02-100151 it li
City Federal Way
Community Development Services Electrical Perm • :02 - . 1 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection nest lin 253.835.3050
Project Name: TEAM HEALTH
Project Address: 3455 S 344TH Suite210 Parcel N ber: 222104 9006
Project Description: ELE-Low voltage for voice and da r g.
Owner A ant Contractor
BEDFORD PROPERTY INVESTOR JOHN ARMSTRON WACHTER NETWORK SERVICES INC
=• a•NA DR UNIT 70 '-\\ 16001 W 99TH ST
4 .. • 96003 LENEXA KS 66219
(530)941-2797
Electric Fi •s qi,
Description Quantity Fr Descr' .,,n I Quantit Description ;Quantity
Low Voltage-Other Commercial 1
,
• 1
PE I P S July 10,2002,IF NO WORK IS STARTED. ,
Permit issued on January 11,2002
cs0000)1I by certify thaov- . • . 's rrect and that the construction on the above described property and nc will ,e i ,cc. iance with the laws,rules and regulations of the State of Washington and
the Cieral Way.
s.
Owner or agent: , .��/�►`j� Date:
/ --/l (3`-- -- 1
1
14 (9� cei L/Al Ve v 6. (7 7<i/( _, (If(42' ,tie
coMMUNnyp�,EOPM M�By
RiM CONSTRUCT I ION PERMIT APPLICATION
an'or G L1�r
EOElZf�L �9f APPLICATION NUMBER: 0 Z- D�
\>\> JAN 200 Loci �s`! - av '�z
APPLICATION NUMBER: - -
APPLICATION NUMBER:•
**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: nS 5, �y raw A 9 7#;lb ASSESSOR'S TAX/PARCEL#: 2 2- 2-( a�i -
�r�� fi Z�
LEGAL DESCRIPTION OF SIE PROPER f CH SEPARATE DESCRIPTION IF LENGTHY):
**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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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) S MP(S)
11 DISCLAIMER/SIGNATURE BLOCK -
I certify under penalty of perjury til 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(including 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: _..*A....41;11' ` DATE: 9� //—032
❑ PROPERTY 0 1 ER Cl APPLICANT St CONTRACTOR
-FOR OFFICE USE•ONLY:~1
40 NElfl% ❑ADOIiION ❑'ALTERATION -❑ ItEPAiR. ❑TENANT IMPROVEMENT - -
°CENSUSCODE: _=-' `LOTSIZE:r=`_ - - -- -
VZONING ESIGNATION ; _ _ BUILDING SHELL'ONLY?:-,❑"YES ❑ NO - = __
COMP PLAN DESIGNATION BASIC°PLAN? '❑=YES -❑ NO'
SECTION`=; :_'=TOWNSHIP _ __RANGE NEW ADDRESS REQUIRED?- - -❑ YES -❑_NO
:PLATTED LOT? - -❑YES ❑ NO -- CHANGE OF=USE?. -0 YES - ❑ NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129