06-104826 • r :
City of Federal Way Electrical Permit #: 06-104826-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SPORT CLIPS
Project Address: 1401 S 348TH ST Suite M104 Parcel Number: 185295 0080
Project Description: Installing a L/V security alarm system.
Owner Applicant Contractor
OPUS NORTHWEST LLC SECURITY SYSTEMS SECURITY SYSTEMS
OPUS NORTHWEST LLC 23416 SE 216TH WAY SECURS*136DK 3/21/07
915 118TH AVE SE SUITE 300 MAPLE VALLEY WA 98038 23416 SE 216TH WAY
BELLEVUE WA 98005 MAPLE VALLEY WA 98038
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -Con 980
PERMIT EXPIRES Wednesday, March 21, 2007
Permit Issued on Friday, tember 22, 200 41,
pr
I hereby certify'titat`the above,information is correct and that the construction oti tia above bribed property and
the occupancy:and the use will be in a ance with the rules and r ulat is of th g
tate of Washington
a�e City of Federal Way.
Owner or agent: Date:
FIALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104826-00-EL
Owner: OPUS NORTHWEST LLC
Address: 1401 S 348TH ST Suite M104
FEDERAL WAY, WA 98003
This card is part of your required inspection document& 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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.
.❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date BC (j Date/0_re.c,z,
❑ Under-slab groundwork(4295)
Approved
By Date
reaerai way RECEIVED C 6) 1 1 7. (D
PERMIT SF MF CO ME
QDN1/UM7YDEYELOPSIEATSERVICES 'L DE EN FP
LaSFEDFIRST ALWAY,O • BOX y�EP 2 2 2O PPLI CATI0 N D
FEDERAL WAY,WA 98063-9718 J
253-661-4115.FAX 25366/4129
uwm.cBuoireddrulawu.com
CITY OF FEDERAL WAY
The ollowi • is r-. .31. . Y . T... _art Inco •fete a.•fication will not be acce•ted. Please •tint Ie.ibl (in ink)or .
PROPERTY INFORMATION
SITE ADDRESS /Y(.)/ 5 3 L/5 S/. SUITE/UNIT# /77 /0 y
ASSESSOR'S TAX/PARCEL# — - _ _ _ _ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenphon/
. PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
a DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT /
DESCRIPTION(Provide detailed description[of work included on thispermit onl
�7s71-4,C 'o<i O7 Ai, llc)// j-e $ 'c6/ri G! 4f_,m? 7-.1-�P%j,
PROJECT NAME(Name of Business or Owner Last Name) .S�0'—t C/�S
PEOPLE INFORMATION
PROPERTY NAME h t }- • PRIMARY PHONE
OWNER (f� r►/w► ( ) -
MAILING ADORE CITY,STATE,ZIP
t
OFFICE PHONE
CONTRACTOR COMPANY NAME APPLICANT NAME
£ct,-7 Sys? - ( yam-) y/3 - .7.25-ir
MAILING ADDR CITY,STATE,ZIP (,r/?" CELL PHONE
.235'/6 SE 2/6 " li(/4 /170/e U7/ y8a.� 8 (1 06 ) 57° - 9f793
CITY OF FEDERAL WAY BUSINESS LICENSE MBER EXPIRATION DATE FAX NUMBER
q - q I-j v 6 9 0 5--B L /V 3/ / O 6 (y.2s-) y/.3 -q..)ys-
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
5 - C li /P S * / 3 i ,Q A`' 3 / 2/ / a7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent )d'Other(Describe) Cc. 4 a c fvh ( ) -
CONTACT NAME ,/ ' u
/ /'/ PRIMARY PHONE E-MAIL ADDRESS
Xi`/ / ei ye/ (92s) 9/ - 99_ Y' 4/44m/ 777 F� lto,c
LENDER Per RCW 19.27.095: Lender information is NAME
required if prefect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
S
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
1111.
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) 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 troika 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
ant 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 city as a part of
this application.
NAME/TITLE - J `/% C� .G_� s/ 4.2 •tom._ DATE 1
( tgnature) �Y`' (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE,ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application