02-100920 City of Federati Way
Conmrwiity Development Services Electrical Permit #:02 - 100920 - 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
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Project Name: KOAM TV
Project Address: 728 S 320TH Parcel Number: 082104 9050
Project Description: ELE-Rewire outlets& switches for TI
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Owner Applicant Contractor
CAPITOL SQUARE L L C SUPERIOR BUILDERS INC LAZER ELECTRIC
PO BOX 1849 9523 19TH AVE E
MILTON WA 98354 TACOMA WA 98445
(253)535-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES September 1,2002,IF NO WORK IS STARTED.
Permit issued on March 5,2002
•1 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 ay /
Owner or agent: . /�, , Date: f/O—0610 9)
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cn•o. CONSTRUCTION PERMIT APPLICATION
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t--- RECEIVED APPLICATION NUMBER: 02- - C2 _ 2 Q -
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APPLICATION NUMBER: - -
MAN gg0 I��'A.:% APPLICATION NUMBER: - -
..The follloo,''TY�Frt- Iperil4 fgmtion—Please print(in ink)or type**
Please note: Electrical, Fire Preald!tiatIN esIQWEInd Engineering permits may require a separate application.
- - ■ PROPERTY INFORMATION -
2
SITE ADDRESS: ,2 . S . 37-D�� ASSESSOR'S TAX/PARCEL #: 0 e Z r Q y - (.0 SO
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): L04- 3 e' ?cc_ ,
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r; - . • PROJECT INFORMATION • - . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
i/I ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM /
' PRO CT DESCRIPTION (Provide detailed description): 1�e� J'e 0..4....4- (e..- S C! s w , �5
M U 4-(( Id2e i^'` ‘9 k >°_ )A-( ( -
PROJECT NAME: Ko A-PA T , 1 ,
- • ■ PEOPLE INFORMATION . : .
PROPERTY OWNER: "AME: DAYTIME PHONE:
C-1PIT4L S62i.,. 4- (a 1.-z-- __ (gala 7sc4,c�
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP):
P.o. Go7 /( /gY
CONTRACTOR: NAME: DAYTIME PHONE: •
1, -s-ae-c- r:--- (ec_A--t-(---- c25--& ,s-35--/ cDo
MAILING ADDRESS(STREET ADDRESS; ETY,STATE,ZIP): EVENING PHONE:
C(.S Z l C14-'1 , 3e_ P, ag—S) 4-vec=.-0VV9
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - (ls. )S -ie-/f
CONTRACTOR'S REGISTRATION NUMBER ) 4 f L Y /�, 3 EXPIRATION DATE:
(copy of card redthred) (e 2 lZ L .T_V 17 F / f ) to
APPLICANT: NAME: / DAYTIME PHONE: •
- -(c--Cg A) /4_c.,-1- c ( ) -
MAIUNG ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) - • i
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR 1
• • • •• • '■ DETAILED BUILDING INFORMATION •
EXISTING USE: O14/‘C .._ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ii Z Y0/ CO5
PROPOSED USE: QC-Cite PROPOSED VALUATION FOR IMPROVEMENTS: $ 1 7, 0€7
SPRINKLERED BUILDING? ❑ YES IND FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: [ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: OLAKEHAVEN ❑ 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:
- . . _ . •`�'FIXTURE)'•_:.: -
Indicate number of each type of fixture .
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
AIR HANDLING UNIT(S)
BBQ(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FAN(S)FIREPLACE INSERT(5) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
BATHTUB(S)
DISHWASHER(S) 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.
INTERCEPTOR(S) SUMP(S)
■ DISC1.AIMER/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 ow of The above premises to perform the work for which the permit application is made. I
further agree hold harmless the Ci, of doral Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation a' d defen e of suf c im),w ich may be made by any person, including the undersigned, and filed against the City of
Federal Way, b only here s ch aim aris s out of the reliance of the city, including its officers and employees, upon the accuracy
of the informati�1114 ttkiikr
i te c���of this application. � �J
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NAME TITLE: `` — � , DATE: 0`
❑ PROPERTY ON, , ER ❑ APPLICANT ❑ CONTRACTOR ,
FOR OFFICE USE ONLY: 1
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : { BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION —1 BASIC PLAN? _ _❑ YES ❑ NO
SECTION TOWNSHIP RANGE —! NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? D YES U NO 1 CHANGE OF USE? Li YES El NO