02-100683 S y
City of Federal Way
Community Development Services Electrical Permit #:02 - 100683 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ply 253.661.4000 Fax•253.661.4129 Inspection request line: 253.835.3050
Project Name: CAPITOL SQUARE
Project Address: 728 S 320TH Parcel Number: 082104 9050
Project Description: ELE-Install one monument sign
Owner Applicant Contractor
CAPITOL SQUARE L L C TUBE ART DISPLAYS INC TUBE ART DISPLAYS INC
2730 OCCIDENTAL AVE S 2730 OCCIDENTAL AVE S
SEATTLE WA 98124-1333 SEATTLE WA 98124-1333
(206)223-1122
110
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Description Q , Z. ', ;11��i�Quanti Description 'Quantity
Sign ■
PERMIT EXPIRES August 12,2002,IF NO WORK IS STARTED.
Permit issued on February 13,2002
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 Way. ii2
Owner or agent: Date: 1 7'
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Application Administration • • `
Process Comments Status To Start To End Started Ended ID Man Att
pplication Received losed •2/13/02; E2/13/02: 2/13/02 Heather S
eady to Issue losed •2/13/021 • 2/13/02• 2/13/02 eather S
Pre-Construction Meeting •pen •2/13/021 E]12.---i
Inspections
Process Comments Status To Start To End Started Ended ID Man Att
Under-slab groundwork •pen VR User El F-I
- --------------
Other Concrete Floors en
VR User El In
eiling Cover OpenE— IVR User
..o.,
incl Inspection pen 2/15/02: 2/15/02: Erling Parlo.�
Electrical Inspections H Nµ
Process Comments Status To Start To End Started Ended ID Man Att
Pole -„ Open vffi ,,,,,,,,,,,,, IVR User
emporary Power *pen_ µ it I IVR User i
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itcover pen VR User ti
Rough Electrical Open 1 1 IVR User .L
all Cover Open i i IVR User
Pool Bonding ,,» .M , , •Pen ,,,.,,,,,.,,,,,,,,,,,,,,,,,,,,..,...,,..—........,....».,. ,..�_..,,,..-.,., IVR User 0
•
IFeeders/Sub-panels P.Fen 1 i IVR User ti FT
'Service-Manufactured/Mobilpen i i) 1 IIVR User i
ervice •pen i i VR User OFT
Folder Status Changes
Process Comments Status To Start To End Started Ended ID Man Att
'Folder Status Change ' ntake/Ready t losed '92/13/021 i•2/13/02 •2/13/02 eather S io ral
'Folder Status Change ieady to IssuejClosed 2/13/02I 02/13/02 2/13/02'-leather S OFT
— RECEIVED CONSTRUCTION PERMIT APPLICATION
�� [F E!Zl�L APPLICATION NUMBER: Q - 1 OQJ 4 6�3- 6-L
FEB 1 3 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: -- - -" -
**.1UI IX9 DEPT.
e o owing Is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- 2q • PROPERTY INFORMATION
SITE ADDRESS: -2 S' 7� -1-(-4 ST• ASSESSOR'S TAX/PARCEL#: D g 2 1 0 4 - 9 0 5 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ILECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 11•)STo.LL C2N E IM oO1 OM€27,-)T S\(. r4 •
_
PROJECT NAME: S ' Lam`v SQ
- • ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: C�`��1, DAYTIME PHONE: -
J ul ' 1...-1-(__ ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
SI Te- Ap\--)h5
1 CONTRACTOR: NAME: DAYTIME PHONE:
..J 'A CI ( )ZZ -1\2-2
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
?", . - 61=7nX1333s - kE 9197A ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER2: I� - D O , O ' i - ci 5 FAX NUMBER: -
V ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
'1- v 6 e A- P t 1 o N 14 / 2' I C) '
APPLICANT: NAME: DAYTIME PHONE:
Tv .e442.---.Tai 1tA.��.l ( ) -
I MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): EVENING PHONE:
( )
} RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER TKAPPLICANT ❑ 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 ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 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:
• 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 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 city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. n g
NAME/TITLE: 4 DATE: 2 (Y-0.2-
CI
❑ PROPERTY OW• -• LS APP' CANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
NEW = _r=❑ADDITION ❑"ALTERATION ❑ REPAIR . - ❑ TENANT IMPROVEMENT
CENSUS CODE: _ -. -LOT-SIZE: : -
ZONING.DESIGNATION :- BUILDING SHELL ONLY? :❑ YES ❑ NO
-COMPPLAN'DESIGNATION BASIC PLAN?-'.: ❑YES - 0 NO
SECTION ;=, = '-TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0N
PLATTED LOT? 0;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