01-102974 City of Federal Way
Community Development Services Electrical Permit #:01 - 102974 - 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: PAVILION CENTER II
Project Address: 31601 PACIFIC S Parcel Number: 082104 9196
Project Description: ELE-Install up to(3)circuits for(7)decorative street lights at 316th and Pacific Highway.
Owner Applicant Contractor
PAVILION CENTER ASSOC FULLER ELECTRIC FULLER ELECTRIC
3650 131ST AVE SE#205 FULLER ELECTRIC FULLER ELECTRIC
BELLEVUE WA 37107 12TH AVE S 37107 12TH AVE S
98006-1334 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
I , ,Description. (Quantity ,Description 'Quantity Description 'Quantity
Circuits- Commercial 3
PERMIT EXPIRES January 26,2002,IF NO WORK IS STARTED.
Permit issued on July 30,2001
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: 7--30 -(7
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CONSTRUCTION PERMIT APPLICATION
EO L JUL 3 0 2001 APPLICATION NUMBER:
APPLICATION NUMBER: -
" Ci fY OF FEDERAL WAY APPLICATION NUMBER: -
— A BUILDING DEPT. -•
.. c **The following is required information—Please print(in ink)or type**
Please note: Electrical Fire Prevention Systems and Engineering
` , , r Y 9 9 permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS. `/V) •5-, `� 1, 3 / d a t-� C-/464)A SESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
• PROJECT INFOP"'T*ON •
TYPE OF PROJECT(This application): 0 BUILDING 0 P BING I MECHANICAL 0 DEMOLITION
A ELECTRICAL Nio.,/% RING I FIRE PREVENTION SYSTEMI
PROJECT DESCRIPTION(Provide detailed desc "• ion): — , `.' / y�l T PO es
40r •
PROJECT NAME: Pa V, n '
• IF DPLE INFORMAL 1N
PROPERTY OWNE NAME: DAYTIME PHONE:
Cc CA ' n VS f r. - 0p ' C (arab )6,23 -,-.,09,6
MAIU ADDRES ••EET AD b ;CITY,STATE,ZIP):
09 +/-` e S/ 1 ; f- •z S&t/k wI) 9;'/0/
CONTRACTOR: N E: DAYTIME PHON :
fcc.//e, t /ejr, c c , ( as3) Id1 - "17/
LUNG ADDRESS(STREET ADDRESS;CITY,ST• ' • 4 / 1 Woo
EVENING PHONE.
710?
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7107 EDFP M.WAY RI'SINE CEN E f R:e_ F- �,t,l td W0 Woo ( s FAX )NUMBER:6 6i - 2/P
CONTRACTOR'S REGISTRATION N6 EXPIRATION DATE:
(copy of card required) / _ e 1 0 . - 2 6 is Q i 02_ 10 L
APPLICANT: NAME: DAYTIME PHONE:
Ole, ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ,,CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 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
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
P
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) 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) 0 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 as a part of this application. /
NAME/TITLE: G Pre s i GL DATE: ) ` 6—Q
/
o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO f
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO