01-102301 City Federal Way
Community Development Services Electrical Permit #:01 - 102301 - 00 - EL
un
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: DEVRY INC
Project Address: 3600 S 344THSi" Parcel Number: 726120 0165
Project Description: ELE-Remove and replace some outside bldg and site light fixtures for painting.
Owner Applicant Contractor
THE QUADRANT CORPORATION JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
P.O.BOX 130 JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
BELLEVUE WA 98009 11816 NE 116TH ST 11816 NE 116TH ST
KIRKLAND WA 98034 (425)821-8226
Electrical Fixtures
Quantity 4 fr •eDescription IQuantitY Description
° OQuantity
Circuits- Commercial 1
PERMIT EXPIRES December 5,2001,IF NO WORK IS STARTED.
Permit issued on June 8,2001
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: /164-Al Date: I/ �/
'llIll"Ill"li4IllhijOMIMIig.. .... •
�r°r `'`�` ..,. CONSTRUCTION PERMIT APPLICATION
— 1:3Erzr- i_
APPLICATION NUMBER: 0 1 - I a 3.3 L) L - GLI
uv FIY
'/M1
APPLICATION NUMBER: - -
ra-vVAY APPLICATION NUMBER: - -
LI I Y °" r`'''DEPT.
6"Theifollowing is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 5C,C70Sc'. (3 Z" ASSESSOR'S TAX/PARCEL #: -
r- �, IA
LEGAL DESCRIPTION OF SUBJECT PROP TY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING Ll PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): R -hA.4---v-2 r- Ler
e
cL11� .. (d ± (ire ' I (5Lt x v0141 '
.I� L\J
PROJECT NAME: _tli
■ PEO;;LF INFORMS TION
4 .PROPERTY OWNER: NAME: x 1 DAYTIME PHONE:
t• ( ) _
MAILING ADDRE (STREET-ADDRES 'CITY,STATE,ZIP):
CONTRACTOR: NAME: 4 17OAYTIMEPHONE:
ADDRESS(S'Rt��ADDRESS;E �ECITY,STATEC , K ZIP):
jig /_1 r EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSENUMBER: -,' FAX NUMBEJ
R:
_ _ t — — — - -, -- ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS',CITY,STATE,ZIP): /EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT LI OTHER(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: r 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: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
4.00000.0iimmpr
**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 i
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 informatit s plied to the i a partof this application.
/J / ' (
TRACTOR
NAME/TITLE: >`
❑ PROPERTY OWNER ❑ APPLICANT/1-e-
CODATE:
0/e.
FOR OFFICE USE ONLY:
❑ NEW El 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
l.ir,.,r,CI,FI nDMFnFF cFRvlrFc. 1nSin F1Pc1"WAY C1-111T1-1•P n Rl1X 9718•FFOFRAL WAY.WA 98063-9718-253-661-4000.FAY ?SI-AA)-4179