02-100738 ti
•
City on FederalWay
CommunitytyDevelopment Services Electrical Permit #:02 - 100738 - 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
Ill
Project Name: FOSS OFFICE BUILDING
Project Address: 32001 32ND S Parcel Number: 162104 9001
Project Description: ELE-Altering 1 circuit to add 2 light fixtures at smoking shelter at the north end of the building
Owner Applicant Contractor
WEYERHAEUSER REAL ESTATE VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN
3001 OLD HWY 99 S 3001 OLD HWY 99 S
MOUNT VERNON WA 98273 MOUNT VERNON WA 98273
(425)483-6869
Electrical Fixtures
- Description 'Quantity Description iQuantity Description ' Quantity
Circuits- Commercial 1
PERMIT EXPIRES August 18,2002,IF NO WORK IS STARTED.
Permit issued on February 19,2002
•I 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 Wa .
Owner or agent: Date: Z — 1 Di ^– b1_,
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12 - 0- (J `'- (t/`/IrL 7F a Dv -aD
•
crroT of ___ RECEIVED CONSTRUCTION PERMIT APPLICATION
\)\> RY APPLICATION NUMBER: OP - f QD F3 7 - 00
FEB 1 9 2002 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
FEDERAL WAY
I� RA �uired information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
-52.45:2::.1 7l PROPERTY INFORMATION •
SITE ADDRESS: 3 Z —j r ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - - • ; - _- . a PROTECT INFORMATION . , - . -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
lit ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
Litt-r-
PROJECT DESCRIPTION(Provide detailed description): A- i' I VV 0 t4. JT �--j n .C,
k-" s m o I� , S }d- L ( v * add - -� #J' 5if r
PROJECT NAME:
• - ►:/ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Foss R�oeN_Fv ,ot T (& ) ze t - 600o
M�GADDRESS(STREET ADDRESS;CITY,STATE,ZIP): L� , J �
fr cox 014 S 'tTtk, war. q 7 1 Z
CONTRACTOR: NAME: , DAYTIME PHONE:
V tit t `-1 C— Q.. (4ZS) 4' 146.1
MAILING ADDRESS(STREETDDRESS'CITY,STATE,ZIP): EVENING PHONE:
2i ° ° & f Z Aut, 4l?' , % \t WA ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) VA L- I- E- e- C Pi )1 1�1 1 / I / Z0
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP). EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
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 El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• •
■ PRO3ECTFLOORAREAS •
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) ❑ 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 i :t 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 part of this application.
NAME/TITLE: Afr (2i(_ v A- ?) V DATE: ` I
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: 1
-❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: •
;XONINgbESIGNATION: - _ BUILDING SHELL ONLY? ❑YES-- ❑ NO
COMP_P.LAN DESIGNATION - _ BASIC PLAN? =` ❑ YES 0 NO , y - - -
SECTION:; TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? ❑YES 0 NO .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvotTederalway.com