04-100096 City or Federal Way
Community Development Services Electrical Permit #:04 - 100096 - 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
Project Name: RISSHO KOSEI-KAI OF SEATTLE
Project Address: 28621 PACIFIC S Parcel Number: 332204 9124
Project Description: Installing L/V fire alarm wiring for all 3 floors. Altering 8 circuits on 3rd floor only,work to include
resetting existing 2x4 lights,rerouting existing switching,installing 14 rec.can lights& 1 8'tracklight w/
3 heads in new assembly area. Relocating existing outlets,connecting HVAC unit,installing emerency
exit&pathway lighting.
Owner Applicant Contractor
Ed Tilton &Carolyn Tilton TRIG ELECTRIC SERVICE INC TRIG ELECTRIC SERVICE INC
371 GRANDVIEW AVE 1121 RAINIER AVE S 1121 RAINIER AVE S
CAMANO ISLAND WA SEATTLE WA 98144 SEATTLE WA 98144
98282-8636 (206)328-0555
Electrical Fixtures
Description 0Quantity Description Quantity Description Quantity
Circuits- Commercial { 8 Low Voltage Fire Alarm-Commercie 10100
•
PERMIT EXPIRES July 11,2004.
Permit issued on January 13,2004
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 th laws,rules and regulations of the State of Washington and
the City of?ederal Way.
Owner or agent: Date: /if-e)
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;*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
S PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DEO(
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indiate number of eadi 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 INSERTS) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) c ELECTRIC c GAS
DRINKING POUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE MILERS) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
I'certify under nenalty of neriury that the information furniehest by me is true and correct to the hent of my knnwledoe!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(inducing costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),whidi may be made by any person,including the undersigned,and filed against the Gty of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information su to the city a part of this application. �
NAME/TTTLE: lDATE: I -43�(7
PROPERTY OWN =APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
^_ NEW ^ADDITION =ALTERATION 7 REPAIR c TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? - YES c NO
COMP PLAN DESIGNATION BASIC PLAN? c YES = NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES =NO
PLATTED LOT? _ YES c NO CHANGE OF USE? ❑ YES No-
COMMUNITY DE/ELCPMENT'ERVICES•1353'3 FIRST WAY SOUTH•PO BOX 9719•FEDERAL WAY,WA .7-131163-w1.9•2.53-561-44K")•,:AX.253-561-4129
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