01-102828 City of Federal Way
Community Development Services Electrical Permit #:01 - 102828 - 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: FLYNN'S CARPET CENTS
Project Address: 35610 ENCHANTED S Parcel Number: 282104 9172
Project Description: ELE-Adding electrical for 2 new signs
Owner Applicant Contractor
Russel R Lloyd CARPET CENTS SHORELINE SIGN,INC.
31820 148TH WAY SE 18503 HWY 99#B 18021 61ST AVE NE
AUBURN WA LYNNWOOD,WA 98037 KENMORE,WA 98028
98092-9278 (204)254-1563/66
Electrical Fixtures
Description Quantity Description ' Quantity Description Quantity
Sign 2
PERMIT EXPIRES January 15,2002,IF NO WORK IS STARTED.
Permit issued on July 19,2001
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 W. //
Owner or agent: i ���� Date: 1(18 /
PFC EI i D
cnyo, �— 19 2 • CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: Of/ — 62 2.;2...f� — ao'o--.
.,„-y OF Fk:U t�AL WHY APPLICATION NUMBER: — —
gVILDING DEPT.
APPLICATION NUMBER: — —
**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.
1'-i nPROPERTY INFORMATION - ., q
SITE ADDRESS: �� 'O ,J,_ ' c ■ S, ASSESSOR'S TAX/PARCEL #: aa v 4 ( 0 '4 - ( 1 1 a
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. a PROJECT INFORMATION
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TYPE OF PROJECT(This application): ❑ BUILDING El PLUMBIN ❑ ME€HANIC El DEMOLITION
ELECTRICAL ❑ GINEER G❑ FIRE'PREVE ON SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): 1 c) (1 ,t S.('cr ?, �I N---t) "ktAA.J��M2t, aq l'''a
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PROJECT NAME: �; ( Vlv\ . Cc. '' ' \ct.l.f1 S `
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ii PEOPLE INFORMATION
PROPERTY •. ER' NAME: ." - DAYTIME PHONE:
MA ' G ADDRESS(STREET Ag LESS;CITY, •TE,ZIP):
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CONTRALTO• ' NAME: ..,
D ME PHONE:
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MAILING ADDRESS(STREET ADDRESS'CITY,ST• I P): r -- EVENING PHONE:
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; ITY OF FEDERAL WAY BUSINESS UC NUMBER: ',; . FAX NUMBER:
>_ _._ _ :•••-- --.-- _ (9S)41 i - O`ja 7-
C. ••CTOR'S REGISTRATION NUMBER: �p t, EXPIRATION DATE:
(copy of card required) S 1.• 1` lc 1 0 1.-- / /
APPLICANT: NAME: DAYTIME PHONE:
Oln -,‘-k2-4--r. ( ( )
MAILING ADOR SS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
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RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT C1TENANT KOTHER(DESCRIBE): ( ) -
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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
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**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:
■ 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 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.
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NAME/TITLE: •�.�.�; DATE: ?A I/C
❑ PROPERTY OWNER ❑ A••LICANT KCONTRACTOR
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
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063 9718•253-661-4000•FAX: 253-661-4129