08-102945 I w
City°fFederal
40
Community Developmentpment Services y Electrical Perm #: 08-102945-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: HANA FINANCIAL
Project Address: 33400 9TH AVE S Suite 203 Parcel Number: 926501 0060
Project Description: Relocate and/or replace L/V wiring and (2)t-stats
Owner Applicant Contractor
GOLDEN STONE LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
33400 9TH AVE S (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003 PO BOX 614 UNIVERI000BO(1/20/2010)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Service greater than 1000 Amps9 No
Electrical Fixtures
Thermostat 2
PERMIT EXPIRES Monday, December 15, 2008
Permit Issued on Wednesday, June 18, 2008
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
' -nd th jy of Federal Way.
Owner or agent: ' � : L`. R _ Date: '4-5 `O
FINALED
THIS CARD IS TO MAIN ON-SITE
_416k
CITY OF 4kommunitY p Inspection m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102945-00-EL
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S Suite 203
FEDERAL WAY, WA
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date .14<a•--,5 Date ?_ By Date
ASD]
Final-Electrical (4055)
Approved
B Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
• r ! -9 ic5---
CITY OF�� �p/- Z. - j n"'�'�
Frderai Way RECEIVED PERMIT g- SF MF CO M 0 PL DE EN FP
COMMUNITY DEVELOPMENT SERVIC �A`'�
33325 Sin FEDERAENUESOIJ7TI•
063-97PO X971�N 1 S �QS�' _PPLI CATION / /
FEDERAL WAY.WA 98063-9718 J
253-835-2607•FAX 253-835-2609
TD
www.cthiorfedera1wa4.com
The following is retjlZilfe0R riArrffpAtnwAtli incomplete application will not be accepted. Please print legibly(in ink)or type.
i,,• PROPERTY INFORMATION
SITE ADDRESS 32E 4y� 6-114N ui e cniA 1 f SUITE/UNIT# Z j1:77
S U YJ
ASSESSOR'S TAX/PARCEL# 1 Z- 6 6 1 - 0 C LOT SIZE(sf) 23571":4F 4
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (,�Q 4' � ""TI 6iIii 7Jn�'ii t, C, 4LS f �I v `1
(Attach separate Mage jor lengthy legal description)
IIII PROJECT INFORMATION
i
TYPE OH`PERMIT 0 BUILDING 0 PLUMBING i MECHANICAL
0 DEMOLITION (ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti:
.\6M42. 6,0)(114 c \OW-Yo1 �.y. Vit(104A 'I-- , _ `I---S
.51arla
_ __.) .jytilit-
PROJECT NAME(Name of Business or Owner Last Name) r / / 'V " ` r
• PEOPLE INFORMATION
PROPERTY NAME I i PRIMARY PHONE
OWNER Cltir-NGl 5 , . w---c, ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME r(�� nAPPLICANT N OFFICE PHONE
11 it l k,11�2ti 14,0(11 i)14_ /i t1i44 F`Y�lt7r!✓t (�iJ ) <LN -5Y-4
MAILING ADDRESS CITY,S ATE,ZIP CELL PHONE
14(CL .?, 11. Ns0- A-c;blyrtA i N4 c3 ( (7.A6 ) GIG -ii-e.,.;
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
tipq-i67OI1-0 --Tii, lth & (1c> )-73 ;- l
CONTRACTOR'S REGISTRATION NUMBER pith E nTION DATE E-MAIL ADDRESS
ng, � - i___1 —'univet ►CIDD — fr-9 d4Si6iAk_u•uvec-�,,iIrecci)'�c��
APPLICANT t'� COMPANYrNAME ny } APPLICANT NAME OFFICE PHONE
`�4V��i. �It% (+t tIft 4`�c 4 ( ) 11 -
MAILIN ADDRESS CITY,STATE,ZIP CELL PHONE
II ii ( ) 1( _
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant Agent 0 Other ( ) II -
PROJECT NAME ` PRIMARY PHONE E-MAIL ADDRESS ����
CONTACT -tfjit w\ (114iVt. (Z5, ) 'tA -S5-6( (ytu /Wailic 1w\;' .
LENDER NAME Per RCW 19.27.095:
l
NI/yC)t Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
MI DETAILED BUILDING INFORMATION
EXISTING USE 6` ' )0_4) PROPOSED USE (4'10-e...
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 'YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
,
• • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST y
SECOND ��—z::( -l ) L5q t.(*h I)
THIRD �l l
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated cis part of this project. Do not include existing fixtures to remain.
MECHANICAL
Valt to of Mechanical Work$j "lity (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 I MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerdal) to-1 VI ((J tri
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or-rub/shower Combo) LAVS(Bathroomstnks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toile()
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 e city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURI • \ DATE Vi/U'
Property • • and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW c ADDITION o ALTERATION c REPAIR C TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES n NO BASIC PLAN? o YES C NO
ZONING DESIGNATION CHANGE OF USE? o YES C NO
NEW ADDRESS REQUIRED? C YES c NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? c YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application