00-106066City of Federal Way
Commmnity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: P & H ARCO
Electrical Permit #:00 -106066 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Address: 2202 S 320TH Parcel Number: 242320 0030
Project Description: EL - Electrical for internally illuminated monument sign.
Owner
Applicant
Contractor
ATLANTIC RICHFIELD COMPAN
NONE
THE SIGN POST INC
P.O. BOX 1299
NONE
BLAINE WA 98231
Electrical Fixtures
Descripfion Qlanti ` ""Description Quantity Description Quantity
I slgt] 0
PERMIT EXPIRES June 17, 2001, IF NO WORK IS STARTED.
Permit issued on
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 :
'—
Date: 1 Z 10) o
CONSTRUCTION PERMIT APPLICATIC
� L PPUCA-110N NUMBER: D Q= j Q 4 - -F�(,
PPLICATION NUMBER: -
APPLICATION NUMBER:
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
\ PROPERTY.• •
SITE ADDRESS: ZZ O 2 Sow `1 320 -S-ti'z�L-ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- : PR07ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• IN ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ��^� S�wdv�. wt. Szr C' h'-)
PROJECT NAME:
PROPERTYOWNER: NAME: p \ DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE ZIP):
1A o ` '� %'T �.•r, P ,�. C �) 6 Z 3 -- 10 6 6
CONTRACTOR:
APPLICANT:
NAME:
DAYTIME PHONE:
(3 60) 33 Z - 5'? Z'
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP.)): p
�%
EVENING PHONE:
)
CD 'e, CiJI \2 `..gyp` r- VJ V Z•�J ,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
DAYTIME PHONE:
)
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
s*NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. 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)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(!
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
WATER HEATER(5
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
1TSCLATMFR/9T1r.NOTHRF PLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, ai
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. V
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in t
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accura
of the information supplied to the city as a part of this application.
NAME/TITLE: l a,�f &: —y� DATE: /2' t q �-0
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 980639718 • M-661-4000 • FAX: 2S3-661-4129