01-100440 City of Federal Way Electrical Permit #:01 - 100440 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: PC CLUB
Project Address: 31840 PACIFIC S Uri+ A Parcel Number: 092104 9221
Project Description: ELE-Alteration of up to(6)circuits. Alteration is for(6)20-amp,115 volt circuits,plus install(37)
outlets for computer equipment and sales counter
rOwner Applicant Contractor
SEA-TAC CENTER ASSOCIATES J C RICHARDS CONST CO INC SHEPPARD&NELSON ELECTRIC
2101 4TH AVE#250 J C RICHARDS CONST CO INC SHEPPARD&NELSON ELECTRIC
SEATTLE WA 2411 SW 307TH ST PO BOX 3630
98121-2317 FEDERAL WAY WA 98023 (206)878-7333
Electrical Fixtures
Description Quantity . ,,,a''', ,' Description Quantity , ,,Description Quantity
Circuits- Commercial 6
PERMIT EXPIRES August 1,2001,IF NO WORK IS STARTED.
Permit issued on February 2,2001
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 Wa .
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Owner or agent: Date: Z— ®Z'ei
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�� INF CONSTRUCTION PERMIT APPLICATI 'N
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NO DEP yyrx APPLICATION NUMBER: - -
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* ThaWing is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
Pio ■ PROPERTY INFORMATION
SITE ADDRESS: 3 IO YO Ac, IIwy.fv. ,�u/7Y 4 ASSESSOR'S TAX/PARCEL#: a a Z I i2 : - 1 2 Z I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY)*
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■ PROJECT INFORMATION
v
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING I MECH - DEMOLITION
• 12I ELECTRICAL ❑ E, INEERIN c 1 FIRE P• ON SYSTEM
PROJECT DESCRIPTION(Provide detailed description):r ,41 S/je /16 7 .‘/,`..1 2c A-M p/ 114- [/o/T
G/IRGLI�S 1LS /� N� �/ / / e e7.5 4- A.4 //1YR
•
PROJECT NAME: f //1 b
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• PEC 'LE INFORMATION
PROPERTY OWNER: AME: , DAYTIME PHONE:
SC/4 'r r. A/ fj�t5oc, ( ) -
MAIUNG AD'• SS(STR• DDR ,STATE,ZIP):
2)0 1-16 vi . - Z-6 o, -re,F 4 , 1/ s . 3 ! 7
CONTRACTOR: NAME' , DAYTIME PHONE:
S ,eppnr• '6- AA,Is, l' le c- ( zee, ) 878 - 7333
y: NG ADDRESS(STREET ADD•+ ;CITY,STATE,ZIP), EVENING PHONE:
P.0. Box
3G3i K 4- , e8 0 3 ( )••• • •F FEDERAL WAY BUSINESS UCENS' M: 6 FAX NUMBER:
2 . • L 2 L89.5'�0°_ _ (24 ) 072 - 2I7
CO • 'R'S REGISTRATION NUMB- EXPIRATION DATE:
I /
APPLICANT: NAME: DAYTIME PHONE:
sl,,ip ,std 1 /vVfyoti E/ 7A — ( ) -
MAIUNG ADDRESS OTREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
,_54-11,11t_ A b A-k oe Y ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): Coo.4-7,Acl'oi^ ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT tif CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: STA`pJ&. ',vo t 1_EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: Lie•/ blitA 4'ArJIA I - A'.r 7AU`/ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ 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)
•
110.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 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 of the city,including its officers and employees,upon the accuracy
of the information supplied to the c ty as a part of this application.
D �
NAME/TITLE: n DATE: 2 O a -O I
❑ PROPERTY OWNER ❑ APPLICANT L'TCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION_ ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
lYIMMI DnIITV nrxrci r c,MFN r cFRVICFS•11510 FIRST WAY c.01IT1-1•P 0 BOX 971R•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAX'753-661-4129