01-101709 City of Federal Way ' -4;lectrical Permit #.01 - 101709 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.412? Inspection request line: 253.835.3050
Project Name: HEMN AUTO REPAIR,INC
Project Address: 33905 PACIFIC S Parcel Number: 202104 9090
Project Description: ELE-Altering an existing circuit to provide power for fan motor
Owner Applicant Contractor
Richard A Lyons BEST ELECTRIC CORP BEST ELECTRIC CORP
38207 48TH AVE S BEST ELECTRIC CORP BEST ELECTRIC-CORP
AUBURN WA 14027 69TH AVE SE 14027 69TH AVE SE
98001-9437 SNOHOMISH WA 98290 (425)337-7614
Electrical Fixtures
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Circuits- Commercial fi` x ::<: < '
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PER11T i •$ 3i ? 2001,IF NO WORK IS STARTED. ry�
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I herebycertifythat 3o 'iso '`cons `i ogle ` d
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the occupancy and j w ; =",!: ?acc lar a filth t'a ws, les ani:-. ahons of tate` -<f- ingto ; x1 >. =:;:.{
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the Cityof Federal Wa �::': ::-:.:::�.h.:.--.;�......::..:-:::::..::.::::.:.. �.�;-:-.•:::-. >r;::¢.>;:::
Owner or agent: =''`' _ Date:
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-0 E VED , CONSTRUCTION PERMIT APPLICATION
•
� EOETZPII_ f APPLICATION NUMBER: 0 I - ( 0 1 309_ - 00
® 1 NW APPLICATION NUMBER: - -
i
I (AIY OF FEDERAL V00 APPLICATION NUMBER: - -
BUILDING DEPT.*The following is required information-Please print(in ink)or type**Cern)
4
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION -
SITE ADDRESS: 33 g a P°€ C //GtI,I S. 'ASSESSOR'S TAX/PARCEL#: Z(_Q. - q 0 9 —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -
i ■ PROJECT INFORMATION . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBIN ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEER ❑ F ION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I`-U d e a /j'1 gr- (fin )
4 CK )
PROJECT NAME: 7--/-elk) Ilk4- tt) ,
k PEO: ?INFO! '1, 'OP
PROPERTY 0 NAME DAYTIME PHONE:
C044105�53 ci (07-13) a6 i -6S'- 7
MAILING 'RESS( ADD.. 'IP):
900 3
CON ' • OR: AME: ME PHONE:
- 7 - ( _ ) 679 - AGI7
MAILING ADDRESS •EET ALjDRESS; I , ,ZIP): EVENING PHONE:
i 1ol.7 • , , 3 .. ,)o A 9 6 (�6 ) 67�- `717
CITY OF FEDERAL WAY NESS LU ., ,MBER: FAX NUMBER:
_ _ - _ _ ( ) -
CONTRACTORS REGISTRATION NU EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 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 El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT 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: --<-0447 DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
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 El NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI iNIT'IIFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX.253-661-4129