05-100519 1
co,of
unity D vel Way
evelopment Services
Community DElectrical Permit #: 05 - 100519 - 00 - EL
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: ST FABRICATION
Project Address: 35703 16TH gEf1/4ve. S ^Rj►c19 6 Parcel Number: 292104 9107
Project Description: Install new 200-amp/480-volt service to Building E.
Owner Applicant Contractor
ST FABRICATION INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
PO BOX 876 4501 KENNEDY RD NE 4501 KENNEDY RD NE
AUBURN WA 98071 TACOMA WA 98422 TACOMA WA 98422
(253)943-0500
Electrical Fixtures
Description Quantity Description IQuantity Description Quantity
Service/Feeder.101-200 amps-Comr 1
PERMIT EXPIRES August 3,2005.
Permit issued on February 4,2005
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: "�� Date: 0 Q
FINALED
C �
b(A)
THIS CARD IS TO REMAIN ON-SITE -- -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100519-00-EL
Owner: ST FABRICATION
Address: 35703 16TH AVE S Bldg E
FEDERAL WAY, WA 98003
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.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date B . Date Z-zS-z:-o5-- By Date
,
❑ Temporary Power(4275) ❑ Service(4235) �❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By41----C 5 Date 6-77 ` By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By�(/, Date lv—A
❑ Under-slab groundwork(4295)
Approved
By Date
• RECEIVER
arrof iP....s ---
• Federal Way PERMIT 5 - / o,. �
COMMUNITY DEVELOPMENT SERVICES E L,Pi O 4 21' ! M F CO M D O PL D E EN FF
33325 3 AVENUE SO111Ii•PO BOX 9718
FEDERAL WAY,WA 98063-9718 A P P LI CAT I
253-835-2607•FAX 253-835-2609 r P
FEDERA_WAY / /
unaucatuoffedenhoau.rntn auII.DING DEPT,
The following is r-•uired in ormation-an incomplete • ..lication will not be acce•ted. Please •rint legibly(in ' or ty.
- - - , , /'- / MI PROPERTY
PROPERTY INFORMATION
SITE ADDRESS 3g -70 3 /(p ,e _Co /L / /h 5 L� SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I _292u2 15LO Z- _ ^ 4 ✓ 8/ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
IA teach upa.ate pogef lengthy legal description)
in PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
i
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) / /
inrTQit per ,200 ay £/ CL6/i- se -Leicc T'�c t«/deny
PROJECT NAME(Name of Business or Owner Last Name)
- $ PEOPLE INFORMATION
PROPERTY NAME� J /^ PRIMARY PHONE
OWNER �/ �/ca /1_i tr4► ..2---,4, (2,s-3)735- -2000
MAILING ADDRESS kJw
ATE,ZIP
35703 %6*ti Ole So Wit
CONTRACTOR COMPANY NAME APPLICANT NAME
// ll OFFICE PHONE
. e �; Beak Z c FP 70 An s a , (.75.3)9Y3 -0500
MAILIN`5V/ R /`ennecI A /4EC Ca ITY,STATE,to �//,1',4 P CELL PHONE o -
87,0
CI Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX
1 1-.9 e-a a O 0 6 L-B L / / (?S3)9Y3 0502
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ThrEcelik2isw r //6 /2006
APPLICANT COMPANY NAIIIE APPLICANT NAME
OFFICE PHONE
GNOA %Gc o h- ( 1 -
MAG ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAM ,,.... /N is, PRIMARY PHONE 12:" L ADDRESS
4 e 11-1- nsv�. czon eat -f17ir0 ham'
LENDER PerRCW 19.27095: Lender information is NAME
required ifproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE - PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES o NO
. WATER SERVICE PROVIDER Cl LAKEHAVEN o HIGRLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN a JUGHLINE o PRIVATE(SEPTIC)
ilk r -4
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
1
GARAGE 0 CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED SP rorwt aP
a. -
"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.
MECF&ARICAL
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
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/shower Combo)
SHOWERS
WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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 ini the investigation and defense olf
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its of, ers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
DATE Oz aSNAME/TITLE // .i (Title)
RELATIONSHIP TO •ROIJign�
❑ Owner ❑ Agent ❑ Contractor 0 Architect 0 Other
a!.!�-G"{ HELL •NLY,? CHAN :',.'',',:',,Z;EAIR EN 3P20VMNT
Da ALTERATON . aRPTTEDYEN-,--.1,-,,y-'2,....,.. ITION; BASIC ` 's z S ]
'i -,k111.0,..4,1, ; G-E'OliSE? :'' aYNO AiESIGNATIONx,,,,,,,I,,,,,,,,,, UP/SEPA/SUPYENO•UREDUYES .ISO# ERIIFQUIRED ., l• RSS, ` 3DEMO M , � ." NOED W -- ,- -
11
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Bulletin#100-January 7,2005 Page 2 of 4 k Handouts\Permit Application