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02-104288 City of Federal Way Community Dei elopment Services Electrical Permit #:02 - 104288 - 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: SHELL OIL PRODUCTS US Project Address: 28806 PACIFIC S Parcel Number: 042104 9088 Project Description: ELE-Electrical work for the installation of(1)freestanding sign to existing j-box. Owner Applicant Contractor EQUILON ENTERPRISES LLC RHL DESIGN GROUP,INC.*VANESSA MYI BERRY NEON COMPANY INC. (ELECRIC, RHL DESIGN GROUP,INC. P.O.BOX 5269 1550 140TH AVE NE SUITE 100 LYNNWOOD WA 98046 BELLEVUE WA.98005 (206)776-8835 Electrical Fixtures Description Quantityescriptio>11.`";a `:1Quantity Description w; ;-{Quantity Sign 1 PERMIT EXPIRES March 31,2003,IF NO WORK IS STARTED. Permit issued on October 2,2002 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 ' accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: /0---7-‹. _ - o3 Day -ice F(//ii-L-- ra-0 ee, 9112-fil 1- AT o s. E C_Df_A- c77OA1s c,) /ir`-tf A./ Ep • aT.O RECEIVED CONSTRUCT I ION PERMIT APPLICATION • AL APPLICATION NUMBER: U Z uv FOCT 0 2 2002 '��- 1 - �� - APPLICATION NUMBER: - - CITY RR''OFnnFEDERAL WAY APPLICATION NUMBER: - - **The 1`b't1II''' Ci % s9 ccuT,'ed 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: 2...S8b4. p4u rc ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): se- ' .■ PRO]ECTINFORMATION`. •• • •. '- - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): r -34 f c CI) IL Sy //�4 S em. PROJECT NAME: 5k /( • PEOPLE INFORMATION . PROPERTY OWNER: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: �e�r ./l/evAi (c (4? "--) 776 -gSS3s— MAILING ADDS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: Ro. Sc-,‹ ,c-z_ ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: r FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) 3 r r_ 41 c-c, FC S=. 4_3_ _ b / Z 3 / U APPLICANT: NAME: DAYTIME PHONE: s retie_ /'moo i ('W1.N) 776 -E3s MAILING ADDRESS(STREET ADDRF S;CITY,STATE,ZIP): EVENING PHONE: fav . i3cx- x265 �r,..,,. t..ocC� ` �+'• ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION • • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ 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: *yam. .,...- ..-a..a:...s.o-e.•...:. .My.......,..w.. .. sNc�=cwv*sin.'[•afr,NwswSw�.iir�•FiAVRES'7t.nw,ofavz�i•:Ne::n•rw.•.r+...Awax3.r.i..u.ie*r .�av�•.r.(+ww+�.-.�aN'�,..kf iroa J 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 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,including the undersigned,and filed against the City of Federal Way,but only where such dai • arises ou •f the reliance of the city,induding_its officers and employees,upon the accuracy of the information supplied to the,.;•'as a p. • this.. • NAME/TITLE: DATE: Z ❑ PROPERTY OWNER ❑ APPLICANTONTRACTOR -i1 OR OFFICE USE ONLY:11 EW� ❑ADDIiIU[N1 ❑ 1LTERATION: 'in,00AIRAs 3 li ENANT=IMPRUVEMENTe3 =_ CEN-SUScODE: _. ti =T - O _G`► GNATO - =x 1BUxLDI -G�SHELlON Y? CINfES' C3=NO ' MP S ESIG ATIO - TgC ©y ^ M. . ,�nrvzzo�..-zess wx:z e4-- �-��Y ��s!!lCfPr+R'' �4�"n:e.3 L ti-v^ r'• ;�SECTION��„�=TOWNSHIP�,a;;��,RANGE� ,�r;�pDDrtESS�.REQUIRED? '��'�f,ES�-__ 0?.:i�0�- - :ra EDLiiT?'=- ,17NU-- _ :,` _-atCANGEOrUSE?.-±-.11T 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