02-102195Clay onityDevel way. Electrical Permit #: 02 - 102195 - 00 - EL
Community bevelopment Services
33530 1st �\ dy S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: VISION EXPRESS
Project Address: 1045 S 320TH Parcel Number: 150050 0010
Project Description: ELE - Replace light fixtures and outlets, add outlets for fire repair and TI. Low voltage wiring for phone
and data.
Owner
Applicant
Contractor
WASHINGTON MUTUAL SAVINGS BANK
VISION EXPRESS *BRUCE WALLACE *
E H S LLC (ELECTRICAL CONTRACTORS)
1191 2ND AVE #950
VISION EXPRESS
9510 STONE AVE N
SEATTLE WA
1300 S 320TH
SEATTLE WA 98103
98101-2980
FEDERAL WAY WA 98003
(206) 527-4422
Electrical Fixtures
Circuits - Commercial I 30 11 Low Voltage - Other Commercial 1 2700
PERMIT EXPIRES November 20, 2002, IF NO WORK IS STARTED.
Permit issued on May 24, 2002
• I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th wil7S,
or anc the laws, rules and regulations of the State of Washington and
the City of FederalOwner or agent: Date:
0-0
& - r�7,�W-r ,
�2 Gvrr d'c UYIs %%-D cash L/K Dw
RECEIVED
5 ,
;°f MAY 2 4 2uu? CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: �� - D - f✓
� n F3Y CITY OF FEDERAL WA
BUILDING DEPT. PPLICATION NUMBER:
---- --
RPLICATION 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: (� S20 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
AELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description): Fq'—e'1.Az(j-L t3,Lcn- 5 E� VWUSd-
>1
)I)irl 'v: -, T <" x-4 1Z. -g t�lcl h td�
PROPERTY OWNER: I NTI:
CONTRACTOR:
APPLICANT:
I 30c> l l -q D I.-` f }L `�; GJ D�.j -e A'//+1
DAYTIME PHONE:
NAME: /q Q� �
�cJ 6 6 `(—
DAYTIME PHONE:
(Z4Xo )5Z % ZZ
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZI I
Is /Q !S,KJj!:;
EVENING PHONE:
QTY F ERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS TION NUMBER:
(popy did fid) t -f S L L Q d � G
EXPIRATION DATE:
e5- I /C) 3 l �
•^' � �� "tet DAYTIME PHONE: _
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /EVENING PHONE:
l
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANTCONTRACTOR0 DETAILED BUILDING J�
INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $.
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $.
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN 11 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED . 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)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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. ( )
INTERCEPTOR(S) SUMP(S)
BLOCK0 -DISCLAIM ER/SIGNATU RE
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 defe f such aim), which ma a made by any person, induding the undersigned, and filed against the City of
Federal Way, but on[ a su claim a " of the reliance of the city, including its officers and employees, upon the accuracy
of the information s ppli to dty as pa this application. r
NAME/TITLE:
DATE: Z7 — ZA
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
www Cttyoffedeglwav com