02-101788City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 - 101788 - 00 - EL
Inspection request line: 253.835.3050
Project Name: CRATSENBERG PROPERTIES
Project Address: 2020 S 320TH Parcel Number: 092104 9297
Project Description: ELE - Electrical work for for the installation of (1) MONUMENT SIGN
Owner
Applicant
Contractor
CRA"rSENBERG COMPANIES
CRATSENBERG COMPANIES
LUMIN ART SIGNS INC
2020 S 320TH #A
2020 S 320TH #A
1118 A ST SE
FEDERAL WAY, WA
FEDERAL WAY, WA
AUBURN WA 98002
98003
98003
(253) 833-2800
Electrical Fixtures
{)escriptian ,i,, r���r
sty,
PERMIT EXPIRES October 27, 2002, IF NO WORK IS STARTED.
Permit issued on April 30, 2002
I hereby oerttty 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: Z_ /A 4— /%/ Date: q6y -p2
�
"°f G ECE►uED CONSTRUCTION PERMIT APPLICATION
vv EKY L APR 3 0 2002 APPUCAUON NUMBER
PPLICA I LUN NUMBER:
CITY OF
BUILDING DEPTWAYAPPLICATION NUMBER:
**The following is required information —Please print (ih ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
/'� C ..
SITE ADDRESS: 0_ 1/ ,% ��AStESSOR'S TAX/PARCEL #: 7 7i
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECTINFORMA71ON
TYPE OF PROJECT (This application):VRC�TRICA
PLUMBING 11MECHANICAL 11DEMOLITION
ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
/ <{PEOPLE INFORMATION
NAME: I �, � ( DAYTIME P)H
rCZ tSe vl, t � Y ONE:
�-
MAILING ADDRESS (STREET ADDRESS; CnW STATE, ZIP):
NAME:
Io- A-4 S1 ILs T
DAYTIME PHONE:
( )9-3,
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, Z :
3et31 6 37 , SW
EVENING PHONE: I
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: ITT ^ s -2
V 1' ` I �• 3 e f� i
Q EXPIRATION DATE: /�
A� / l �J.'L / V
(copy of card required)
J
APPLICANT: NAME:DAYTIME PHONE:
9
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORM-
EXISTING USE: S EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE:
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)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
- ■ PRO]ECT FLOOR AREAS I
FLOOR
EXISTING SQ. FT.
PROPOSED . 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)
DUCTS)
BATHTUB(S)
DISHWASHER(S)
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)
�iSCISiMER/SIGNATURE BLC
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, 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, including its officers and employees, upon the accuracy
of the information supplied toAe dq arla part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER lMrAVLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253661-4000 - FAX: 253661-4129
www.citwffederalway.com