01-101873 City of Federal Way
Cortcnunity Development Services Electrical Permit #:01 - 101873 - 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: DEPARTMENT OF LICENSING
Project Address: 1617 S 324TH St Parcel Number: 162104 9049
Project Description: EL-Electrical for tenant improvement.
Owner Applicant Contractor
CLEOCO INC DEPT.OF LICENSING GRIFFIN ELECTIC INC
17207 SE 46TH ST 1414 S 324TH ST#105 1427 SW 306TH ST
BELLEVUE WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98023
98006-6525 (253)529-2923
Electrical Fixtures
Description. Quantity Description Quantity Description Quantity
Circuits- Commercial 20
PERMIT EXPIRES November 21,2001,IF NO WORK IS STARTED.
Permit issued on May 25,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
- Z 1Owner or agent: 7 Ant ! �.� .L_ Date: 5 s
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c..or G CEIVE® CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 01 - 1 OI r 73- t(—
APPLICATION NUMBER: -
GITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
r ■ �P iROPERTY INFORMATION -
SITE ADDRESS: ; (..0I 1 E , 33.4 st - ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
j ■ PROJECT INFORMATION
I
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
iiii ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ._J-s15f j t Li41Clv L'- 4L4U; i (C Cp-1.r:.e.L s I SLLJ i kitso
PROJECT NAME: a) OL }
v -WI' E INFO! MATION
PROPERTY ER: 'E: DAYTIME PHONE:
MAI[;, ADORE�� ADD'..S;CITY, ZIP)):
CON OR: NAME: DAYTIME PHONE:
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MAILING ADDR -(STREET ADDRESS;CITY,STATE,ZIP): „ 4` EVENING PHONE:
14:1-1 Si)= ._C c 141 free. Iti { z (LS-) S2't Z-4.12-3
CITY OF FEDERAL WAY BUSINESS UCENSE N ER:- FAX NUMBER:
i n t 1 . - _°°, • 1= (ZS3)5'Zci -2-(0c9
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: ����a
(copy of card required) ) ?_ i _ _ l .' u _ I I / IS /LC Z Z
APPLICANT' NAME: DAYTIME PHONE:
�y ( ) -
MAILING ADDRESS(STREET ADDRESS; ATE,ZIP): - EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - ,
1 E-MAIL ADDRESS:
1 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT jirCONTRACTOR
■ 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 ❑ 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 j
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 s plied to the city s a pa of this application.
i /4kaO57/'l
NAME/TITLE: 1DATE:
❑ PROPERTY OWNE ❑ 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