09-100221 Electrical
City of Federal Way
Community Development Services Permit #: 09-100221-00-EL
P.O.Box 9718
Federal Wa0,wA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 LI , K
Project Name: CHAMBER OF COMMERCE
Project Address: 31919 1ST AVE S SUITE 202 Parcel Number: 072104 9133
Project Description: Relocate and reconnect 2 existing t-stats
Owner Applicant Contractor
OMNI PROPERTIES MACDONALD MILLER SERVICE INC MACDONALD MILLER SERVICE INC
31919 1ST AVE S (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003 7717 DETROIT AVE SW MACDOMF972BF(01/06/09)
SEATTLE WA 98106 7717 DETROIT AVE SW
SEATTLE WA 98106
° i
Service greater than 1000 Amps? No
y s� ad's ' ? •V, v.";<.a> .� E rz,f r,, y ,.^
Thermostat.., 2
PERMIT EXPIRES Saturday, January 16, 2010
Permit Issued on Friday, January 16, 2009
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.0..
1
Owner or agent: V.. L'L �,•-, .� Date: ! (o (.1°/
Pi' I/
,,
THIS CARD IS TO iliMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100221-00-EL
Owner: OMNI PROPERTIES
Address: 31919 1ST AVE S SUITE 202
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) i❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date/ L
❑ Final-Electrical(4055)
Approved
By a.; Date �,'i c!1
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
0' ctrvOP — L //
Federal Wa �`— 2 J
E RM LT SF MF Co ME I`�'L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
3332FEDERAAVENUE SOUTH 98063 BOX 97189718 JAN 1 'PLI CAT I 0 N
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
w w w.c i t uo ffede ralwau.co m
C3._ FEDERAL WAY
The foliowin re uire i�fo� •.n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
p C PROPERTY INFORMATION
SITE ADDRESS 3. l I 1 S� P U.�, S �Q 1 L.s n „ SUITE/UNIT# st 2 ZA Z
ASSESSOR'S TAX/PARCEL# Z I y - 9 J 3 LOT SIZE(sf) 1(7`i� Sp�CT
t 2 k i v-c COur. S or 1 o i- # �`� z o 3 0 &CO��
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) k,1�-v\ R.� , 2t z (p.z 4 60 Z 1e, K hal e.o U nfiL\ IP Pr ,
(Attach separate page for lengthy legal desc ipteo)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING C MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
�,‘oCa e rtt , ��eCt7�/L2C -�zx is 1,1 S�`� s
PROJECT NAME(Name of Business or Owner Last Name C,JLI x b' n 4I
I V
I. PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE �� ��
OWNER 11M Irl i i) ari-0t,Q '-- /�'`e-r f-1 I I L n GN Q5 (Z-5-3) �Co
MAILING ADDRESS P CITY,STATE,ZrP 603 E-MAIL ADDRESS
0`) S. g 3(o4 S f She /03 e,er„,t W cu) t�pX "VA
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
'fir)I 1 )*Yo T'\-- I tnx- 5 tri 5-ecz ` log A `l8 I b Q ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
cam --- 13L %Z% 3/(oq ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
M1AQ,o0oS Tap I - 3/ — C�`
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
M�Crpor'o- P r'n,1J-tf✓ 1)1)4.L o\1 (uo )...)c,8 - L-1.1-77
MAILING ADDRESS CI STATE Z P CELL PHONE
—7-) I —1 l`D t-' -c.�a � U)A '1\3106 ( ) -
RELATIONSHIP TO PROJECT / .1 FAX NUMBER
0 Architect ❑Tenant ❑Agent Other -en J . AS s S t `� ( ) -
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT t05� 0. �,,�.rMAO,A (Z b ) 7(o - `l) Z2
LENDER NAME 1 / y� Per RCW 19.27.095:
/ H Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
.1 .
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerdan
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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 pa , ,,lication.
SIGNATURE: V.\---- ------- DATE i — /69` 0 el
Property Owner d/or Authorized Agent
IQRt�OF`I!'IQB fsE4a Y 0#,':
❑NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application