06-102716 City of Federal Way
Community Development Servir�eg, #:Electrical Permit 06-102716-00- EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VALLEY RADIOLOGY,INC.
Project Address: 533 S 336TH ST Suite C Parcel Number: 926480 0260
Project Description: ALT-Relocation of(4)T-stats.
Owner Applicant Contractor ,
CURRAN PROPERTIES HEATTRANSFER CO HEATTRANSFER CO
1601 5TH AVE#1703 P.O.BOX 1268 HEATT**206Q0 9/11/07
SEATTLE WA CARNATION WA 98014 P.O.BOX 1268
98101-1657 CARNATION WA 98014
Additional Permit Information
Electrical Fixtures
Thermostat 4.00
PERMIT EXPIRES Monday, November 27, 2006
Permit Issued on Wednesday, May 31, 2006
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: ‘::=
Z;se-", � -c � Date: c1^3 / O,6
. A . THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102716-00-EL
Owner:
Address: 533 S 336TH ST Suite C
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) IA Final-Electrical(4055)
Approved Approved Approved 1
By Date By Date By ......NAl1 Datec Z.-\,
❑ Under-slab groundwork(4295)
Approved
By Date
Aihb,
Building Division
CITY OF • 3325 Eighth Avenue South
Federal Way PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609 •
INSPECTION NOTICE
ADDRESS: S 33 S3 (A. #: O ( t3-k_n1t-0a
yamOki. K:u_A&L;,\ 03.A
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
REC. . .AEIVED
deralWay�:�Y 3 1 2006 PERMIT _i_ .4) 1_'----� �
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• whamI yDBVELO?N.SNTERRVICES SF MF CO ME( PL DE EN FP
3332:• raAvsNus fEDERALW
23343S-2607.� 'DING DEPT.APPLICATION TD
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The ollowi , is , ired i ormation-an Inco ,lete a plication will not be acce,ted. Please •tint legibly n in or
■ PROPERTY INFORMATION
SITE ADDRESS .`7 3 3 5 3 3(o rh s Y' SUITE/UNIT# [-
ASSESSOR'S TAX/PARCEL# I Z 6 54 0 0 - d L . 6 Cj LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attalla stperate page for lengthy legal desaipUail
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION/ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
�l vl/t ‘74 726c,4
PROJECT NAME(Name of Business or Owner Last Name) VA /4 /2,-06d• /G
• PEOPLE INFORMATION [
PROPERTY NAME
PRIMARY PHONE
OWNER
/ G
MAILING ADDRESS CITY,STATE,ZIP
/6a/ 7 /1'/V•C 4/763 5e4- i 414- q 7/6 / - /6 3-7
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/1/41-rze..-41.4fg,e_a
. :57-•-•32f‘,7MAILING&?e.DR SS0 ag CITY gT'/►T jZlp 3:4 CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L-. / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with wick application) EXPIRATION DATE
C At I-z- 2 c . ce...0 // //a /cam
APPLICANT COM ANY NA E APPLICANT NAME
�!C4 d c — . 7i1--11 E,ZIP CELLCE PHONE
A dal ZIP (� SS5. 37�G
MAILING D REBS !7 ( PHONE
40 I
RELATIONSHIP TO PR ECT FAX NUMBER
0 Architect 0 Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIXARY PHONE
E-MAIL ADDRESS
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / , 0,••0•
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
1100
GARAGE 0 CARPORT 0
=MG
.1"1".12)NUMBER OF FLOORS
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE ERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(camerae) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES •= ' • HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or nub/shuwerCombo) SHOWERS WATER CLOS ' am MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAIN
OAS PIPE OUTL 1= SUMPS RAINWATER SYST
WASHIN a HINES URINALS HOSE BIBBS
• • ynkS VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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 authorised 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 claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
S �/c
NAME/TITLE DATE � O�
(Signature) (Title)
RELATIONSHIP TO PROJECT q Owner ci Agent ci 6ntractor ci Architect a Other •
4. ,r 1.,,14. .5 n ,,,c ,50 .5e5c
5i%. j ..
T__11_4:_411 AA'�V T........1 'IAA4 ..lA IA trer..i...ofADA..r.it A....I;not in.