01-102285 City of Federal Way
Community Development Services Electrical Permit #:01 - 102285 - 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: ODYSSEY GROUP
Project Address: 33400 8THtS Suite200-C Parcel Number: 926500 0110
Project Description: Ave.
j p ELE-Relocate outlets.
Owner Applicant Contractor
BONHAM INVESTMENTS COMPAN LAZER ELECTRIC LAZER ELECTRIC
999 3RD AVE#2626 9523 19TH AVE E. 9523 19TH AVE E.
SEATTLE WA TACOMA W 98445 TACOMA W 98445
98104-4018 (253)535-1900
Electrical Fixtures
- Description, (Quantity ,„,7 -Description : ` AQilan ity = Descripf onr,,;---'--; tSiQuanti
Circuits- Commercial 1
P
1101,
T EXPIRES December 15,2001,IF NO WORK IS STARTED.
Permit issued on June 18,2001
I hereby certify - the ab ve in r- .do ._ -one and that the construction on the above described property and
the occupancy ani' e .e b:`in accor.•ft- i th the laws,rules and regulations of the State of Was 'II gton and
the City of Federa �XSk\
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13:k
01114.40
ALP k-( C , ,e3 6Owner or agent: .;1 Date:
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6- 2S'eOr C e4,-6,0-7//'—' -'
CI;Of REC VF ` CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: Li J - L L1 2-2 S -- i _
JUN 0 7 i APPLICATION NUMBER: - -
c i.Y t F i:: ;`` i OL VAY
APPLICATION NUMBER: - -
**The follow'r'$quired information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION ..
-C"--'Y.-( _
SITE ADDRESS: 33'( 0 /-1-0 C. C t ASSESSOR'S TAX/PARCEL #: i Z ‘v, ,5 OC'- / /
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATT4CH SEPARATE DESCRIPTION IF LENgTHY): .. � 0 1 s r 0 /6 ,
�� Lo (7 • 5 Nec - i b0 t 7 + f f - -- s, F.3c- --s---s-'65e(
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•:' • PROJECT INFORMA1 ON
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PtIMBING �'-❑ MECHANICAL ❑ DEMOLITION
'N--ELECTRICAL ❑ EN(UiEERING❑ FIRE PREVENTION SYSTEM
PRO ECT DESCRIPTION (Provide detailed description): 4�'e-1 n C- /4 e c.t.-i--(e--�� rt---o c'-(
cke d`10
PROJECT NAME: Cr'C y c Sem (� f L&_ (;\ A-t. ( bcd``t o
IN PEOr°LE INFORMATION
PROPERTY OWNER: NAM : `` DAYTIME PHONE:
SO 4•L) h A d`'t r(v V e>T' r'C e_/c't" -c, _4_t'. c (206)) -5-Z( - CJ L.'-El
MAILING ADDRESS(STREET ADDREW CITY,STATE,ZIP):
19Cs St-C) /'3w /iy SI-- v F- - Ns%Cc% GA `-( (/ S
CONTRACTOR: HOPE,/ DAYTIME PHONE:
14-Ze t- 1( eC-* t-( C- (5 _S3s- /el ca
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
e5-Z-5 / 4+( tee - c2.5-36e)4, -c, v tic/
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
_ - - (2; ,) 53s-- fc I( 1
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
ATE1
(copy of card required) ) 4 / LRF d3 'SDI= / ,a: / t-
S
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: /' l FAX NUMBER:
❑ ARCHITECT ❑ TENANT THER(DESCRIBE):(�0/34;"- r 1— ( ) - I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT El CONTRACTOR I
(( • DETAILED BUILDING INFORMATION
EXISTING USE: CDt�l k-C EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ C e'C> ) c)
PROPOSED USE: G ' t C-C PROPOSED VALUATION FOR IMPROVEMENTS: $ Imac't"'
SPRINKLERED BUILDING? ❑ YES �NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES JNO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: JR1LAKEHAVEN El HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
r
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS`
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
-
BASEMENT
FIRST
SECOND 1 i / ----D
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) FT: -' /,CE INSERT(S)., RANGE(S) MISC.( )
COMPRESSOR(S) URNACE(S)
DUCT(S) GAS PIPE OUT (S) HEAT SOURCE: ❑ ELECTRIC CIGAS
PLUMBING
BATHTUB(S) /rAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN W; "• SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) S• % ' ER(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 bywner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless he C of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation .nd defense of sich claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way, . s ly here such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informs •up•liedt• atyla •. .o ••• application.
411k isi.
NAME/TITLE: �', , �� 146,„ �} ` DATE: 674 (0
U
❑ PROPERTY 0 NER 4APPLICANT ❑ 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
rnMMI INT'fPVFI OIPMFNT SFRVICES•33530 FIRST WAY SOUTH•P 0 110X 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX-751-681-4179