05-102882 V
City of Federal Way E1 Qactrical Permit #: 05 - 102882 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: SAFARI TAN ,
Project Address: 34029 HOYT SW SuiteB Parcel Number: 308900 0385
Project Description: Low voltage fire&security alarm.
Owner Applicant Contractor
SPEARMAN DEV GROUP LLC FIRE PROTECTION INC FIRE PROTECTION INC
PO BOX 12642 PO BOX 12642
MILL CREEK WA 98082 MILL CREEK WA 98082
(425)290-9600
Electrical Fixtures
Description ;Quantity Description Quantity; Description j;Quantity
Low Voltage Fire Alarm-Commercia 1500
PERMIT EXPIRES December 24,2005.
Permit issued on June 27,2005
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.-- t'n
f( /2 Date: h2.7(').51.---"
\(
V1)
\‘`..
2� FI NALED
r ` THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102882-00-EL
Owner:
Address: 34029 HOYT RD SW Suite B
FEDERAL WAY, WA 98023-3208
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service (4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover (4020) ❑ Fina Electrical(4055)
Approved Approved Approved
By Date By Date �,1.�- Date 6,_- __ 5
❑
Under-slab groundwork(4295)
Approved
By Date
V. .. R
•
CITY RECEIVEC l / 5 - _id // �. F //
Federal Way PERMIT SF �T ii�� .iL�
COMMUNITY DEVELOPMENT SERVICES SF MF CO 1. /PL DE EN FP
3332FEDE5 17 AVENUE WAY,SOUTHWA98•PO BOX 97111()N 1 ?L P P LI CATI ON RAL 063-9 71 8 'ID / /
253-835-2607•FAX 253-835-2609
.:ru,,it-,flerua,ay.c.rt,ITY OF FEDERAL WAY
The o , , is _, I'.,, 1L an bloom,fete , ,,lication will not be acre,ted. Please ,r nt _',l_ (in ink)or . 1 .
IIII PROPERTY INFORMATION
SITE ADDRESS 3cf Q1 O Ploy Poor( j(,L)
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
/Attach separate poge for Fe-Why legal description)
• PROJECT INFORMATION
TYPE OF PERMIT E BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION /t ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Oki 101:7 -T. I , R_ caRrr'f s 's-f M si t-1-0(0.- FM L !(E
tr ( )
PROJECT NAME(Name of Business or Owner Last Name) J _ I on
II PEOPLE INFORMATION
PROPERTY NAME
/ PR[ PHONE
OWNER >�y» .004(Or i'/tz„^{ ( )Fg q'<'.
MAILING ADDRESS ---, Cay STATE.ZIP
X113 r# .5 . tF7 (Ain asyty'
CONTRACTOR COMPANYNAME APPLICANT NAME OFFICE PHONE
+(QQl - ( „( hf' r^Jc RL ���r
/ fzi ) 3
0 - J6
MAILING ADDRESS CfY,STATE,ZIP CELL-
(7?O G b,or lccd , -,..w.e a (4(r c g z. / ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
�0 0 - t 0 - _ y g if 0 0-B L / / ( ry7-1 ) fj7 - .Ve
CON'TRACTOR'S REGISTRATION NUMBER(copy of card re with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
- - T/( ./kJ`, Roy (.- , Cwt/1 ( -zg ) 73a - ql cad
MAILING ADD CITY,STATE,ZIP CELL PHONE
T-7 G i a'sct/; iz4, -f/ -(4 Wi 922_0V I ) -
RELATIONSHIP TO PROJECT ,,,,� / FAX NUMBER
0 Architect ❑Tenant 0 Agent 'Other(Describe) COP- ttAY?4'I'j(` ((f ) 353 (/r(j/
CONTACT NAME PRIMARY PHONE 7 7 0
�1 E-MAIL ADDRESS
KQL1 L., ` ( m ) `b -5-tv
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
11 DETAILED BUILDING INFORMATION
EXISTING USE . PROPOSED USE 8
n
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I/IYe. '1rt
SPRINKLERED BUILDING? 0 YES ( n)0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?('ES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
t
r , y
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ. SQ.FT. SQ.FT.
• FIRST
N Ir9'{2r n/ Sr/Scor
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED PROPOSED TOTAL TOTEXISTING Ilir TOTAL PROPOSE!PPTOTAL Sr
"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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUL is GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower combo) SHOWERS WATER CLOSETS("woo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom sinks) 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 made b. any perso including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of .,in lud' officers and employees,upon the accuracypartof
this application. (f�// of the information supplied to the city as a
�NAME/TITLE _�� aM r ;d - ( J +jt0j f DATE /
(Signature) � e)
RELATIONSHIP 0 PROJECT ❑ Owner 0 Agent o ntractor ❑Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? 0 YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Perrnit Application t