05-104588 City of Federal Way Electrical Permit#: 05 - 104588 - 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) 835-305(1
Project Name: WASHINGTON STATE BANK
Project Address: 32303 PACIFIC S Parcel Number: 150050 0090
Project Description: Install low-voltage CCTV system.
Owner Applicant Contractor
WASHINGTON STATE BANK ALLIED SAFE&VAULT CO INC ALLIED SAFE&VAULT CO INC
32303 PACIFIC HWY S 5901 4TH AVE S 5901 4Th AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98108 SEATTLE WA 98108
(206)767-2500
Electrical Fixtures
:74---47=4741, �"' �� "•` ' D@SCC1p0b6
Low Voltage-Other Commercial 6175
PERMIT EXPIRES March 29,2006.
Permit issued on September 30,2005
I hereby certify that the above information is correct and that die 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. 4 ti
See Application ec Application
Owner or agent: Date: r" a 1 jo]j
FINALED
(°Z( 5
U
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-104588-00-EL
Owner: WASHINGTON STATE BANK
Address: 32303 PACIFIC HWY S
FEDERAL WAY, WA
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) ❑ Ditch cover(4030) s 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) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date 67; DatelU—,7
❑ Under-slab groundwork(4295)
Approved
By Date
�Cv` 7PMENTR�t'Hn�
d�IIMUNIT`f� V Ll_ ��MMUNITYRECEIVEDBYP
FtfgENT-
„ „- 2%35
Federal way” PERMIT :-).EP 0 2 1OO MF CO M E L DE EN FP
CUMAR$111Y DEVELOPMENT SERVICES
33325 8TH AVENUE SOUTH•PO BOX 9718
253-D835-2607.FAXFEERAL WAY,WA 98063-9718
253-835-2609 APPLICATION TO /
www.cituoffederalwau.com
The ollowi • is re•uired in ormation-an inco •tete a••lication will not be acce•tedL Please •rint le•ibl in • • •e.
22 (� IN PROPERTY INFORMATION
SITE ADDRESS ,J? 3 PG-CL h�, ,`w�1 / T SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 00/�J S_�C - �' Cr V' LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
1 p W V D I P 0 DEMOLITION l ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTI N(Provide detailed description of work included on this permit on/u)
1 _�C &Us1 X C C;-rI c/(rsq'C 1
PROJECT NAME(Name of Business or Owner Last Name) V V CJI t( 0+25r) zcu vk_
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1/ Q- r S � ( ) -
MAILING ADDR S CITY,STATE,ZIP
Scan-e_ cLs cLbov-(_ qg00.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
AI I.( 'A-- V 1- use (kto )1(7? -a5a0
MAILING ADDRESS CITY, ,STATEZIP CELL PHONE
tot L- `= A S s, t IAA q@D ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
) q - q C)1 - ( 0 -7 0 3 - B L )2- / 31 / o5 ( ) 7(`7 -Q3L5
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
AyL- sva sari / 3) / o(o
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP �' CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
` ''` '" , AME
LENDER �',?er.i2GW T 9�7��95 Lender�n,)` tion is �
�'� regtcfred ,pr�ect value T,,stis�S,pOLI s
MAILING ADDRESS CITY,SPATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE G�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 9) 5 QvCQ ) r
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
41 (>
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ��� PROPOSED
ror w for v axisrmo tot w raoross o sr Tox w er'
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of future to be installed or relocated as partof this project. Do not include existing futures to remain.
MEC&AJVICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Comm«cisl) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(roBot) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
_ LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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 Wag,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. Q�N
al/trail
NAME/TITLE ��,' �""'/�-(.1�1 ,1 DATE C1 A.
)/O
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
e , • e ,
NE�11
n ADDITION a AI� RATION 'REPAIR i TENANT IMPIOMEN'r
BUILDING SHELL UNIX?- ' YES .a NO BASIC•FI a YES 4 NO
ZONING DESIGNATION ... ,. CHANGE OF USEEE„e?;`', a YES a SIO
NEW ADDRESS REQUIRED ; .,,r,i .. ca N(11::, UI'/ E A% U? ct SFS ca NO
PLATTED LOT? XFS o*Cil PERMIT RQUIIA2 ' r ,„6 No,r
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application -