03-104684 City Federal Way
Community Development Services Electrical Permit #:03 - 104684 - 00 - EL
Community
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: EMERALD CITY SMOOTHIE
2tz
Project Address: 232 -SW 336TH Parcel Number: 132103 9097
Project Description: Electrical for illuminated cabinet sign.
Owner Applicant Contractor
EMERALD CITY SMOOTHIE INTERNATIONAL SIGN CO INTERNATIONAL SIGN CO
2020 320TH ST S BLDG A STE E 12414 HWY 99 S SUITE 2 12414 HWY 99 S SUITE 2
FEDERAL WAY,WA EVERETT WA 98204 EVERETT WA 98204
98003 (425)741-8877
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Sign N 1
PERMIT EXPIRES April 11,2004.
Permit issued on
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 ac ordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. 40
Owner or agent: /rd / Date: t( /
//— X j —zir 1 'LyC/ firs C/\''
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VE®° • - CONSTRUCTION PERMIT APPLICATION
CITY OF e c...-
�� RECEf APPLICATION NUMBER: D3- LQ y 6 pi - E(,
Federal Way APPLICATION NUMBER: - -
NoV 1 O 203 APPLICATION NUMBER: - -
AY
"The ft4 wiire9sFktrii's.. ormation-Please print(in ink)or type"
Please note: Electrical, Fire Prd'entiionNS stems and Engineering y g g permits may require a separate application.
- ' U ,PROPERTY INFORMATION -
alsof
SITE ADDRESS: -At ill, 316 J-7 ASSESSOR'S TAX/PARCEL #: / 3 ca 1 O 3- , 017
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
XELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Z#1/i7.4 — ZLL afrm4/ 17r/) 7-11...0,7, e--*iZGIr"/O,i)_
r/AAVz090//C-7' .1/- 4.1 //�t,t-ci * �g J X 1tL mi 7& ea'-e, A.)-,s
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PROJECT NAME: .&:144577~,4-4-p C17Y jr,i-f s 7; ','
U-PEOPLE INFORMATION. ,- - .-
PROPERTY OWNER: NAME: ; DAYTIME HONE:
ffdl l tr/e/wr/7z I ( >76r rl'l7.j i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/77 a o .-.s Z; 2 a4.1'/; ,t o/7. ti/,Q_, p-0 9-2__
CONTRACTOR: I NAME: DAYTIME PHONE:
7ti7Ef?N4919/'4/4L S/4,) c 0. (izZJ-) 7 / -ov77
i MAILING ADDRESS(STREET ADDRESS;L'f/ CITY,STATE.ZIP): �. EVENING PHONE:
I / ' 1,4%, yrS, 99 2 8//8w,' e77� . f i ai0 ( 94--) T') -4t/17
! /1/ I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: l
(AL1-) -/4- 7
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy-of-card .7_. /1/ 7
of-card required) [
� S' C c) ( -744 7)J i 07 /O, I O,i
APPLICANT: NAME: 1/ (tl/ / 111 !I DAYTIME PHONE
N\ 14/ -P,
MAILING ADDRESS(STREET ADDRESS;CITY,STAT,ZIP: EVEPHONE
If z-94 y Sf s` 0 — 4(gall, IA113 1 t 2-, ; ( moi--) w - 4/7,
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT ❑TENANT O OTHER( DESCRIBE): ( 44f) 26t— /.-'7 i
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER O APPLICANT ❑ CONTRACTOR %'7t A.:, p*to( `�v/•Gom I
■ DETAILED BUILDING INFORMATION v
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES ❑ NO
•
WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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,induding the undersigned,and filgd against-the City of
Federal Way,but only where such daim arise3�Trt of the reliance of the dty,induding its officers and employees,upon tl' accuracy
of the information supplied to the dty as�a part of this application.
NAME/TITLE: CG/ 61 DATE: `7/) 3
❑PROPERTY OWNER ❑APPLICANT CONTRACTOR
FOR.OFFICE.USE ONLY: I
O NEW c :ADDITION o ALTERATION din REPAIR 0ETENANT IMPROVEMENT
CENSUS:CODE:4 . - inO " . . `..LOT SIZE
`ZONING:DESIGNATI ON, W ° f':'W. BUILDING SHEuLLON670;13 YES r>❑ NO
COMP PLAN DESIGNATION _ ' (BASIC PLAN?' `' =❑YES;'
.SECTION�-r TOWNSHIP x RANGE` NEW ADDRESS REQUIRED?, „ r.f:..o YES w,•6 NO
PLATTED LOT? '5'❑•YES 0410 ` `, CHANGE OF USE? a YES'"t'=a NO ,
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederaiway.com