02-103033 City of Federal Way
Community Development Services Electrical Permit #:02 - 103033 - 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: WOODSTONE CREDIT UNION
Project Address: 33615 1ST S Parcel Number: 926504 0190
Project Description: ELE-Install 2-20 amp 120 volt circuits for 2 future wall signs
Owner Applicant Contractor
Community Credit Weyerhaeuser*Community( KEL ELECTRIC KEL ELECTRIC
33615 1ST WAY S KEL ELECTRIC KEL ELECTRIC
FEDERAL WAY WA 98003-6263 3610 ACADEMY DR SE 3610 ACADEMY DR SE
AUBURN WA 98092 (253)852-7470
Electrical Fixtures
";" '*; Description ti eSci i•t On, a'°.KQuantity • Descriptici i, i Quantity
Circuits- Commercial 2
PERMIT EXPIRES January 13,2003,IF NO WORK IS STARTED.
Permit issued on July 17,2002
4111,hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- will be in acc► ,e with the laws,rules and regulations of the State of Washington and
the City of Federal a .
Owner or agent: A �/ Date: 7/I
,7_ 2s /
P-ac�c�- •� ��raL.Q-.3
�� ,� RECEIVED CONSTRUCTION PERMIT APPLICATION
VV F3Y APPLICATION NUMBER: O - - LU,'5 Q - eL.,
JUL 1 7 2002
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 Systems and Engineering permits may require a separate application.
• / ■ PROPERTY INFORMATION
SITE ADDRESS: 5 3 6(S--- Y Wq of SOJJ SESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ; - • ■ PRO]ECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
figt ELECTRICAL 0 ENNGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): o/)1-'51-4//)1-'51-4//` Z — 7i° 1/ )ac, U— cj pix$
/Imo 1F/p), ,- 2 ` exis-no6 d !gco; -- 22, Alto 'er -w- -. -r--e-e/5
2 4/rw 514 -
PROJECT NAME: '
moa 57 o n C G'redf (J4//e--(/
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
r,() e/09e/2 7 ( ) -
MAILING ADDIS/(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME / ,L
I /6� DAYTIME PHONE: a
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
'G/o , -4'IJJ my DA.Sv' ,,-v, vwi/J- 2-/P°lZ ('-3) 24/ -09 70
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- -
CONTRACTOR'S REGISTRATION NUMBER: E2s3)69'50 - 034/7
EXPIRATION DATE:
(copy of card required) 47-/— 4--,of 2 3 7 C. / /
APPLICANT: NAME:
� i v yiz) DAYTIME PHONE: -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
%'c 4,-e l?1ny DR, ' dv30, k0,,- PCC? ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ,MOTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: ,
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _
. FIS
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
—
_ -„ .,„ ._ .., n ..>�. :�. .,r.-+.. :•��. •,t.FIXTURES r. -. ....-. ... . . - _ _..., x.._.« ..,.. ..r”
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: D ELECTRIC ❑.GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(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)
- •■ -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 ere such d arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatio - .lied to the .. :s . part of this application. 7/7X”
,:gr„ ..� // Qz_
t NAME/TITLE: DATE:
41 �./!A illtw
i 0 PROPERTY 0 NER 0 APP, •NT CONTRACTOR
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ODMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL.WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvofederalway.com
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