11-100122a „
City of Federal Way
Community Development Services
P.O. Box 9718 t=ILE
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
r Electrical
Permit #: 11 -100122 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CEDAR BUILDING SERVICE INC
Project Address: 29500 PACIFIC HWY S SUITE O Parcel Number: 304020 0093
Project Description: Adding/altering (1) circuit to provide protection for existing romex
Owner
Auulicant
Contractor
GOLDEN PROPERTY MANAGEMENT
FULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
29500 PACIFIC HWY S SUITE L
37107 12TH AVE S
FULLEEI027BK (1/12/12)
FEDERAL WAY WA
FEDERAL WAY WA 98003
1220 S 356TH ST SUITE A-5
98003
FEDERAL WAY WA 98003
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Circuits - Commercial .................... 1
PERMIT EXPIRES Wednesday, January 11, 2012
Permit Issued on Tuesday, January 11, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us 'CI be in accord_ance with the laws, rules and regulations of the Mate of Washington
and the City of Federal Way. /
Owner or agent: Date:
-�- ,-.M I /(SP/1 I
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction InsWO tion Record
Q
INSPECTION REUESTS: 253 835-3050
PERMIT #: 11 -100122 -00 -EL Address: 29500 PACIFIC HWY S SUITE O
Project: GOLDEN PROPERTY MANAGEMEI FEDERAL WAY, WA 98003-3878
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)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
E:iFinal
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
}
Rough Electrical
Approved
E:iFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CONSTRUC1*1 PERMIT APPLICATION
CITY OF �� RECEIVED kPPLICATION NUMBER:
Federal Way kPPUCATION NUMBER: -
APR 2 8 2003 PLICATION NUMBER:
*CWf(D,--r>=Tft1=fAyV information - Please print (in ink) or type**
Please note: Electrical, YIALRf�ri�it Wi lystems ana Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS:) to -PC 1-t4 so ASSESSOR'S TAX/ PARCEL #: 3 Q y P _'� _0 - d p
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MECHANICAL O DEMOLITION
O ELECTRICAL O ENGINEERING u.F110E PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): I V & Z�L-L A j l4--dE = Get C ""'COL 4,jAll, f o L
'y4-) l V7 4& %L�rc h! h4h4 ^!J rayl
I-V
PROJECT NAME: — / �)
PROPERTY OWNER:
CONTRACTOR:
NAME: q DAY! IME PHONE'
MAILING ADDRESS STREET ADDRESS; CITY, STATE, ZIP): ,
NAME:
Ito LAI ASaAq
I DAYTIME PHONE:
co ! (.2y6) bS`yT-17
MAILING ADDRES (STREET ADDRESS; CITY, STATE, ZIP
y, d 00(' (- fid'
EVENING PHONE:
�c r%lJ,,i & ��o (da e. ) 6 a
CCTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
o v7
(copy of card required)
APPLICANT' NAME: DAYTIME PHONE:
"�nK
MAILIN ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
Ivl C7
RELATIONSHIP TO PROJECT: FAX NUMBER: / j
❑ ARCHITECT ❑ TENANT THER ( DESCRIBE): NWIM)J / 7 `/ ;
E-MAIL ADDRESS: I
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT WCONTRACTOR
:f:D1-
DETAILED BUILDING• •
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: o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
i
FLOOR
EXISTING SQ. FT.
PROPOSED S
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
,%
DECK �-
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUN
GAS PIPE OUTLE:
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LO '
FAN(S) S)
FIREPLACE INSERTS) RANGE(S)
FURNACE(S)
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
VACUUM BREAKER(% --
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
ELECTRIC ❑ GAS
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 su plied to the city as a part of this application. J �(
NAME/TITLE:
- --- DATE: Z/ 1
❑ PROPERTY OWNER ❑ APPLICANT NTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cityoffederalway.com