04-101411 shy of Federal Way
Community Development Services Electrical Permit #:04 - 101411 - 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: RHODES PROFESSIONAL CENTER
Project Address: 30800 PACIFIC S Parcel Number: 785360 0240
Project Description: Repairing underground service conductors which were damaged by the fence installers augering for the
fence posts
Owner Applicant Contractor
David J Rhodes MAPLE CREST ELECTRIC INC MAPLE CREST ELECTRIC INC
29500 PAC HWY S#0 POB 1165 POB 1165
FEDERAL WAY WA KENT,WA KENT,WA
98003 98035 (253)872-4712
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co' 1
PERMIT EXPIRES October 12,2004.
Permit issued on April 15,2004
I hereby certify that I e above information is correct and that the construction on the above described property and
the occupancy and : use will .- in ac ordance with the laws,rules and regulations of the State of Washington and
the City of Federal y.
iDate: 1.5 0,Owner or agent: A
Q Iv
�1
.14
RECEIVED CONSTRUCTION P�ER,IIT APPLICATION
CITY OF �..." APPLICATION NUMBER: f- J /a 1 f_l , - V-) r j
rederal Way APR 15 2004 APPLICATION NUMBER: - !J } 1 - �'( Gf_
CITY OF FEDERAL WAY
APPLICATION NUMBER: - -
*'TheldlkOMPIQ fST�quired information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• _ - - •■ PROPERTY INFORMATION •' - -
SITE ADDRESS: -.�q Flan: T1 C. Awy 50 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I
' ■ PROJECT INFORMATION - - - ' -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
j PROJECT DESCRIPTION(Provide detailed description): 1 e JO a(i" aU r e(7i-Dtg N& S-Q 1r v i e LJ
C.6NC(U. U(-S CQorn4' ''.evi VJy (---.1°ivice C�� Ctay 1,- "1,
4'42WC e p n
PROJECT NAME: R.h 044.& t7)..042.50 Aid iv lei",
■ PEOPLE INFORMATION ,
PROPERTY OWNER: NAME: • : DAYTIME PHONE'
1 bodes R �a(c'�Y 1 (26-3) 9y/•-3gdo
MAILING ADDRESS(STREET ADDRESS;CITY,stATE,ZIP): p 2.95-o 0 PC c-('+l C. /j/wy So FejteY4 eV" 9ire03
CONTRACTOR: ( NAME: 0
i DAYTIME PHONE:
0 is /e 6-.�-ct 5/Qc l (� LNc (2E-3) 872=y'�(2
MAILING AD ESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE-
I P0. 81U)( //(S- A{ehif WA p.PCIS- ; (206 ) 7 XD -o3 ?
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
.1 —97g /bS 4 (0.,. . .0_,..7- at:. I4;�o ; (2.57 ) 89 2 -6 _6VI
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) ll A P G• FC(� l .70 XI? ( / 3( I V
APPLICANT: NAME:
PP (/v�/'9/' DAYTIME PHONE'
MAILING ADOat�/EEf ADDRESS;CITY,STATE, ( �*C` �e EVENING ONE'
I ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
- ■ DETAILED BUILDING INFORMATION - - 0
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**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 Value of Mechanical Work: $
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) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC a 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 daim(induding 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,upon the accuracy
of the information supplied to the dty as a part of this application. �/
NAME/TITLE: a 1 / DATE: 1 - /S - 0
❑ PROPERTY OWNER ❑APPLICANT o CONTRACTOR
-FOR.OFFICE USE ONLY::.-z-1
;b NEVVNp6ADDIT4i0(V'ts6 ALTERATION 051r REPAIR 'vtTENANT'IMPROVEMENTaW
'CENSUS CODE:WOAD :+c'sGr.-"= P.,J-t" :•X +: ;LOT SIZE:- j 4i= -.: s',=:= .':x;--�: , •x,:k,:'; -'.-.
:ZONING DSIGNATIONrt � :����4� ,�: I°BUILDI(VG,SHELONLY3O
YE5 :o NO, '-'� - ;1
COMP:PLAN DESIGNATION : -;, w:-: r' ;rBASIC PLAN? ;o YES;.'l0 NOT; `` '-- =w's= -_
;SECTION '+9 ` ,TOWNSHIP:'' -,!RANGE, '_IVEiN�ADDRESS REQUIRED? ,:1W o'YES�z.'a'NO
"'PLATTED LOT?,-o YES rro'NO=:..1 `_." '•CHANGE bF USE?.= =,"7='o YES' =fl NO` ," ;" ;';-=''
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com