01-100178 City of Federal Way
Community Development Services Electrical Permit #:01 - 100178 - 00 - EL
33530 1st Way S y
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: QUALITY RENTALS
Project Address: 34815 PACIFIC S Parcel Number: 202104 9042
Project Description: ELE-Alteration of up to(20)circuits for tenant improvement.
Owner Applicant Contractor
NWCH INVESTMENT PROPERTIE QUALITY RENTALS ELECTRIC CONNECTION
5312 PACIFIC HWY E QUALITY RENTALS ELECTRIC CONNECTION
TACOMA WA 34815 PACIFIC HWY S 5520 112TH ST E B2
98424-2602 FEDERAL WAY WA 9 (253)863-6078
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 20
PERMIT EXPIRES July 16,2001,IF NO WORK IS STARTED.
Permit issued on January 17,2001
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 ail,' .ance with the laws,rules and regulations of the State of Washington and
the City of a1 W. ,
Owner or agent. -_ A Dated--7_1y, 17I gyp(j
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RECEIVED CONSTRUCTION PERMIT APPLICATION
VV i� L APPLICATION NUMBER: 61 - / G () /7 Y - e--7_.-
JA: APPLICATION NUMBER: - -
!e APPLICATION NUMBER: - -
**ThOF FEDERAL WAY
Lp�gLDg@Tp�d 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: 3`� S \-4k, ,�,t }-k S. ASSESSOR'S TAX/PARCEL#: ` �i �(d - �1
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO3ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ig ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM E
PROJECT DESCRIPTION(Provide detailed description): I f -\3,_,--,A- —\�rL�Nyvl e,,_ 1- — 'SA,c, ,"- ReTA tI
L4xc PPC.C.o Ci r G v i•C-s A ec i `^ ' eft i 'JCv�- C-L i-C..S.I t".
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PROJECT NAME: c . c,_,_\. .\.. \ \. CK\-K"_\ ;,
■ PEOPLE INFORMA''ION
PROPERTY OWNER: NANy:�rr K-------) DAYTIME PHONE:
MAIrrLI�ADDRESSWTR;ET ADDRI ;; ,STATE,ZIP): ( )
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CONTRACTOR: NAME: DAYTIME PHONE:
E1 c.._\v,k CC;v\r-\C_Ct:c:, (a'S:` ) '1(-( -r11eY _
• MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: EVEN/NG PHONE:
Sc_ II -A--t-/ - I. '6 �- C_ Vkl_ip L314 ,.-9" --7.--: .05-5,) `7'-,F_-7
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
:.. - _ _ (�5- ) Lf-'5�?, -.
CONTRACTOR'S REGISTRATION NUMBER: - /' _ EXPIRATION DATE:
E--4p•
(copy of card required) E c C' 'i c ,, E C% I / C C. /
APPLICANT: NAME: _ . DAYTIME PHONE:
•' . _ & � .••••- ..`�) h/—r ( ) -
MAILING ADDRESS(STREET ADOR*;CI' "STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: �crhfr•
FAX NUMBER:
0 ARCHITECT C1 TENANT Ll' (DESCRIBE): ( ) -
�, E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 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 o where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informs - n$ pplied to the c s part of this application. -
NAME/TITLE: .. _- CT'..ti l J'I'i1-Ce_ I- O,,•C�� C-- DATE: I CI C 1
❑ PROPERTY OWNER ❑ APPLICANT tg 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