02-103233 II
City un Federal WayCommunityCony Development Sernces Electrical Permit #:02 - 103233 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 .3050
Ph'253.661.4000 Fax:253 661.4129 Inspection reques '• -. ..
Project Name: SAFEWAY#1555
Project Address: 1207 S 320TH P. umber: 15005, 1020
Project Description: ELE-Wire outlets for plenum fans @ caselines,(18)outlest on • . ing circuits(5).
Owner Applicant Co, or
1560 INVESTORS LLC SPARTAN ELECTRIC SRVC INC SPAR E ' C SRVC INC
200 S BROAD ST#6 6263 ELLIS AVE S 6263 EL k S
SEATTLE , •: I: - '41 98108
(206) '1
\\ \ ,
Electric: ,'xtures
41
Q .1 I- 7L1:77.7-.3 scri.do .4"1"" • anti Descri•tion , '.r ''.,01712
Circuits- Co , rcial 5
11, •
PERMIT E _ anuary 26,2003 IF trCilLOCARTED.
'ermit issued o Ju ,20
I hereby certify that • • e information' orrect and that t• .n cti th above described property and
the occupancy and the us •• • • . ce with the law 'iliri . an egu ations f the State of Washington and
the City of Federal v.
Owner or agent: t Date: 7 �� 02_/"
i r c..- 'd /1/ n L 77-eo te F--3 !i�r7_
RECEIVED BY CONSTRUCTION PERMIT APPLICATION
t * -A G OMMUNITY DEVELOPMENT DEPARTMEN( ,
A'P reAti*NUMBER
200Z APN 18Ek::::
. .: ....:.... .......:.......
.. .
**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.
G_-` �,I
• PROPERTY INFORMATION
no `V
SITE ADDRESS: 1201 . -Sae- ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING o MECHANICAL o DEMOLITION
a-ELECTRICAL a ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ( (LE 0 0-1-1_,E-1- S 'Fe. 2 •P'e 1a uwk
S ( C,1 LivRE , Cly r)U1--1-c1-s 0LfxiQ.�-►hy c ( (Leet.-S (6)
(--11')I-14-s i3y emu s) �J
PROJECT NAME: I53:5
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: 5 FE W v4�1 „ro St C S l A L /SSS (DAYTIME Pi- -1 - )tSc) - co3
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP
t 20 1 C3 SW
CONTRACTOR: NAME:S?A 12-1 R t -I el C L1 RIC (DAzg)`N63 - I 1,
LI
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): cEVENING PHONE:
62-63 ELL1 s Av ^ 7 tt O (
) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
t9- 9S — tosfol-l9 — CE - 3i-- - Roc, ) 76TL - S7i9
CONTRACTORS REGISTRATION NUMBER: t EXPIRATION DAM:
(copy of card required) S F. PT E S z ti. C) a O) / 1 / O 3
APPLICANT: NAME: c YT RI r.,.‘
l 'N E L(u n i S gsv � c DAYTIME RHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
X63, Et.Lts HV S. Seo *1t. , wft. '8 (a8 ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT a OTHER(DESCRIBE): ( i-24.-i_ -s---119
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER o APPLICANT ,MZONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: Cr-bCer y 9'1°Q'IE EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 27 Ll cc/3D
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE a TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
.#
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ e
■ PROJECT 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:o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 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 to thecity as a part of this application.
NAME/TITLE: 21443144A DATE: d -t-
o
o PROPERTY OWNER a APPLICANT 'D-CONTRACTOR
•
.'PFOR:OrriC U :ONL.Yl: 1
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E ENSUE:CODE,:•:ssss:::;:;r:...;•..:.... ...•:.:;.;;...:;:.:.:;:..•.;;:.:::.:.:...;,:,:;;: 1,Q1'S ys' :: :;;;':;`::;:::::::::...:.....:
C)!1)N Ik36S14NATION;::>>::. :.,.......:......... :.BUIL tIi!K $iOL:LONLYT t7.Y S :o:.l : : •..
COMP:PLANDESIGNA'TION:;::..:...• ..• ::..;;::.:::':';:::: :? ' .1 i' ?::> <:a YES.;'';:':0.1+1( z:;..... :
'SECTION;>'::;::;;: ;'OWNSHW;;:':;a::'.:; J�1 4r;:::; ::•s>> N xi�II)`ADDRES REQUIRED?:`::::... t3s 1 S':`:i3 flti'.:':.::..;..•
:14. 6 t:; ..;.;.::Okla. :.. a8Es /0. : .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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