02-100398 r --►
City of Federal Way Electrical Permit #:02 - 100398 - 00 - EL
Community Development Services
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: PIER 1 IMPORTS#874
Project Address: 2424 S 320TH Parcel Number: 092104 9172
Project Description: ELE-Electrical for one new pole sign
Owner Applicant Contractor
NONE TUBE ART DISPLAYS INC&PIER 1 IMPOR' TUBE ART DISPLAYS INC
2730 OCCIDENTAL AVE S 2730 OCCIDENTAL AVE S
SEATTLE WA 98124-1333 SEATTLE WA 98124-1333
NONE (206)223-1122
Electrical Fixtures
-,.. . Description• . 'Quat ity fescription'`.,.•'*i•,"Quantity , ,,.:. - Description '3 ,,Z:, (Quantity
sign I 1
PERMIT EXPIRES September 9,2002,IF NO WORK IS STARTED.
Permit issued on March 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.
Owner or agent:C fi_ Date: —.3±13- 2
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CONSTRUCTION PERMIT APPLICATION
E RY JA 2 8 Fit=ECIAPPLICATION NUMBER: t1 L� — I UQ 4 J
APPLICATION NUMBER: —
tot AY 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: ' -2A S ` s2c.2ST. ASSESSOR'S TAX/PARCEL#: O 9 2 0 4 - 9 I 7 2.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Sr 1/At 5Ec-
' •. ■ PROSECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
,ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 11 S-C'AL.L. 5' 1,-n>t/U
•
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME:
$AxT.C �krt..] C__
DAYTIME PHONE -
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2q 7�4 S • ' frk S`1
CONTRACTOR: NAME: DAYTIME PHONE:
f23 - I (2L
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-122Q7.4' • �7Y343,3 5.fS..H VJik` I ' -4 (2°6)2-73 -112:Z.-
CITY
TY OF FEDERAL WAY BUSINESS LICENSE NUMBER: V L FAX NUMBER:
- -
J ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(avy of card required) ! U `7 /'T D Z I 1 V N t I-S g / '3O / o
APPLICANT: NAME: 6 //''�� S ' , DAYTIME PHONE:"I
MAILING u ( (STREET ADDRESS; ,STATE,ZIP): /J EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
El ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE):417 ( ) -
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? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER OF BEDROOMS: ESTIMATED SELLING 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,inducting 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: DATE:
❑ PROPERTY • �� ER I!. • CANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:-I
'❑14647.71,''.j-- ❑ADDITION •-❑ALTERATION 2 7,0:itEPAIR - ❑TENANT IMPROVEMENT '
CENSUS CODE: -LOT SIZE: : ; - .
1.2ZONINGjDESIGNATION ;; BUILDING-SHELL ONLY? <❑ YES ❑ NO
,COMP PLAN DESIGNATION BASIC PLAN -:-❑.YES 0 NO -
SECTION _ --TOWNSHIP .RANGE - NEW ADDRESS REQUIRED? ❑ YES -CIAO
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