00-106038City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MOVIES & MORE
Project Address: 1620 S 312TH
Electrical Permit #:00 - 106038 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Description: EL - Wiring for wall signage (existing - inspection required)
Parcel Number: 785360 0187
Owner
Applicant
Contractor
Leila
MOVIES & MORE
LINESIDE ELECTRIC INC
1620 S 312TH ST
FEDERAL WAY WA
302 5TH AVE N
98003-4945
ALGONA WA 98001
Electrical Fixtures
Description Quantit'
sign 1
Description Quantit
PERMIT EXPIRES June 13, 2001, IF NO WORK IS STARTED.
Permit issued on December 15, 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 agent: Date:
a.,ra CONSTRUCTION PERMIT APPLICATIC
�-APPLICATION NUMBER:
APPLICATION NUMBER: - -
APPLICATION NUMBER:
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY.• •
SITE ADDRESS: �l� Z c? 312 -y -t- -5";)f, F ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
. ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): - Ac>�- P/r.zr L' J`� ��t ice` �✓1� O el
51 5 r'de or -
PROJECT
r S aC ti Gc� F
PROPERTYOWNER: I NAME:
CONTRACTOR,
MAILING
t1#4106 -A 6«lZ'
kESS (STREET ADDRESS; CITY, �
PEOPLE INFORMATION '
'AYTIME PHONE:
NAME:
LTNE -STJE
DAYTIME PHONE:
cn a)�o�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
d
EVENING PHONE:
,9W-7 t-92-' .5-f. g 2 7Z.
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER:
- -
FAX NUMBER:
(tea ) go -57- -y/9f
CONTRACTORS REGISTRATION NUMBER: /� r
x IVT C L � 13A% !�
EXPIRATION DATE:
l /
DAYTIME PHONE:
APPLICANT: NAME: -
( )
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: fAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED..DETAILED.bUiLDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
0
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCTS)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
WATER HEATERS;
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
�iSCLSiMER/SiGf�tOTIIRE RLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, an
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 a
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City c
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accurac
of the information supplied to the city as a part of this application.
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DATE: /� �U
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 980639718 • 253661-4000 • FAX: 253661-4129