01-102552 City of Federal Way Electrical Permit #:01 - 102552 - 00 - EL
Cotmnunity Developnxnt Services
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: DEPARTMENT OF LICENSING
Project Address: 1617 S 324THrj-r Parcel Number: 162104 9049
Project Description: ELE-Install low voltage data/communications lines throughout existing office space(5704 SQ FT).
Owner Applicant Contractor
CLEOCO INC DEPT.OF LICENSING COMMUNICATION TECHNOLGIES INC
17207 SE 46TH ST 1414 S 324TH ST#105 310 CLEVELAND AVE SE
BELLEVUE WA FEDERAL WAY WA 98003 OLYMPIA WA 98501
98006-6525 (360)786-0649
Electrical Fixtures
^ ` "escri tibny" lQuantityf Description Quantity
Description Quantity] P
Low Voltage-Other Commercial 5704
PERMIT EXPIRES December 24,2001,IF NO WORK IS STARTED.
Permit issued on June 27,2001
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 Wa
Owner or agent: ,���/� � ,r�. Date: ( —e9--2! O
lP. - evi G .
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CIT Y°F G lV'�® -CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: (�` - Oc S S' Z i
QC
T- zJUN 2 7 200 APPLICATION NUMBER: -APPLICATION NUMBER: -**TheYofIB OF Akformation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: ILQn S. .c 'I +� Si , ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATICN
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
PILECTRICAL ❑ ENGINEENING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): 0. 0w-s _e")!`i+.1 ._ ,P,
PROJECT NAME:1b' jJ' i1.c.Ar-i, iS (tel CA.psi�C
■ PEOPLE INFORMATION
PROPERTY OWNER: SAME: a DAYTIME PHONE:
i) - (2 ' 1. ( )
MATTING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: ME: _ '
>: DAYTIME PHONE:
L0mmnv.0r•iL-AS--iI.%L•772.-c--1•fo1SiQs _ (ARO ) Wet -06-4/7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): Tix+talarl¢r, LJp EVENING PHONE:
'79) ) 0 .
<� �/w�2C S . S43 51r, #4" 9sc ( ) SA
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAM : DAYTIME DAYTIME PHONE:
1v �< 4 t l l M A v— ( (oc) ).-?%' -0(0-44 Q
M G ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3A u....0.0.•' ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (' ) -7.5(9 - D'c3-
�_� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER ❑ APPLICANT L:rCONTRACTOR
• 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 0 PRP/ATE(SEPTIC)
I.
1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ I
- ■ PROJECT 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
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 a pate Q
�`�r - `. lT f this applic 'on.
NAME/TITLE: Lit').).."._)/aV-- \tel` DATE: 62/0! l
Cl PROPERTY OWNER APPLICANT CTONTRACTOR
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 Cl NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
r-rnanu INIT v nr=vra nPMFNT SFRVICFS•11510 FIRST WAY Sn,ITH•P fl RCIY(71R•FFHFRAI WAY WA 9R061-R71R•7S1-6A1-4000•FAY- ?C-11,A1 412(1