01-102824 City of Federal Way
Community Development Services Electrical Permit #:01 - 102824 - 00 - EL
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: BERRY COMPANY
Project Address: 2505 S 320TH St Parcel Number: 797820 0535
Project Description: ELE-Alter up to(10)circuits for outlets,switches and lighting fixtures.
Owner Applicant Contractor
PRIMESTAR INVESTMENT CORP CORNERSTONE ELECTRIC INC CORNERSTONE ELECTRIC INC
2505 S 320TH ST 8425 25TH ST E 8425 25TH ST E
FEDERAL WAY WA 98003 PUYALLUP WA 98371 PUYALLUP WA 98371
(253)922-1191
Electrical Fixtures
Description 'Quantity Description Quantity Description 'Quantity
Circuits- Commercial 10
PERMIT EXPIRES January 14,2002,IF NO WORK IS STARTED.
Permit issued on July 18,2001
I hereby ce hat the above informatio• :• - nd that the construction on the above described property and
the occupan . d the use will be in ac'ordanc: ;i the laws,rules and regulations of the State of Washington and
the City of F:.• • Way.
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Owner or agent: , / �-� Date: -4(-0
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7 — 3%- a( �j'r /
cnv Of =.... ECE�VE CONSTRUCTION PERMIT APPLICATION
� - APPLICATION NUMBER: 0 L - I O 2 ?2/ - s L
FEY JUL 1 8 ?OM APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
v!l , NC3
**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
SITE ADDRESS: 5-C3S--- So 3 2e ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ B DING ❑ PLUMBIN I CHANIC' ❑ DEMOLITION
G ELECTR ❑ GINEER G❑ 'E PREVE ION SYSTEM
PROJECT DESCRIPTION (Provide detailed desc do , .e., -?.i, - /0/--S R 66-- k-d'S
PROJECT NAME: cfj1c ,. \.I'
'
IL t OPLE INFORMATION
PROPERTY OWNER: IIF
DAYTIME PHONE:
Fzic't.,
M• NG ADDR SS(STREET ADD SS;CITY,STATE,ZIP): )
CONTRACTOR: NAME: DAYTIME PHONE:
/y/�' �` vh b� cam ( ) -
MAILING .1 SeSTREET aRESS;CITY, E, IP). EVENING PHONE:
CITY OF FEDERALWAY BUSINESS l ENU B: FAX NUMBER:
_ — ( )
CONTRACTOR'S REGISTRATION NUMBER: / _ EXPIRATION DATE:
(copy of card required) C 0_ �EI 13- O /a/ ,-2.00t
APPLICANT: NAME: DAYTIME PHONE:
MAILING A DRES (STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
) 3$d 9j O
fLt5z5 Z ` � ERELATIOHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBEZere}c )--
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
• ■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 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 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 oft e above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City o•• -.:r. Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such clai : :y be made by any person,including the undersigned,and filed against the City of
Federal Wa ,b . only where such cl- k !out .f the reliance of the city, including its officers and employees,upon the accuracy
of the infor 'ation upplied to the c al oft 's application.
NAME/TITLE: ISA A _ dIiui. DATE: c 7 .-(q - O 1
ye Na
❑ PROPERTY 0 NI APPLICANT O CONTRACTOR
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 1
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI INTTY DFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY•WA 98063-9718•253-661-4000•FAX: 251-661-4129