01-103318 City of Federal Way
Community Development Services Electrical Permit #:01 - 103318 - 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: DANA PLAZA OFFICES
Project Address: 31260 PACIFIC S Suite8 Parcel Number: 092104 9265
Project Description: ELE-Relocate 2 subpanels,re-swich lighting,relocate circuits and add 20 outlets
Owner Applicant Contractor
Plaza Lle Dana AAA ELECTRIC AAA ELECTRIC
31260 PACIFIC HWY S AAA ELECTRIC AAA ELECTRIC
FEDERAL WAY WA 1105 25TH AVE CT 1105 25TH AVE CT
98003-5448 MILTON WA 98354 (253)815-8556
•
Electrical Fixtures
Description 'Quantity ,1, ';Description '! Quantity] Description'', !Quantity
Alt.Serv./Feeder up to 200 amps-Cot 2
PERMIT EXPIRES February 18,2002,IF NO WORK IS STARTED.
Permit issued on August 22,2001
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.
Owner or agent: Date:S
JEFJFIL
CONSTRUCTION PERMIT APPLICATION
'' �� / pp 577 t7,7
APPLICATION NUMBER: Dl-FEY
AK 2 7 ?Cull
APPLICATION NUMBER: _ _ -
APPLICATION NUMBER: _ _ _ _ - _ _
,The follawi y ,'red information-Please print(in ink)or type**
BUILD egitPi:
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFFORMATIION
SITE ADDRESS: 3 )�O c L C'-( Sta‘ ' ESSSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Strip
0-k1/4
■ PRO3ECT INFOR, `ATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
B tECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): , skreAcz,LCx*2. '51.40tbCc xC e,` Scz
L_Ap eho u SvLC.Jz frn - — r2 S‘ZIA Cert
S o O prom s QI��s - o-c c e s
PROJECT NAME: 4J0.1NO._ C;)
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
9)o LZ,CS( (
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
TC Pe Al lz ¢ hlG ( Co =4.(o*(o
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: EVENING PHONE:
105 (XAI c c± Pc-i LtCSAN `CtS3 S4 )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
k 9sq>5
CONTRACTORS REGISTRATION NUMBER: ^ (� 3 EXPIRATION DATE:
(copyA_of card required) f ( �C L
APPLICANT: NAME: DAYTIME PHONE:
`J
MAILING ADDRESS(STREET RESS;CITY,STATE,Z ZIP):
EVENING
NING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER ❑ APPLICANT ElCONTRACTOR
■ 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)
**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
BE)
OTHER FLOORS(DESCRI
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOGS) REFRIG.SYSTEMS)
BBQ(S) FANS) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGES) MISC.( )
COMPRESSORS) FURNACE(S)
DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS
DRINKING NS)
SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLEFOUNTAITS) SINK(S) WATER CLOSET(S) MISC.( )
SUMP(S)
INTERCEPTORS)
. 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 applicaton is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation
and defense of such daim),which maybe made by any person,induding the undersigned,and filed against the Cityof
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informatio lied to the dty as a part of/thiis�application.
NAME/TITLE: /�ir�c\�1�i��Y`C 7� DATE: O
CI PROPERTY OWNER CI APPLICANT CICONTRACTOR
FOR OFFICE USE ONLY:.-;I
E NEVI%
ADDITION ❑-ALTERATION ❑'REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE::: LOT-SIZE ,
;ZONING DESIGNATION BUILDING SHELL ONLY? : ❑ YES ❑ NO
COMP�PLAN DESIGNATION BASIC PLAN? ,'',11 YES ❑ NO '
SECTION zTOWNSHIP RANGE " NEW ADDRESS REQUIRED? ❑YES ❑,NO
PLATTED'LOT? ❑;YES ❑ NO CHANGE"OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES••33530 FIRST WAY SOUTH••PO BOX 9718••FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129