00-105956City Federal Way
Applicant
Electrical Permit #:00 -105956 - 00 - EL
Community Development Services
NONE
SHORELINE SIGN, INC.
33530 1 st Way S
Federal Way, WA 98003-6210
Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129
NONE
(3:30pm cut-off for next day inspections)
Project Name: APPLE ONE EMPLOYMENT
Project Address: 1808 S 320TH Space2 Parcel Number: 092104 9208
Project Description: ELE - Electrical for 1 new wall sign
Owner
Applicant
Contractor
SEATAC VILLAGE LLC;KURTZM
NONE
SHORELINE SIGN, INC.
18021 61 ST AVE NE
NONE
KENMORE, WA 98028
Electrical Fixtures
description Qu�tnti
sign
PERMIT EXPIRES June 9, 2001, IF NO WORK IS STARTED.
Permit issued on December 11, 2000
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 agen .7�Date: /� //
G_ CONSTRUCTION PERMIT APPLICATION
VV AYE!VEC, PPLICATION NUMBER: UO - 10 �� _ _ -CL
APPLICATION NUMBER:
DEC 11 2Q0( PPLICATION NUMBER:
**The following iS required information — Please print (in ink) or type**
r e i_ia:iiAL WAY
Please note: Electrical, F#LJ04WMt��ystems and Engineering permits may require a separate application.
i B 0 S 5, 3
SITE ADDRESS: S'r • '�Vrmei� �— ASSESSOR'S TAX/PARCEL-#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): P�Tf-PT( I"
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Lo S4TZ C*,fVA— Cl' u,+,A
PROJECT
■ PEOPLE INFORMATION
.RROPERTY OWNER:
A
CONTRACTOR:
NAME: DAYTIME PHONE:
AaI Ong (alas) L►s -7 -7 0 o
MAILINS ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
155 l obt^- _Sure 10"A Qiit_evoe we, �,�oUt►
NAME: 1
S6r(_\\y.\e_
DAYTIME PHONE:
(tial ) yf5
-lr3ia�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
l �D_ I b f 3' - Nje
(`12-5 ) yls
-(,3 (a(p
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
— — - — — — — — — - — —
(ya5) i!;-
-
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
5 d 5� 1 a o ce _
/a //3
/a0oc�
APPLICANT: NAME: DAYTIME PHONE:
le Ohe—Na5 ) LIS-( -7-7uo
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
J ' — S, 0�=' ► S �, red u�l W ( C05 ) 4 S-) - 7 7 0 0
RELATrONSHIP TO PROJECT: 7� FAX NUMBER:
❑ ARCHITECT TENANT ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: ¢
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ 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:
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS,
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. [ )
INTERCEPTORS) 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 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 supplied to the city as a part of this application.
NAME/TITLE: ��J/ DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129