03-105126 •
City ofFederalWay
CoommunnityityDevelopment Services Electrical Permit #:03 - 105126 - 00 - EL
33530 1st Way S .,
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129a. _ Inspection request line: 253.835.3050
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Project Name: ALASKA USA FEDERAL CREDIT UNION ,r.
Project Address: 1207 S 320TH 5r- Parcel Number: 150050 0020 •
Project Description: Install low-voltage security alarm and closed circuit vi‘o systems.
Owner Applicant Contractor
1560 INVESTORS LLC • DIEBOLD INCORPORATED DIEBOLD INCQRPORATED
200 S BROAD ST#6 3415 S 116TH ST SUITE 113 3415 S 116TH ST SUITE 113
SEATTLE WA 98168 SEATTLE WA 98168
• ' • (206)241-3600
'Electrical Fixtures
Description Quantity [, Description 'Quantity Description Quantity.
FLow Voltage Burglar Alarm-Residen 466
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PERMIT EXPIRES May 15,2004.
Permit issued on November 17,2003
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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: j–C j: _. Date: i i — 17—,e)
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RECEIVED
CONSTRUCTION PERMIT APPLICATION
CITY OF
NOV 1 7 2003 APPLICATION NUMBER: O_3 _ L a T L (a
Federal Way _ .(.
APPLICATION NUMBER:
CITY OF FEDERAL WAY (APPLICATION NUMBER: -
BUILDING DEPT.
**The following 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
-11
SITE ADDRESS: 10-C753c.)--1) ` ASSESSOR'S TAX/PARCEL #: ,S-0 0,5-(5 - Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL a DEMOLITION
(ELECTRICAL a ENGINEERING ❑ FIRE PREVENTION SYSTEM T
PROJECT DESCRIPTION(Provide detailed description): B�(ZC— 2 4 £_�1�-- 4 d_LbSEb. t(PZ-Lt I '�
V1 C7 S`r'S r A/
_ 1
PROJECT NAME: A tfr L t �� n � ��! /j G/� ' , • /
IN PEOPLE INFORMATION:
PROPERTY OWNER: NAME: DAYTIME PHONE:
l )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
4
CONTRACTOR: NAME: DAYTIME PHONE:
b tE130 Lb 1,\\c- 42C ) (
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): , I EVENING PHONE:
1r S < l ( !P ' Sr STE_ 147 )
1s"- I CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: 2103 I FAX NUMBER:
3��3Y - Lb 233( - t2e4)6ir -i
3 CONTRACTORS REGISTRATION NUMBER:
I IXPIRATION DATE:
(copy of card required)
APPLICANT: NAM DAYTIME PHONE:
"lr'(1S12l t )7 -tr.-ze 7
` I MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): eCietlEVENING PHONE:
�?1_. I6 1Sr Sr& 1 / /rLE; -
RELATIONSHIP TO PROJECT: FA
// _ FAX NUMBER:
0 ARCHITECT ❑TENANT Kf OTHER(DESCRIBE): /t4S r-/ft(.e_f. ( ,_)
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER XAPPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
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**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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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(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. ff
NAME/TITLE: -'�/ DATE: 1 I' (7
❑ PROPERTY OWNER {1Q'APPLICANT ❑CONTRACTOR
-FORAFFICE-USE ONLY:;,{
3p NEW. =Th ADDITION []ALTERATION .• REPAIR� • 7TENANT-IMPROVEMENTS , ...
CENSUSCODE -�0 ;aLOrSIZE km- - :� 's,, ,
r
"ZONINGDESIGNATION„ a 0 BUILDING SHELL ONLY? ❑.YES =❑NO "
COMP PLAN DESIGNATION - k, °
, ,_, �.,,...,_•,�.. �
SECTION TOWNSHIP. RANGE _NEW ADDRESS REQUIRED? .- f` ❑YES :n NO
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PLATTED LOT?443 YES r Yo NO
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000.FAX:253-661-4129
www.dtvoffe ieralway.com