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04-101302 • City of Federal Way Community Development Services Electrical Permit #:04 - 101302 - 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: MIDAS AUTO SERVICE Project Address: 32530 PACIFIC S Parcel Number: 162104 9051 Project Description: Install(4)circuits for lighting fixtures and vent fan. Owner Applicant Contractor Family Trust Titterud CLOVER CREEK ELECTRIC *GUY ERI CLOVER CREEK ELECTRIC *GUY ERI 23100 PACIFIC HWY S#301 1413 CENTER ST 1413 CENTER ST DES MOINES WA TACOMA WA 98409 TACOMA WA 98409 98198-7281 (253)627-6648 Electrical Fixtures Description Quantity Description Quantity Description 1Quantityj Circuits- Commercial 4 PERMIT EXPIRES October 5,2004. Permit issued on April 8,2004 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. ,C� Owner or agent: y Date: 4y� © V � r ,�- ` ` RECEIVED L �� CONSTRUCTION PERMIT APPLICATION CITY OF P�.� APPLICATION NUMBER: O`C- L 01 3_0a— E (,i Federal Way APR 0 g 2004 APPLICATION NUMBER: — — FEDERAL kPPLICATION NUMBER: - - **The followlliK�17'iriformation—Please print(in ink)or type** CITY OF Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. �-7 ■ PROPERTY INFORMATION SITE ADDRESS: 3Z� C' \:ar.-- > ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): JS)•,‘S.141.1_Sb cc> .__,VA_ u7 ),. .) _t_L,) .F..M-)... >L `��i A2. C�JJ/ -.J I PROJECT NAME: _ `c, J ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: i DAYTIME PHONE MAIUNG ADDR (STREET DRESS• A ZI CONTRACTOR: I NAME: DAYTIME PHONE: eL[3‘. � (.2-am r -.'C- , - MAILING ADDRESSET ADDRESS; .ZIP): EVENINGONE I NCITY 4 A OF FEDERAL WBUSINESS LICENSE UMBE b y��`.%..�- \ t c Ft )R: 16I , - < gacck Sr. -(X4SI.r( ) j (copy of card required) CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: G� cZ-� �t. 1 —_ ' 4 ) 6* I I APPLICANT: NAME: DAYTIME PHONE• - ( ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) I RELATIONSHIP TO PROJECT: j FAX NUMBER: o ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO , WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE 0 PRIVATE(SEPTIC) I **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT 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) FURNACES) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) 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) SUMP(S) ■ 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 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 dty,induding Its officers and employees,u n the accuracy of the information supplied to the dty as a part of this application. �1 L NAME/TITLE: /r. 1 DATE: v o PROPERTY OWNER " ►t CANT o C• RACTOR •.FOR.OFFICE-USE ONLY:.;1 EWp'IIDDITT'ON �gALTERATI NnREPIR TEIYANfIMPROVENtENTr y- tCENSUS CODEi *�kLOT SIZE: r_ ;s z S F - 'S.' ,`r? ZONING DESIG = = UIC _ _ �-,F �=:�-.._ BUILDING.SHELL:ONLY7�oYESn N0�'"`"'" �` NATION-.��,:,��=�� :� � � �_>_�`�=;; COMPfPLAN DESI r-44-0-.441);01-fir �, ,-..,.. - . z 61VATION £ ,;: .=BASIC•PLAN?-�o.YES; D.NOO�_- y�-� ;SECTION;;=_ _ TOWNSHIP RANGE `` NEiN'ADDRESS REQUIRED'?� :` o YES o'NO=y • PLATTED LOT? 'd](ES ©NO :;CHANGE OE'�USE? "' j y COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 www.dtyoffederalway.coni