01-101097 Ar
City of FederalWay
Community Development Services Electrical Permit #:01 - 101097 - 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: VACATION MARKETING
Project Address: 1627 S 312TH S+ Parcel Number: 092104 9162
Project Description: ELE-Install voice and data communication cabling
Owner Applicant Contractor
Robert Shin VACATION MARKETING TELECOM LABS INC
P.O.BOX 169 1627 S 312TH ST 700 INDUSTRY DR
SNOQUALMIE PASS WA 98068-0169 FEDERAL WAY WA 98003 SEATTLE WA 98188
(206)575-9100
Electrical Fixtures
�� ;., R ',.,,
f,���, =Descrlptidh Quantity .;;:�-, Description Quantity Description " Quantity
Low Voltage-Other Commercial 1
PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED.
Permit issued on June 6,2001
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: gi - Date: Ju.vC 6
�' � L = �‘1,-F CONSTRUCTION PERMIT APPLICATION
�� �� APPLICATION NUMBER: O ( - 1 O 1_62 Q 7- - E(,
MAR 21 AC APPLICATION NUMBER: - _
APPLICATION NUMBER:
low I Y OF FE-DL
**The followftILIVj enation-Please print(in ink)or type**
IPlease note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: A ' rr7 3�.244 S 7 ASSESSOR'S TAX/PARCEL #: a 2 ( U y - g/. . Z.-
LEGAL
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I
■ PROJECT INFORMATION . .
!I TYPE OF PROJECT(This application): El BUILDING I=1 PLUMBING • - • • ❑ DEMOLITION
--e ELECTRICAL El ENGI RING I RE PREVEN ON SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
4-^;s T.p t i 1/0 I C e 4' / ./ei 0 in, wt i, I, -I, oma, Ck o) ''j
Illo ) )
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PROJECT NAME: V / (`9 7', 1 AI 6—
,
■ PEi PLE NFORMATION
PROPERTY OWNER: N DAYTIME PHONE:
•
-2:, , S ( )
MAILING ADDRESS(STRE %DRESS; ► ,STATE,
zc. 7 , Sbza s - - a/6 f'
CONTRACTOR: NAME: D. ME PHONE:
/ eCd,,. . 1 _3 ( o6 ) sus- - �!J J
NG RESS(STREET ADDR SS; ,STATE, Ith EVENING PHONE:
o - ► dcis-f' r1 b ` i'lt0( 0206 S7S - 1tc,
C EDERAL WAY BUSINESS LICEN MBER: FAX NUMBER:
_ _ _ _ _ _ -- (a0 ) -
CONTRA 'S REGISTRATION NU EXPIRATION DATE:
(copy of card wired) / /
APPLICANT: NAME: DAYTIME PHONE:
/Vy ac, t (-406 )52 - - ,/0)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
'JJ :•f- wS-k-1 ,5rAfT(P l,..r/7. er151(6?1 (- ob ) S7c - 9/oz
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT igi OTHER(DESCRIBE): ((Db )SzS_ -`1'90
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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ 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?
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 El 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)
• IN 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: DATE: 3, 27 /
❑ PROPERTY OWNER ❑ APPLICANT `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
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129