04-101933 ' w
City of eveWay
Community
Devellopment Services Electrical Permit #:04 - 101933 - 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: NEW FEDERAL WAY CITY HALL
Project Address: 33325 8TH S AVG S Parcel Number: 926500 0290
Project Description: Rewiring L/V HVAC controls to 12 VAV boxes in ceiling of both floors.
Owner Applicant Contractor
PULLMAN INVESTMENTS L L C SYNERGY ELECTRIC SYNERGY ELECTRIC
33801 1ST WAY S#261 12869 EAGLE DR 12869 EAGLE DR
FEDERAL WAY WA BURLINGTON WA 98233 BURLINGTON WA 98233
98003-4547 (360)757-3999
Electrical Fixtures
Description Quantity _ Description Quantity Description Quantity
Low Voltage-Other Commercial 1
PERMIT EXPIRES November 14,2004.
Permit issued on May 18,2004
I hereby certify that the above in a ti• o • • d that the construction on the above described property and
the occupancy and the use w :1 a o .•A; - the laws,rules and regulations of the State of W. ' gt• and
the City of Federal Way. /
Owner or agent: / "L/ .�4: Date:
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error .REcE V ED O_ _L '✓Federal waPERMIT `�-'
COMMUNITY DEVELOPMENT ER C 1 8 2003 SF MF CO M `��•L DE EN FP
3353EDRAWAY,WA 9806 CATION
FEDERAL WAY,FAX
93063-9 / /
2536614115•FAX 2536614129
wnnu.tit ede,ahntTya OF FEDERA►�4FPLI
: IL$I d DEPT.
The ollowi • is -. re n ormation-an inco •tete a.•lication will not be acce•ted Please •rint le•ibl (in ink)or .
�7 PROPERTY INFORMATION
SITE ADDRESS 3 (�-5 (J Q SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoipson)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION VELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provi detailed description of work_ included on this/S
A ea.) C147 — kg017(
t2'L61tV A.V.4.e - 610tnylS 72 /Z VALI, 45ees /A- ee,17
PROJECT NAME(Name of Business or Owner Last Name) F/0 f j fi,
PEOPLE INFORMATION
PROPERTY NAME dat / -
PRIMARY PHONE
OWNER Ale j- I//
MAILING ADDRESS j CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPU NAME OFFICE PHONE
5 v, eGeetraa /41, I- ti,�. <) (36o) 757--3/
G CITY,STATE,ZIP CELL PHONE
1 zg- c1SIJ d4 . gv,LL,�r�rv7s->ti,�!/A-18233 (341 )3,/- ZI
CITY OF FEDERAL WAY B NESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of cardr aired with each application) EXPIRATION DATE
S � +� DQY -� S /2/ / 06.
APPLICANT COMPANY NA APPLICANT NAME OFFICE PHONE
(
MAILING ADD• •` tyr CITY,STATE,ZIP
CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
(
LENDER Per RCW 19.27.095: Lender information is,: NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
' SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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 COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B,uvoomSinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the info -ation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner •f e abo. pre e- to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal'j/ as ny c •' (including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be by • p eluding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliant • e ci . / n . officers and employees,upon the accuracy of the information suppl' d to the city as a part of
this application.
c f XNAME/TITLE � !/J'1'l DATE L5 /
(Signatu (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent f Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
•
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application