02-105453 City of Federal Way Electrical Permit #:02 - 105453 - 00 - EL
Community Development Services
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: FEDERAL WAY PLAZA
Project Address: 31830 PACIFIC S Parcel Number: 092104 9221
Project Description: ELE-Running new circuit for new F/S sign
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES*SEA-TAC FULLER ELECTRIC FULLER ELECTRIC
2101 4TH AVE#250 FULLER ELECTRIC FULLER ELECTRIC
SEATTLE WA 37107 12TH AVE S 37107 12TH AVE S
98121-2317 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
4,4:4410ptiraike L, t ';
Sign 1
PERMIT EXPIRES June 3,2003,IF NO WORK IS STARTED.
Permit issued on 12 IS(D 2--
I
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: P6t., ct, �iv� iz�-�" Date: 1 "5-O Z
Ditch cover inspection:
Date
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: hI/ P
Dat
U
;°' c_�� R ��eD CONSTRUC I ION PERMIT APP ICATION
VV fay l�L 002 APPLICATION NUMBER: Q - LO ( 5- 6-3
DE 2 o
APPLICATION NUMBER: - - _
Y OEUE�AV-\AIP'NfAPPLICATION NUMBER: _ _ _
C'yv*0► I'6wiing 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: .3 l p 30 J ASSESSOR'S TAX/PARCEL#: .
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PLtrkNy Lot POWQr 7D Si9,1
_.10 'PRO]ECT INFORMATION'S .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Pr0v, c& 5 P, we- 7L-0 r)eW ;r► 04,—/K r75 L-r
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
SyLan/� Pi' A 4 (106 )vf/-/O?O
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
11 01 fv LA../ -& Ave 5f4
CONTRACTOR: NAME: DAYTIME PHONE:
FJ/ ,- ,/e cJr; C (2.s? ) ‘‘/-7/1/
MAILING ADDRESS(SWEET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
37/t� ) l 4m-- /9-vf- S v (253 ) 6 ‘/ - 7/s/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (2s3) 66/ -67-
CONTRACTOR'S REGISTRATION NUMBER: IEXPIRATION DATE:
(
(copy of card required) f u / e e -270 a. Z a k o / I / 2 / o V y
APPLICANT: NAME:
Llr. DAYTIME ONE:
e -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT Cl 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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO]ECT FLOOR AREAS •
• FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD -
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.. .n+„d.;,, -. ,. ...y ....:•allo�2vinrraAr�+saw:wiwMnY'yI�EFaA�URESJtwr6+i'xv+tei+:e%;w..n:+r..r.N..•wov3riw'R-Ac'fsm<9+ �iv4-ri �v '�aaM�mr.",wkti+4•..
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 daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such claim),which may be made by any person,including 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.
I
NAME/TITLE: . �� / DATE:
0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑-NEWS _ r ❑.ADDITION .
. -=:❑ ALTERATION REPAIR TENANT-IMPROVEMENT
CENSUS CODE _ , _ LOT SIZE
BONING DESIGNATION_y_ _ BUILDING SHELL ONLY?, ❑YES :; ❑ No
COMF PLAN'_DESIGNATION-.•'• 4 ;. - BASIC PLAN?r L7 fES ,NO= ' � . _ =z ' :
#SECTION _- TONYNSHIP, 'r_ , RANGE NEW ADDRESS REQUIRED?';.. '. YES ": -,❑ NO _':'
.`. CHANGE OF USE? _ ❑YES •=' ❑ N
=PLATTED LOT? ❑ YES `❑ NO ' . O -.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyofTedera Iway.com