00-106118City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:00 -106118 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: BROOKLAKE PROFESSIONAL CENTER
Project Address: 918 S 348TH Suitel Parcel Number: 202104 9101
Project Description: EL - Install 200 -amp feeder and tenant panel in south space.
Owner
Applicant
Contractor
Llc Tss
D & S ELECTRIC INC
D & S ELECTRIC INC
914 S 348TH ST
PO BOX 133
FEDERAL WAY WA
SUMNER WA 98390
PO BOX 133
98003-7021
SUMNER WA 98390
Electrical Fixtures
Description uarfitYl Description Quantity Description Quantity
Alt. Serv./Feeder up to 200 amps - Co
R
PERMIT EXPIRES June 19, 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 agent: , /�/���-// Date:
/V
�.
41-11- o/
CONSTRUCTION PERMIT APPLICATIC
---� fi t --APPLICATION NUMBER: O - 1 Q L1. LE -E(,
VV f3Y REGEIVitM
PPLICA RON NUMBER: -
PPLICATION NUMBER:
DEC 2 1(1� - _
**The following is required information - Please print (in ink) or type**
GIOF S9iL WAnPlease note: Electrical, Fre Preventlog�"BWF�9ieerin9 Permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 91 R 248th. S t . S e.,..,^ ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ -
Suite A
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ : PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• ?U ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Tenant build out, install 200 amp
feeder & tenant nanPl, Smith c„are
PROJECT NAME: Brooklake Prof. Center
PEOPLEW. •• •
PROPERTYOWNER: NAME:
Puget Sound Realty
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
909 South 336th. Street
CONTRACTOR:
APPLICANT:
DAYTIME
NAME:
DAYTIME PHONE:
D & S Electric, Inc.
(253 )863-0989
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
P.O. Box 133 Sumner Wa. 98390
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
99 -107334 -00 -BL
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
DSELEI*131P1
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
l
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR L
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 ❑
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**t4EW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROHM 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)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
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)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
JTSCLaTMFRISTGNeTHRE RLC
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, ani
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 daim (including costs, expenses, and attorneys' fees incurred in th,
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 accuracl
of the information supplied to the city as a part of," application.
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 - 253-661-4000 • FAX. 253-661-4129