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01-101123 City of Federal Way Community Development Services 4. electrical Permit #:01 - 101123 - 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: SCUBASET Project Address: 1401 S 324TH 5+ Parcel Number: 150050 0140 Project Description: EL-Service for street controller. Owner Applicant Contractor OLY RECIO NONE SINDER ELECTRIC INC 5611 S 233RD ST 15022 35TH AVE W KENT WA 98032 LYNNWOOD,WA NONE (425)743-9704 Electrical Fixtures Description „' ''' !' Quantity ,Description;. 'Quantity Description Quantity Service/Feeder: 0-100 amps-Comm. 1 PERMIT EXPIRES September 19,2001,IF NO WORK IS STARTED. Permit issued on March 23,2001 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 FederalW y. Owner or agent Date: 3 • 2G . i S C, V/r c: _-E1411L 3• .24.-al 1.17, "0•4-L, - RECEIVED aT•Or CONSTRUCTION PERMIT APPLICATION jJRl_ MAR 2 3 7001 APPLICATION NUMBER: 01 - L Q l / Z 3- E (_ E "Zf _ F3Y APPLICATION NUMBER: - 1,:I1Y OF FEDERAL WAY BUILDING DEPT. APPLICATION NUMBER: - - **The following 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:/e/ tel'• 3�7 �� ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): x ■ PROJECT INFORMATIO 1 TYPE OF PROJECT(This application): ❑ BUILD • ❑ P k BING I EC NICAL ❑ MOLITION 1" ❑ ENs EERING❑ .IRE • EVENTION STEM PROJECT DESCRIPTION •rovid set. •ddescri,';on): • w t,C '' . SP � / 1-. &Xi- 0 a t Q ' L a .. d PROJECT NAME: A . se Bail • PEOPLE INFORMAT'ON PROPERTY OWNER: 'ME: DA • E PHONE: +L ,fie e_l % s3 ) 3'2D -X11 . M NG DRESS(STREET AD ESS;CITY,STATE,ZIP t i 30. 233,x S P (253 ) 52.r c-' - �('D V1-- CONTRACTOR: "LCONTRACTOR: NAME: DAYTIME PHONE: S t Pte-g- , U: : 1 (y2S) 71/7_31e, q MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZI' EVfff!}1CPRONE: /3'422 35." , yi,-)PWB <.:4-• 9V037 (Z-00) .7 30 - 3 —3J CITY OF FEDERAL WAY BUSINESS LICENSE NUM` .• FAX NUMBER: /q--q9 .Y - L Q (c r t t_ - 0 030 925) 7 45' -r ' ''r CONT tiT=1 NUMBER: EXPIRATION DATE: (copy of card required) 5 L 1i [) (� Q �L= Y . - . -t I 1 2— /L. / ) ' /2..L .>t APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: . ❑ ARCHITECT ❑ TENANT ❑ 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: 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 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? 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 as a part of this application. NAME/TITLE•.i• " - /r 0 .ctr‘i-"r DATE: Z 3"©( ❑ PROPERTY OWNER ❑ APPLICANT IONTRACTOR 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