03-102517 City of Federal Way
Community Development Services Electrical Permit #:03 - 102517 - 00 - EL
, 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: PAVILION CENTER II(BUILDING F)
Project Address: 31827 PACIFIC S Parcel Number: 082104 9126
Project Description: Install underground secondary conduits from utility company transformer vault to future tenant
building pad location**CONDUIT ONLY**
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC SELKIRK ELECTRIC SELKIRK ELECTRIC
HARSCH INVESTMENT PROPERTIES LLC SELKIRK ELECTRIC SELKIRK ELECTRIC
1121 SW SALMON ST 14136 NE WOODINVILLE DUVALL RD 14136 NE WOODINVILLE DUVALL RD
PORTLAND OR 97205 NORTH BEND WA 98045 (425)888-3330
PERMIT EXPIRES December 16,2003.
Permit issued on June 19,2003
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: VG.�� Date: e.//4/o2Od3
Apio
r-0-49
1)6-7
RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER:03 - 02,5-4.7 -a)
Federal Way JUN 1 92003 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
OITY OF FEDERAL WAY
*' The foil JXimg98- 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: 2)I a�7 PIAG H!‘t- S S . ASSESSOR'S TAX/PARCEL #: Q 23"2/ ���
- C
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
TxELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /L S7• 4 / / 1.).A-5 6",ea Rbtik,kJ 6 `5" 00/1/4.ji7AIet
7N(`L.&1 rs F� u T I I,T y cu. I44) c 2 inn CScie- 64 ( l= --7-0 Fi., -„f t_4--
1 FA/FI/ om •k` e, /(D i kk� -pp 1) L.c , i-)c�lJ ( cciA) .01_,,T. b►J L I-( ,
PROJECT NAME: '7i4 V////O/✓ 7�s'nI7-CQ 4eLA/ t7iA.)C. �F
I PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
///445e/4 /, �kfc it e ri s I ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
IIv7/ ,5 ;Ai (54/moo Sj_ 'PORT/AIJi') D -
CONTRACTOR: NAME: I DAYTIME PHONE:
5'6-6 i/ZK (T/c`•-cr2/c (425 )& -3330
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
408 /✓o. /w/4i/4 /1/4s1e7? &---4..)i) 60A. •=18D4s ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUM R:
?0 - 0 21 - / a 4 4 i-C) - 0 0 (QS)8 3377
D
f I l R 8 I i
EXPIRATION/ z-003 3
(copya card required) E G K I E � G- /" oC�
i
APPLICANT: I NAME: DAYTIME PHONE:
�(FLx/oeK c/-CT-,e i C. ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
l ad 8 Nom- /fdi4/.0 /S,er/J 3 &1Th w�, 986 4 S' ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑TENANT (!f-OTHER(DESCRIBE):C AJ R/ (7b1L ( ) -
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT (XCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
,
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 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
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: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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(including costs,expenses,and attorneys'fees incurred In the
Investigation and defense of such daim),which may be made by any person,induding 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.
NAME/TITLE: .<(,) 6 C up-r DATE: 6/`7/2 3
o PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY: :
17 NEW .fEt ADDITION , ., o ALTERATION . m 0 REPAIR ri TENANTIMPROVEMENT - •
-LOT --� " $
;ZONING DESIGNATION w ;; r .;; BUILDING SHELL ONLY?`-❑YES -❑ NO
COMP.PLAN DESIGNATION .. . BASIC PLAN?._C"-'2 0 YES ='o NO
SECTION* . TOWNSHIP ,= '`RANGE NEW ADDRESS REQUIRED? oES ~ '❑ NO
PLATTED;LOT? ".-'11 YES . o`NO = CHANGE OF USE? ❑YES' -0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www•dtvoffederalway.com