04-104868 o.
•
City of Federal Way Electrical Permit #: 04 - 104868 - 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) 835-3050
Project Name: MERRILL LYNCH BUILDING
Project Address: 31919 1STIS Suite200 Parcel Number: 072104 9133
Project Description: Altering 2 circuits for 2 emergency lights in the hallway
Owner Applicant Contractor
OMNI PROPERTIES SELECT ELECTRICAL SELECT ELECTRICAL
31919 1ST AVE S SELECT ELECTRICAL SELECT ELECTRICAL
859 S 36TH 859 S 36TH
\FEDERAL WAY WA 98003 TACOMA WA 98418 (253)861-1094
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 7„
PERMIT EXPIRES May 31,2005.
Permit issued'on December 2,2004
I hereby certify that the;above inforination 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: /� /2/,
y
THIS CARD IS TO REMAIN ON-SITE r i:
CITY AOF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104868-00-EL
Owner: OMNI PROPERTIES
Address: 31919 1ST AVE S Suite 200
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.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ► Final-Electrical(4055)
Approved Approved Approved
By Date By Date ;
AP Date a •
❑ Under-slab groundwork(4295)
Approved
By Date
' cmoF ECEIVD — )''
Federal v� ED y — � / 0 4-� (p
COMMUNITYDEVELOPME (�E PERMIT SF MF CO EL PL DE EN FP
33325 8TH AVENUE SOUT1iMf�B'B9X97� z 2004
FEDERAL WAY,WA 98063-9718 APPLICATION IT.
253-835-2607•FAX 253-835-2609`
www afuoffede*NcOF FEDERAL WAY
BUILDING DEPT.
The following is required Information-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
,:. :'. ..:..; -:'- -:.. PEINFORMATION
. •.� � PRO�RTY ,�y�
SITE ADDRESS 7 / 5(/r t ZQ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I 72- I 111"111 -- 3 3 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoopion)
`, - ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING D PLUMBING 0 MECHANICAL
0 DEMOLITION, ,'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
'`1� - i
.� ,tel /lest
PI
PROJECT NAME(Name of Business or Owner Last Name) eM ��Il`,,' I
I♦ PEOPLE INFORMATION
PROPERTY NAME \ T�"t
OWNER c/4'2/4I{ (fie ) e! 1.k s (ARB )PMARY HONE
MAILING ADDRESS / CITY,STA E,ZIP
31l9 e . S, a( u -r/ ire 4 9-veg
CONTRACTOR COMPANY AME APPLICANT NAME OFFICE PHONE
e-1Qc+ Ele.ctric 74,1y0 ••vim (2S ) �-3a- 72it)
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
4S9 Si 3 -'1 T' g w94, �y/3 ( 25:31232.- - ??
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER /EXPIRATION DATE FAX NUMBER
0-Q 1- f 0 2 S--- g L- B L / / ( 2s3)S3 -/z-fS
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
S _e.-_/ e- C €- _i f _S-R / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME~;1 a i y 0 �v(�f(/n� PRIMARY PHONE
(?S9 ) z-31 -7? E-MAIL ADDRESS
�JI
LENDER Per RCW 19.27.095: Lender information Is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
,... ■ DETAILED BUB.DING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
^FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING MD PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
y - P TURES
Indicate number of each type offixture 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(comm<rd i) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShowerCombo) SHOWERS WATER CLOSETS(rott<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Soaks) VACUUM BREAKERS ELECTRIC WATER HEATERS
--. . ';DISCLAIDER/SIGNATUREBLOCK ;, - ;
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 by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance o the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. � y�� �n
NAME/TITLE .' " --1 •• 10 /_'% / �1►'L 1�J�l W g9 DATE DeC i Z- 241
(Sign..ure (Titled
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY r
o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES 0 NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
I
Bulletin#400—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application