01-104307 City of Federal Way Electrical Permit #:01 - 104307 - 00 - EL
Convnunity Development ServicesF 1 LE • ,
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: LLOYD ENTERPRISES OFFICE BUILDING
Project Address: 34667 PACIFIC S Parcel Number: 202104 9160
Project Description: ELE-install low voltage work for 13 zone temperature controls in office building.
Owner Applicant Contractor
LLOYD ENTERPRISES,INC CONTROL SYSTEMS CONTROL SYSTEMS
PO BOX 3889 2100 196TH ST SW 2100 196TH ST SW
FEDERAL WAY WA 98063-3889 LYNNWOOD WA 98036-7082 LYNNWOOD WA 98036-7082
(425)673-4446
Electrical Fixtures
Description Quantity Description v,. „ "Quantity Description _Quantity
Thermostat 13
PERMIT EXPIRES May 6,2002,IF NO WORK IS STARTED.
Permit issued on November 7,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use •e in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W.
Owner or agent: ,,f/�r�� Date:
114
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City of Federal Way ' Iectrical Permit #:01 - 104307 - 00 - EL
Community Development Services �!
33530 1st Way S I,
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LLOYD ENTERPRISES OFFICE BUILDING
Project Address: 34667 PACIFIC S Parcel Number: 202104 9160
Project Description: ELE-install low voltage work for 13 zone temperature controls in office building.
Owner Applicant / Contractor
LLOYD ENTERPRISES,INC CONTROL SYSTEMS CONTROL SYSTEMS
PO BOX 3889 2100 196TH ST SW 2100 196TH ST SW
FEDERAL WAY WA 98063-3889 LYNNWOOD WA 98036-7082 LYNNWOOD WA 98036-7082
(425)673-4446
^ r
Electrical Fixtures
a° VD10-4. iii* (Quantity iw
1Quantit}
Thermostat 13
PERMIT EXPIRES May 6,2002,IF NO WORK IS STARTED.
Permit issued on November 7,2001
•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 Way.
Owner or agent: i jr �r�( 1 `g y,.j' Date: (.`_,, €777! f \�`!
'– /—°7-- Z Nd - 4-rz. C–eii .41 y5 G i/
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an°F = '"' CONSTRUCTION PERMIT APPLICATION
EJ'zi=L APPLICATION NUMBER: d t -40
APPLICATION NUMBER: _ _ _ _ _ _ _ _
'''L vvi1Y APPLICATION NUMBER: . _ _ ,_, ... _
LA i Yr , -, _ _
BUILDINCa 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
34+Iou 1 P Ifc- Hwy. s,
SITE ADDRESS: FeclCral a1,) I I/J a. 41 8.00 9) ASSESSOR'S TAX/PARCEL#: Z 0 7/` C e- , ( ,Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBIN e o M ICAL o D- ,•LITION
R6LECTRICAL o EN INEERI ... FIRE ENTION , M
PROJECT DESCRIPTION(Provide detailed description)* PN I 6.411.6.411./A4 /h S k L ( J Z avy C
T( AA p Ell 4+L)126-- Cw+ -,,,, ,'
PROJECT NAME: L CORP. ":4-TE `,
51 PEOPL 'NFORMATION
PROPER 'NER: .� '� � Y, - YTIME PHON
I 0 �, _ _ - , • , + 1 - 31-80
MAN •RESS(STREET ~ ;CITY, .•): Y;
• r"3c 3`2 1 Rdcrai GuAl ' W• ` .b3
CTOR: NAME: RDA PH•
CON S STE-1S 1N t • l ,) i Llzl
MAILING ADDRESS(` ADDRESS;CITY,STATE,ZIP): ) c�z • 'NE:
LIDO I�l(o-moi ST.S.UJ stc its LYt`i , 0 .4i 4'80 ,.' , , ame
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
_ — _ 'I _ __, (1-25) '13 - 2no
CONTRACTORS REGISTRATION NUMBER: l, e�. a PIRATION DATE:
(copy of card required) c o Ll R At 0 o _ _,..;. 03 / 0 3 /0 Z
APPLICANT: NAME: DAYTIME PHONE:
(`ANTROL Sy ST 1S ( 1 bar, Z (42i ) (0 13 - '-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP)! EVENING PHONE:
2-1001eilo `' sT s.ki. s 125 LykINwooi) wA ggo3&- S
2-( — ) SAE
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT WOTHER(DESCRIBE): in.P CoN C7D12. (11-25 ) Co 7 - 23K,
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR D V.J)'A R IAZOJCICS.Corr)
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES a NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o 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 COOLERS) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.( )
COMPRESSORS) FURNACES)
DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) 0 ELECTRIC
Do
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINK(S) WATER CLOSETS) MISC.( )
INTERCEPTORS) SUMP(S)
MI 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, . . .my where such Balm arises out of reliance of the city,including its officers and employees,upon the accuracy
of the inform. pplied to the asap f th�'plication.
//_ 7-0i
NAME/TITLE: DATE:
d •
o PROPERTY OWNER 0 APPLICANT CONTRACTOR
1=01 OFFICE USE ONLY:
[i NEW ) 'ADDTRON o ALT RATION o'REPAM a TiNANT3IMPROVEMENT-
3�CENSUS•.COAE.,... .... LOT SIZE:.
ZQIVIiVG,OE;IGNATION BUILDING'S HELL ON LY?; C�YES 0 NO„7
.� 33. 13 X3 ,
COKING DE DESIGNATION ' BASIC PLAN? OYES
SECTION ttSWNSFlIP RANGE' NEW'AD?KESS REiZUIRE6? t YES
CI NO
.P),ATTEDLOT?,...,, CI YES:_ :Ci NO CHANGE'OF,USE?3,' 3, , ?1,[7.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