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02-103995 City Federal Way Community Development Services Electrical Permit #:02 - 103995 - 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: BARRIGA LLENA Project Address: 30420 PACIFIC S Suite2 Parcel Number: 092104 9107 Project Description: ELE-Install 2-240 V exhaust fan circuits Owner Applicant Contractor Eugene Loiter QUICK WIRE ELECTRIC QUICK WIRE ELECTRIC 30406 PACIFIC HWY S 29715 55TH AVE S 29715 55TH AVE S FEDERAL WAY WA 98003 AUBURN WA 98001 AUBURN WA 98001 (253)887-9650 1 Electrical Fixtures Vtri „- 0escriptiori G2uatir [W; I3eg4rrp `or`i sr' ,!,,,. Quantity� Circuits- Commercial 2 PERMIT EXPIRES March 15,2003,IF NO WORK IS STARTED. Permit issued on September 16,2002 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 agen��i %/ Date: ! " �(- 26 — moi_ // p zet-c6ejf 3-40igs/7r. — 'l 7_.k?- cz of kf‘419 6'7 61/ ,-1b ciT4,.« � L RECEIVED CONSTRUL i ION PERMIT APPLICATION uV F SEP 1 6 2002 APPLICATION NUMBER: 02 - LQ. "1_9 -E(� APPLICATION NUMBER: -CITY OF FEDERAL WAY APPLICATION NUMBER: - - II IIIILDtNG DEPT.. **The folli&lifig is required 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: ,76920 /2/1-6 J i,) 5 Sc #ZASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ._-.. ..:...A.:."...-:*.'.!...:....-_-.- - .■ PROJECT INFORMATION-'-.= - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION IgtfLECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM / .. PROJECT DESCRIPTION(Provide detailed description): �...,-2//, ...7;1_,Z.." 2 - 2 1/00 V -€,,�j , ��i(/LC A/ j ,�" PROJECT NAME: jTW I7 0 2-* • PEOPLE INFORMATION . PPERTY OWNER: NAME: DAYTIME PHONE: 8126 4r2.- ni Ii0 o- (253)9:2/ o71.99 MAILING ADDRESS(STREET RFSS;CITY,STATE,ZIP): 3o L/ P/�-- /71141 .S Sui-r - 2- &-Z.'7-7 Z- -4ii /2/fz.,z., cZe..ese.e,,..). CONTRACTOR: N ME: DAYTIME PHONE: M "�NG ADDRESS(STREET ADDRESS CITY,ST ZIP): A,2927/7/5 �L�/ 'd4 EVENING PHONE: / -43-7I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: T f2-3-3) �� FAX NUMBER: - (2. 3 2. / - /k-7. CONTRACTOR'S CONTRACTOR'S REGISTRATION NUMBER: //��',� C2_144240_ i J/ �1,/�/!17_.9._ //e7 EXPIRATION DATE: �� (copy of card required) [yi2i L 1 )/a C// _ _ S / ! l/ / APPLICANT: NAME: 666 --TT-- DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITE,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR 1141111 ■ 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 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) - SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PRO3ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE • HOW MANY FLOORS? TOTAL: . ...., :_..-c+..w.y,:,...n., ,".-..ri..._-.....-w.._.... ..,„,}r.L+,,,,,+r,..=„, ......Sw aiVv111.``IATuRES•X.,'....i0 - 4,4„5—,..— -m+...•-wa.K3 rs.ekkArri -•+::+Citi-S,,,tr+.-iiv;:.....btN`l.....kt i+e• 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) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ 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 city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: �/ ,oL_, iw.f:.i .,_ ...kr DATE: �� 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR. I OR;OFFICE USE.ONLY:Al EW, ❑ADDITIONF U ALTERATION :110Alita,14 a TEiVANT=IMPROVEMENT =f_ '"CENSUS CODE: esfirai.-i -,---�` '�,at---iLOT$.SIZE�='- -•-•.,-7-.:'-'1 '- = -` 'V= r ___ �O'�ING'�,p:�GNsAT�O : 2_��'__LL-, m�� a rliUiiLDINGSHELIONLY?nri1(ES.�;1-3=NOV `==12= OMP DESIGNATIO`•::' __=,:=T • (BASIC •---7L? ©.31(FS031JPi O ti { , W41 QTOWNSHIP 7_ R/1NGEa l#NEW•-.ADDR UIRED? .PUZIMrea KM _ ATFEOTi481r • _. J:NO�--42 . . CidEAF :7-=, yp:YS sviisMr5-� - COMMUNITY DEVELOPMENT SERVICES.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com .