02-102031dityuCFederal Way
Community Development Services Electrical Permit #:02 -102031 - 00 - EL
Com
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: LLOYD ENTERPRISES
Project Address: 34667 PACIFIC S Parcel Number: 202104 9160
Project Description: ELE - Relocate smoke dee`ctor SAM pt5p—
Owner
Applicant
Contractor
RMP INVESTMENTS *Ent Rodomske-Pitts *
KIRBY ELECTRIC INC
KIRBY ELECTRIC INC
PO BOX 878
1519 WEST VALLEY HWY SUITE 102
1519 WEST VALLEY HWY SUITE 102
AUBURN WA 98071-0878
AUBURN WA 98001
AUBURN WA 98001
(253) 804-6756
Electrical Fixtures
`chi Ad;im
�� Qir'
Low Voltage Fire Alarm - Commercial
1
PERMIT EXPIRES November 12, 2002, IF NO WORK IS STARTED.
Permit issued on May 16, 2002
• 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 Wa
Owner or agent: Date:O2-
0
ti
RECEIVED
CONSTRUCTION PERMIT APPLICATION
VV f3Y MAY 1 6 2002 APPLICATION NUMBER: -
APPLICATION NUMBER: -
-- ------ --
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. ` - - -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention S tems and Engineering permits may require a separate application.
FAI PROPERTY INFORMATION
LD�Q
SITE ADDRESS: `lH 50 ASSESSOR'S TAX/PARCEL #:_�_?O Z /v Y- Q
`6 0
LEGALDESCRXPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
�z
TYPE OF PROJECT (This application): YELECTRICAL
UILDING ❑ PLUMBING ❑ MECHANICAL 11DEMOLITION
❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTYOWNER:
CONTRACTOR:
J
NAME: GA / I G Cl/r N 7i' O Ct Br(P DAYTIME NE: -
MAILING ADDRESG (STREET ADDRESS; CITY SIC G, IIP): I� y
3y foCo7 PaC
NAME/
DAYTIME PHONE: /
(ZS-!>) �+ O%(/ -� PS10
MAILING ADDRESS tSTREET ADDRESS; CITY, TE, IIP) f
A, s' �D
/T/
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NU ER:FAX
-7C1of
NUMBER:
( ) -
CONTRACTOR5 REGISTRATION NUMBER:
i
13
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME:
l w�.
^r t 3
MAILING ADDRESS (STREET ADDRESS; QTY,
/Sig c,/ Ua //
RELATIONSHIP TO PROJECT.
❑ ARCHITECT ❑ TENANT
// " e z
❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BU
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAi+ M VALUATION $
1:'TES- U NO FIRE
❑ LAKEHAVEN ❑ HIGHLINE
❑ LAKEHAVEN ❑ HIGHLINE
DAYTIME PHONE:
(Z 39 WY_ -(.73-6,
EVENING PHONE:
FAX NUMBER:
FOR IMPROVEMENTS:
feN r!v FSGERI ?2-OPOSFDIRFOUIBFD644-YE5'> ❑ NO
❑ TACOMA ❑ PRIVATE (WELL)
11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FI
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
er of each type of
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BBQ(S) FAN(S)
BOILER(S) FIREPLACEINSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S)
LAVATORY(S) URINAL(S) _
R)UN WATER SYS. VACUUM BREAKER(S) ❑
SAOWER(S) WASH MACHINE OUTLET
SAK(S) WATER CLOSET(S)
_
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
HOOD( WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOUR : ❑ELECTRIC 11 GAS
INTERCEPTOR(S) _�
PLUMBING
GAS L (S) REFRIG. SYSTEM(S)
WATER HEATER(S)
ZXC ❑ GAS
I certify under penalty of perjury that Ike 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 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, induding its officers and employees, upon the accuracy
of the information su to the city as a part of this application.
NAME/TITLE:
❑ PROPE OWNER ❑ APPLICANT M CONTRACTOR
DATE: v
aDMMUNTIY DEVELOPMEM' SERVICES • 33530 FIRST WAY SOUTH
• PO BOX 9718 •FEDERAL WAY, WA 98063A718 •253-6611000 •FAX: 253-661-4129
www.dtvafederalway.00m