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00-105687City of Federal Way Applicant Electrical Permit #: 00 -105687 - 00 - EL Community Development Services LOW COST SIGNS INC (ELEC CONTR SIG? LOW COST SIGNS INC (ELEC CONTR SIG? 33530 1st Way S Federal Way, WA 98003-6210 5667 S THOMPSON AVE Inspection request line: 253.661.4140 Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: SCHOFIELD CHIROPRACTIC Project Address: 2200 S 320TH SuiteA-3 Parcel Number: 242320 0050 Project Description: ELECTRICAL - Electrical work for (1) internally illuminated individual channel letter wall sign Owner Applicant Contractor CASETA CORPORATION LOW COST SIGNS INC (ELEC CONTR SIG? LOW COST SIGNS INC (ELEC CONTR SIG? 1148 BROADWAY #100 5667 S THOMPSON AVE TACOMA WA TACOMA WA 98408-5652 5667 S THOMPSON AVE 98402-3518 TACOMA WA 98408-5652 Electrical Fixtures Description Quantity sib 1 PERMIT EXPIRES May 16, 2001, IF NO WORK IS STARTED. Permit issued on November 30, 2000 I hereby certify that the above informatio correct and that the construction on the above described property and the occupancy and the use will be ' dance s,, rules and regulations of the State of Washington and the City of Fede al Way Owner or agent: Date: a" or �. "���%CONSTRUCTION PERMIT APPLICATION `& F�F—= APPLICATION NUMBER: a -L. N> Fr."- H®V 1' 20 APPLICATION NUMBER: pF I:eL EAAL VVNY APPLICATION NUMBER: (;i'or,INODEPT'allIL ------ -- **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: ,?2D 0 A - 3 Sri • 32 D t" 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 a -ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTYOWNER: I NAME: CONTRACTOR: APPLICANT: rE RESS (STREET ADDRESS; CITY, STATE, ZI A- 3 S'� 0 2 - NAME: NAME: DAYTIME PHONE: Lb '0 Ctz$i s L (-Q S k -C . ( ) MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP): �ByO e EVENING PHONE: - 0-53) 5(�p(.i So . . o.(o� 4`7 5' CITY OF FEDERAL WAY BUSINESS LICENS NUMBER: CITY FAX NUMBER: `j0- os L3 - �_ ( ) S CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: 1.0 �.s S l Q 3 3_N1�� ——— 7/( 7/ 0 1 l c�3LA��s R (d53) ` 5 -G6 l MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: 5-6('-7 Sa•ift �a C (ate) ?� - (0 21 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):C=^r�` Rkt� ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT© O TRACTOR I DETAILED BUILDING•• • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN SEWER SERVICE PROVIDER: ❑ LAKEHAVEN PROPOSED VALUATION FOR IMPROVEMENTS: FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ 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 timber of each type of fixture MECHANICAL =AIR HANDLING UNIT(S)" t `, EE1EVAPop COOI.R(S) GAS LOGS) REFRIG. SYSTEMS) BBQ(S) x EFAN (S) F HOODS) WOODSTOVE(S) BOILERS) FIREPLACE �NSERT(S)ANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLIiT(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS * r PLUMBING _ 4 )BATF.TUB(S*y N i _ LAVATORY( 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) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) BLOCKDISCLAIM ER/SIGNATURE 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 Cityof 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 Balm 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! c6 �G�G.� 11 i� _ JfIG/si? aJ DATE: ❑ PROPERTY OWNER ❑ APPLICANT 15 CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129