03-105203 City of Federal Way
Community Development Services Electrical Permit #:03 - 105203 - 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: VOICESTREAM @ LAKOTA
Project Address: 1200 SW 312TH S Parcel Number: 416800 0010
Project Description: Alter 100-amp service for T-mobile
Owner Applicant Contractor
Sound Energy Puget &Elec Puget MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
PO Box 90868 MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
18612 142ND AVE.NE. 18612 142ND AVE.NE.
PO Box 90868 !Bellevue,WA 98009-0868 WOODINVILLE WA 98072 (425)483-2677
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES May 19,2004.
Permit issued on November 21,2003
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 ith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: //-2/-0 3
- - ry Q
c_Cy -c,j- RP 532
Y, 4 .
«^ G CONSTRUCTION PERMIT APPLICATION
\>\> RECEIVED A3LICAi-ION NUMBER AArrm�
C C .1
APPLICATION NUMBER y
NOV 2 1 2003
APPLr4GXTIUN NlIM6ER
**OkTYoAtMkRt�ildfunformation—Please print(in ink)or type**
BUILDIG`DEPT,
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
_ ■ `PROPERTY INFORMATION
,31n E ADDRESS: I °0 c `' 5121' _
ASSESSOR'S TAX/PARCEL#:
c AL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO]ECT INFORMATION
E OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
•JECT DESCRIPTION(Provide detailed description): K k-i.- 100 01-04._p -tib (,�—
OJECT NAME:
■ PEOPLE INFORMATION
-',OPERTY OWNER: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
(
ONTRACTOR: NAME: DA ME PHO E:
riA►*J Dk Et; r Q
te- C In (42)43 X77
MAILING ADDRESS(STREET AD ;QTY,STATE,ZIP): *V-1.111, `E 1NOIG PHONE: F\)(
1853B I+ -' WOoctinvi Ile LOA Q8-07 -. (AD-5)44,o _ -C110
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
— J Qt t o S > j (4i o -910
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE:
( of required, m 2 _f p AAA) 71041O4
APPLICANT: NAME DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING H ONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
EMAIL 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? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
i PROSECT 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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTORS) SUMP(S)
IN 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
rther,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
rther agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the
1 vestigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
-.eral Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
.f the information supplied to the dty as a part of this application.
NAME/TITLE: L Cu )/(. y DATE: NEV /l! 7-0 O
❑ PROPERTY OWNER 0 APPLICANT CONTRACTOR f
3EOR OFFICEjISE NLy.
EWMce ADDITION SCI ALTERATION— �, E � • V �`
EPAiR� �TENANT�IMPROVEMENT z
'lb!NI eESIGNATION • BUILDINGSHELLLONLY? ,YES; NO E �
OM L'D. IGNATiON BAS �P ESit ® O ""
SECT DNN� TOWNSHIP #tANGE ?
�., � �� � � � �� �NEW ADDRESS�EQUIRED _-azo �(ES �,��NO -
¥,,PLAT�YED OTS . U XES r( .: CFIANGE O.,F IISE? ,a ❑ ( S._ ONO S
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129