02-100778 al
CityCommunity
elopmey Electrical Permit#:02 - 100778 - 00 - EL
Community Ikivelopment Services
33x30 1st Way S
Federal Way,WA 98003-6210
Ph 253 661 4000 Fax 253 661 4129 Inspection request line: 253.835.3050
ID
Project Name: DANA PLAZA
Project Address: 31260 PACIFIC S Parcel Number: 092104 9223
Project Description: ELE-Altering one circuit to relocate one sign
Owner Applicant Contractor
DANA PLAZA LLC LUMIN ART SIGNS INC LUMIN ART SIGNS INC
30390 PACIFIC HWY S 105 1118 A ST SE 1118 A ST SE
FEDERAL WAY WA 98003 AUBURN WA 98002 AUBURN WA 98002
(253)833-2800
Electrical Fixtures
: eal i ion: ....1 uorttit t T • Oe rlli€iit#is [Quantit3 . ::::.•;;;............................. [Quantity
Sign 1
PERMIT EXPIRES September 8,2002,IF NO WORK IS STARTED.
Permit issued on March 12,2002
• I hereby certify that the above info ation is correct and that the construction on the above described property and
the occupancy and the use will % - accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. :
Owner or agent: f/' Date: 3/402_
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`I'°' G CONSTRUCTION PERMIT APPLICATION
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RECEIVED APPLICATION NUMBER: ag- Lbs
' APPLICATION NUMBER: -
FEB 2 1 2002 APPLICATION NUMBER: - • -
**The followe�dd information-Please.print(111 ink)or type**
EDERAL WAY
• Please note: Electrical,Fire PrevenBUILatileatinfICEngineering permits may require a separate application.
l = - ■ PROPERTY INFORMATION -
SITE ADDRESS: ? I Z'0 Pbt S ASSESSOR'S TAX/PARCEL #:-7 ZOc2 / _C_9 ST
D-C
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
`` - --' -, ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BiJl(DING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION C- rr �
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM -) ( CSV
PROJECT DESCRIPTION(Provide detailed description): 2,Lt,Z i rO( ,g19Y) rc(0 C',p;'(i
PROJECT NAME:
-' • PEOPLE INFORMATION
PROPERTY OWNER: NAME:ca Lsafrtcj
/ '�''V�� DAYTIME PHONE: /
MAILING ADDRESS(STREETDRESS; STATE,ZIP+: Y(Uv ( ) ?3
303 U0 P143 • -los FE-6 LAA'Y Cf8C003
CONTRACTOR: NAME:
DAYTIME PHONE:
UA/Pit l vi-Pi-f S C{i? s r_ ( 033 -tea
MAIUNG����S(STR�ADD�;CITY,STATE,a1i¢t)• EVENING PHONE: -
Ytio
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: � y,� FAX NUMBER:
0 0 -/0 -E26-� -0 ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) V( /N�S '3 t <3 2 / /
APPLICANT: NAME:
Co 7_� / - 1 /( /I ( DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
I
RELATIONSHIP TO PROJECT: FAX NUMBER'
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE):C0i11 ` ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• . ■ 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 ❑ TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NERESIDENTIAL CONSTRUCTION ONLY** •
W
NUMBER OF BEDROOMS: ESTIMATED SWING PRICE: $ •'
•
• •
- ■ 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: ❑ 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the ay: . part of this application.
NAME/TITLE: DATE: ? - i —0
❑ PROPERTY OWNER ❑ APPA tip r NTRACTOR
=fOR OFFICE USE ONLY:
:NEW==__T-❑-ADDITION 0 ALTERATION ` ❑;REPAIR- - - fl-TENANT_IMPROVEMENT
CENSUS CODE:___ - LOT SIZE: _-- - . _ -
ONING D SIGNATION: -BUILDING SHELL_ONLY? 0 YES 0 NO
OMP=Pt N DESIGNATION = - -BASIC PLAN? �- ;❑ YES 0 NO
"SECTION"_ _ TOWNSHIP RANGE -
NEW ADDRESS REQUIRED? - ❑ YES 0 NO
PLATTED LOT? ❑ YES ❑ NO - CHANGE OF USE? - ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityofederalway.com