑ APPLICANT ❑CONTRACTOR
_FOR:OFFICE.USE.ONLY ,;
ii NEW ,�pADDIiION []ALTERATIONo,REPAIROkTENANT IMPROVEMENTS-
='.;CENSUS'CODE:' ;m-ww*. . , ' oimt i* 'LOTSIZE g*4" ,
ZONING DESIGNATION, _"` ,�� F BUILDING SHELL'�ONLY? v YES NO
COMP PLAN DESIGNATION: , _, r:. ABASIC PLAN? :'.❑YES': ❑'NO s�
SECTIONS yTOWNSHIP r7 RANGE 1 NEW ADDRESS REQUIRED? .. -. . a YES a NO>
?PLATTED LOT? ❑YES ro NO > :'CHANGE OF USE? Ti•YES ?n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cltvorfederalway.com