04-101217 City of Federal Way
Community Development Services Electrical Permit #:04 - 101217 - 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: FEDERAL WAY AUTO SALES
Project Address: 33333 PACIFIC S Parcel Number: 172104 9047
Project Description: Electrical service conversion from overhead to underground in conjunction with Pacific Highway ROW
expansion project.
Owner Applicant Contractor
CITY OF FEDERAL WAY*MARWAN SALL( POTELCO INC POTELCO INC
33530 1ST WAY SOUTH POTELCO INC POTELCO INC
14105 8TH ST E 14105 8TH ST E
\FEDERAL WAY WA 98003 SUMNER WA 98390 (253)863-0484
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
L Alt.Serv./Feed 201 amps-600 amps- 1
PERMIT EXPIRES September 29,2004.
Permit issued on April 2,2004
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 the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See Application Date: '—Z `i
l '( o
c1 oL_
8
Federal Way PERMIT RECELV q- - o _4 „2--__i_ 2
COMMUNTIYDEVELOPMENT SERVICES SF MF CO ME OL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718FEp R 0 1 Z /
2536 5.FAX253WAY,WA �-4129 APPLI CATI O N
www.dtuotkderalwau corn I
CITY OF FEDERAL wAY
The ollowin. is re•uired in ormation-an inco .fete a.•lication'v1113{1414 , •.' .,'4, Please •rint le.ibi (in i or
. PROPERTY INFORMATION
SITE ADDRESS 3333 3 --ea_c_(-P L S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ( / 0 C- 0 kfLOT SIZE
(4 (4)' 10
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoopaon/
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION INELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des tion of work included on this permit only)
S:TVic-e Cern c er-c'i C» < o— oc, cke'ock '4.1., unde roc_r d _
PROJECT NAME(Name of Business or Owner Last Name) Fede e_( L3 G � S �1-I e,
PEOPLE INFORMATION
PROPERTY NAME) A PRIMARY�7PHONE
OWNER z -tIn J(Q t �`� A(r1 (a•-/ CP 2t-tA (27- )6Gi 15-2.
MAILING ADDRESS CITY,STATE,ZIP
s3o `r- C.,,-)0t3 Ste-, '� tic 1C,iA GdOGS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( fe\co n c OAc - , i ) P -Od4Ef'
MAILINADDRESS �� CITY,STATE,ZIP CELL PHONE
lL\ P SUMner t Cj,JA C90 tZrn66 -csI36'
CITY FEDERAL -WAY BUSINESS LICENSE NUMBER 1 EXPIRATION DATE (FAX 2S3 )NUMBER -13-9
'G^/c G ^/ 2 3 CHIC'/ l\
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
9 0- -c=s1, -43 4L Gy /31 / '3S-
APPLICANT C PANY NAME APPLICANT NAME OFFICE PHONE
VO e\c o' Yr\c
Oec- 1,A1-ec Ar25-? )PC -0-1-SA-4
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1lAl CD '\' S\i- `c- Sc/,rarC q-I tc' SSU A2 r)7(( -CA-3 G _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 'Other(Describe)St:V cC\— (2S'3) X3 -V' 7'
CONTACTN , x PRIMARY PHON E-MAIL ADDRESS
lesr HVIf'�tC"c�,s (7S-3)26 -C4S' 1 criracaAiQeo\e1cgtrIO
LENDER NAME
Per RCW 19.27.095: Lender information is
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? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AItEAS
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(Comm,rs,ap 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 croak,) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom SD,ks( VACUUM BREAKERS ELECTRIC WATER HEATERS
• 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 claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be ma•a by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance o e c• •ncl ing its fficers and employees, upon the accuracy of the information supplied to the city as a part of
this application. r ,
NAME/TITLE / DATE 44/0c1
( ,gnature( (Ta ( c\\
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor 0 Architect 94Other �.X7^-Q \r�rCsrisr_
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? 0 YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑ NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? ❑YES ❑ NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Penni(Application