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01-102110 • City of Federal Way Community Development Services Electrical Permit #:01 - 102110 - 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: COMMUNITY CHRISTIAN CENTER Project Address: 36016 1ST#. Ave- 5 Parcel Number: 292104 9146 Project Description: ELE-Support(4)outdoor wp bellboxes,raise(1)bell box for sign lighting,conduit will be exposed for inspection. For one freestanding sign. Owner Applicant Contractor FAMILY OF GOD LUTHERAN CH*FAMILY NONE CABCO FAMILY OF GOD LUTHERAN CH 32211 3RD AVE SW 36016 1ST AVE S FEDERAL WAY WA 98023 FEDERAL WAY WA 98003-8606 NONE (206)356-0752 Electrical Fixtures Pitaptityl : , JQuaf r H des"cript on . .a' �Quaritity Sign 1 PERMIT EXPIRES November 25,2001,IF NO WORK IS STARTED. Permit issued on May 29,2001 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us- 1 be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal W. Owner or agent: i i /<<L .��i/A Date: • cnr Of ( CONSTRUCTION PERMIT APPLICATION VV FD. RECF!VFD APPLICATION NUMBER: Of - 1 O 2 ( L (2 - y APPLICATION NUMBER: - - MAY 2 0 it H 1 j APPLICATION NUMBER: - - **The f pw'{ s required information-Please print(in ink)or type** ��1 Y1�111R��, �{���cc�!�._r :.� Y Please note: Electrical,Fire PPe4l�itiV AWrns and Engineering permits may require a separate application. J ■ PROPERTY INFORMATION / 3 D l (Q /s1 ri t 2( ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION lummli ❑ BUILDING LU - ANICAL ❑ DEMOLITION NGI' • NG❑ FIR' •EVENTION SYSTEM JECT DESCRIPTIO (Provide detailed description): (�, ♦ 1 J ( f �/s (I) 3e(� i3. vit Ot - �- U . �sf<ti , JECT NAME: ■ t, 'OPLE I. FORMATION OPERT '. R' AME.. 4 -~ DAYTIME PHONE: • I ens ' /• 7L f 055-3f.2 3i AILING A) SS(S7R DDR '•e A- 1 36,4 i E NTRACT•- NAME DAYTIME PHONE: 1 MAILING ADDRESS(STR` ADDRE •CITY, ,TE,ZIP): VENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NU / FAX NUMBER: - - - - - - - (?..5. )661 - 79,3 CONTRACTOR'S REGIST• ON NUMB ' EXPIRATION DATE: 1 (copy of card required) 4 /� 0 ) /J V 0 / © 6 / 6 �I PPLICANT: NAME DAYTIME PHONE: e4 Ai , : '&_ ( ) - MAILING ADDRESS(STREET A: ln. . ATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: . PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 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 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 rther,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I her agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the estigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of •eral Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy he information supplied to the city as a part of this application. E/TITLE: di,/tb- 66/20/71,e_ DATE: 6.'12 !S—C •ROPERTY OWNER ❑ APPLICANT I'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? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO rnnrku rnir ry nrvrl OPMFNT CFRVIrFS•liSln FIRCT WAY cni IT/1.p n Rnv Q71R•FFDFRAI WAY.WA 9R061-9718.7S1-661-40on.FAY- 7-C1 r:r.1-417Q