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02-100969 f t City of Federal Way Community Development Services Electrical Permit #:02 - 100969 - 00 - EL 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: CHEVRON Project Address: 31204 PACIFIC S Parcel Number: 164 Project Description: ELE-Electrical for one new freestanding sign. Owner Applicant Contractor CHEVRON SERVICES CO MEYER SIGN&ADVERTISING CO ME R SIGN&ADV' SING CO CHEVRON SERVICES CO 2608 HWY 99 S 168' • Y 99 S PO BOX 285 MOUNT VERNON WA 98273-90 MT V' IN 98273 HOUSTON TX 77001-0285 -ctrical Fixtures Description Quantity ; De '•tion uantity ription Quantity Sign \4SSe\ le, • tJIF NO WORK IS STARTED. 21,2002 I he certify that the above i ormation' rr t t t construction on the above described property and the o ancy and the use Wi a in actor c i t s, les and regulations of the State of Washington and the Ci ederal Way. Owner or agent: �`� Date: .Z t_ O� M.or r RECEIVED CONSTRUCTION PERMIT APPLICATION \>\> Fry APPLICATION NUMBER: 0,e-- 10 0 - . MAR 0 4 2002 APPLICATION NUMBER: - - • ** CITY OFI NG�REP WAY APPLICATION NUMBER:• - The followinc Vt�quaredinformatiod—Please print-dh Ink)or type** " • Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. u (�((-1::PROPERTY INFORMATION - SITE ADDRESS: I20 ( �C(fC ("1"-it SOQ-tk ASSESSOR'S TAX/PARCEL #:© 10 tL - f6 — — L LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): PRO3ECTINFORMATION _ °: . . . . - " TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL'' Cl ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): i.A5-� ( t c�� S('.cy •5 PROJECT NAME: ■ PEOPLE INFORMATION . PROPERTY OWNER: NAME: CC�Ve�ro� ( 2MS�PHO co 23 MAIUtq[ALD 431EETraC'S, �� ,ZIP): CONTRACTOR: NAME. S ) �Q��w DAYTIME PH NE: MAILINNGG ADDR SS(STREET ADORES ,STAJE,ZIP) � tit p wk.. EVENING PHONE: _ t ''^i•[LJ'. T�'I/fir SUv W� w ( ) CITY OF FEDERAL WAY BUS[ ESS LICENSE NUMBER: - _ FAX NUMBER ) ^k -c.2.` (360 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) /1/4A 't V `C(2C (i/ APPLICANT: NAME: DAYTIME PHONE: fl MAILING ADDRESS(STREET ADDRESS;CITY,STA3 ZIP): EVENING PHONE. RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ONTRACTOR 2 ■ "DETAILED BUILDING INFORMATION ` : -' " - . .' .• • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE Cl TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • _ _. ■ PROTECT FLOOR AREAS • • • - FLOOR • - EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL • • BASEMENT' - • - - . • FIRST - SECOND • THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? • _ TOTAL ■ FIXTURES 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) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( , ) INTERCEPTOR(S) SUMP(S) - ' - - •• -.- •'■ DISCLAIMER/SIGNATURE BLOCK - • ' • 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 daim(induding costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a art of this application. NAME/TITLE: DATE: J ` ^U ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR =FOR OFFICE USE ONLY: 1 fl NEW x ADDITION - • 0-ALTERATION ==r=O;,RE AIft==_ ©- ENANT MPROVEMENT' =_-= CENSUS ODE __>- ' _" - LOT IZE:'__ `--- - ;ZONING DESIGNATION: ____ = BUILDING SHELL-ONLY? ❑YES_ -❑ NO COMP P'LAC A-TION =BASICt'LAN? _11--YES -❑NO - _-- _SECTION - ;_ TOWNSHIP RANGE: -NEW=ADDRESS,REQUIRED? - ❑YES 0 NO -PLATTEDaOT? ❑ YES- ❑ NO = -CHANGE OF USE? ❑YES =-❑=NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-6661-4000•FAX:253-661-4129 www.dtvoffederalwav-tom