05-104533 City of Federal Way Electrical Permit #: 05 - 104533 - 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) 835-3050
Project Name: ST FABRICATION-BUILDING E
Project Address: 35703 16THIS B1dgE Parcel Number: 292104 9107
Project Description: Alter 200-amp service for interior renovations.
Owner Applicant Contractor
ST FABRICATION ST FABRICATION ST FABRICATION
PO BOX 876 PO BOX 876 PO BOX 876
AUBURN WA 98071 AUBURN WA 98071 AUBURN WA 98071
(253)735-2000
Electrical Fixtures
L._ Description Quantity Description Quantity]j Description Quantity
Alt Serv./Feeder up to 200 amps-Co' 1
PERMIT EXPIRES March 5,2006.
Permit issued on September 6,2005
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: ' ]-c_.,�(= 2- Date: ---L9 "-0_5
/
44k111.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104533-00-EL
Owner: ST FABRICATION
Address: 35703 16TH AVE S Bldg E
FEDERAL WAY, WA 98003
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.
O Slab/Concrete Floor(4255) 0 Ditch cover (4030) 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
O Rough Electrical(4225) 0 Ceiling Cover (4020) :II Final-Electrical(4055)
Approved Approved Approved
By Date By Date B/V4Y� Date
J
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
Federal Way SEP 0 6 ZUUP RMIT 0_5- a _V 6 3 3
SF MF CO
COMMUNTIYDEVELOPMENTSERVICES1\1,L61), L DE EN FP
33325 8TM AVENUE SOUTH•PO BOX 97Mo TY O F F BUILD APPLICATION p
/
f
`--.- , jjFEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
Wwwi(vo$ed ralwavcorn
The ollowi • is re•tared in ormation-an Inco .fete a.•lication will not be acce•ted. Please •rant Ie.ibi in i or •e.
•` ■ PROPERTY INFORMATION ..
SITE ADDRESS 35?-03 j ///OF SCUTO SUITE/UNIT f E
ASSESSOR'S TAX/PARCEL# 2- -l I D 4 _ ' l 0 7 LOT SIZE(ss ZL)- 1(o
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)SE \1i OF tJ Va... of Y,-1 0P u� 14 l_F1 G 30 FT Fol.
(Att h separate po:e/ar lei I•Vol ductpto.V (r ive--I u, S l'` T
:1.:.•:*.:-.,:::.,•... 1,`r. ... . . .7.. . , ■ PROJECT INFORMATION .. ... . • . . . - , . .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION [$ LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
`GAJ T IAA/a-+ ►146-0-CS -- LLo 1 4- puvc_5 -- -`
c'X d rlr\)& `-)11-L)i E-
PROJECT NAME(Name of Business or Owner Last Name) S7 F-,- -p-i_tfes=[t o'er
s.,,. ...... ..,,.. ::„„.. .:.• .. . .. • II PEOPLE'INFORMATION - - • ..
PROPERTY NAME /ST
PRIMARY PHONE
OWNER �.'hIA.Ac> t*OLdj('1--s h l�C-- ulrn�, '" ° (253 ) �/ -/o,49
MAILING ADDRESS CITATE,ZIP -
tp. o . 1; I /4..vU, (k 6 03 I
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE
5 PT F-4bn_t c%?-((oJ, f ti c• TEz...Sc- Gt.-f- ‘.A&1 (?�'� )--i-_ - ?
zbo
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P- 0 , . ?(=.-S- g-- /4"1.6k-/L/0L.�� /v4- °lf (,) j 12-6 i ivq41
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - Affo ZF'D. B`L,lo p , (2-53 ) 9323
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application( EXPIRATION DATE
i P1A-T.BZ . - — \— LXa /3) IC)(o
APPLICANT COMPANY NAME APPLICANT NAME' /��_" '� OFFICE PHONE
MAILING ADDRr 1U�1 C>� 1 t V L (2- - 01-I�1, J. ( 2 ))735 - 'f� ,"U
CITY,STATE,ZIP - CELL PHONE
p.o - 6o-/c (3)2_6/ -/o/L/
RELATIONSHIP TO PROJECT -
� � ()' FAX NUMBER
0 Architect �Ienant 0 Agent I.p'Other(Describe) /A1.4- 1-- (2-‘3 )0/9- - g3z3
CONTACT I NAME I PRIMARY cHONL 40E-MAIL ADDRESS
J Esse e.. s��O.���
LENDER *�0-1.4..t'C,% y ,(0- (�yy� t -yy' 7 r NAME
AilieforOgici:lidit44.1‘01:1!' /;'.1
MAILING ADDRESS _... CITY,STATE,ZIP
• ` '• •• • ■ DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE.PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SF,WFA CTDcrinc 1:7•17•AfrrT1L`D r. • .•n.••.•••.•• - ___ --__-_,
•
•
•
• 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 nasnxa rRaroseu roto a ntrRorosm3r s* xtayr oru,eri
i'44 '.c 'rpt ,i,",• 7 k -', a t u' -4" �c..;uYJP if,: r'''- fr1 ;
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•Indicate number ofeach type o re to be installed or relocated aspart ofthis project. Do not include existing fixtures to remain.
yP flu P J
MECFIANIC 4L
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS
REFRIG.SYSTEMS
BBQS FANS HOODS(commerctaq WOOD STOVES
BOILERS .. FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/showerCembo) SHOWERS WATER CLOSETS(renes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Si,*.) VACUUM BREAKERS ELECTRIC WATER HEATERS
•
1.
DISCLAII4IER/SIGNATURE BLOCK
I cert{(y un der penalty of perjury that the information furnished by me is true and correctto the best of my
made.knowledgeI and furtagree her, that I
am authorized by the owner of the above premises to perform the work for which the permit application Is further 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. // '��-�,^ . ��"" � (� G
NAME/TITLE �C _ 1 - C I 'u 4} ) /eh-t-%1 Q- DATE -(_ co — 0/
(Signature) ,,,, (Title)
RELATIONSHIP TO PROJECT 'Owner 0 Agent t1 ontractor 0 Architect 0 Other
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Bulletin#100-January 7,2005
Page 2 of k\Handnurc\Permit Ann NrerPn..