01-103206 •
City of Federal Way
Community Development Services Electrical Permit #:01 - 103206 - 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: VACATION MARKETING
Project Address: 1627 S 312TH 5f- Parcel Number: 092104 9162
Project Description: ELE-Electrical for fire alarm(approx.5,239).
Owner Applicant Contractor
Robert Shin FEDERAL FIRE&SECURITY FEDERAL FIRE&SECURITY
P.O.BOX 169 31217 PACIFIC HWY S 31217 PACIFIC HWY S
SNOQUALMIE PASS WA 98068-0169 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)874-8368
Electrical Fixtures
Description (Quantity' Description Quantity Description 'Quantity
Low Voltage Fire Alarm-Commercia 5239
PERMIT EXPIRES February 27,2002,IF NO WORK IS STARTED.
Permit issued on August 31,2001
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. �y-
Owner or agent: 1,44-9 Date: 0 � 2
C".•O• R E!VED • CONSTRUCTION PERMIT APPLICATION
VV ETYL APPLICATION NUMBER: Q/ - L4z3�p`( - 00-F
AUC 1 5 WW1 APPLICATION NUMBER: 0 L - / O Z2aG -. -�
GI�Y OF rLGc iAL WAY APPLICATION NUMBER: - -
qq'�'�ILPING DEPT.
**The fdfl-owing is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
:: ::: .1.PROPERTY INFORMATION
SITE ADDRESS: IC s-, Pp-14 cy , ASSESSOR'S TAX/PARCEL #: Q 1 Z i U.4- 9,C6 .2—
LEGAL
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
!::* = ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING/ FIRE PREVENTION SYSTEM
/� !/DA
PROJECT DESCRIPTION(Provide detailed description): Go ! JAL r c.M
CS-7 2-3
PROJECT NAME: VA,-c' 70I" ,k4I / !A/
- ■ PEOPLE INFORMATION _
PROPERTY OWNER: NAME: DAYTIME PHONE:
MIN �)GDORESS(STREET ADORES 'CITY,STATE,ZIP):
/
I { ear /6
CONTRACTOR: NAME: DAYTIME PHONE:� i p/J ri �['SGGst, 3 )-rCO/ _
MAILIN '.',(STREET DRESS; ,STATE,ZIP): ENING PHONE: rja
,�>, /2/4 . S 1)Y ( ) -CITY OF FEDERAL WA BUSINESS L[CENS UMBER:� � -,/i2e
/ � � � � A - � � FAX NUMBER -����
(;S3 )
CONTRACTORS REGISTRATION NUMBER: yr /� EXPI ION DATE:
(copy of card required) 0 F ! I V 01 I,3k 4 //, /jag
APPLICANT: NAME: co (N 3 PHON€2 -?AO'
C J �! �`r �i/.I't'A4/� � `J ac
MAILING ADDRESS( Ei A RESS;CITY, ATE,ZIP): EVENING PHONE:
Pl 912 �C. ,y. .T /47g ,,?. ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 4'OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER El APPLICANT (CONTRACTOR FAS e�e.4✓ . I7
'-■ DETAILED BUILDING INFORMATION
EXISTING USE: (24-74,IX EXISTING BUILDING ASSESSED/APPRAISED VALUATION ODD' b
PROPOSED USE: 5.-5 Pr7 L PROPOSED VALUATION FOR IMPROVEMENTS:"$
SPRINKLERED BUILDING? ❑ YESYE *NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED 'YES C1 NO
WATER SERVICE PROVIDER: EX KEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 1I LAKEHAVEN Cl HIGHLINE ❑ PRIVATE(SEPTIC)
•
•
•
**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 XYU
RES
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)
Y' _ ,' _ ■ •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.
NAM E/TITLE:/,��s»,
DATE: "Ar'/
Ar ej
❑ PROPERTY OWNER ❑ APPLICANT ,a 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
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES 0 NO