01-100264 City of Federal Way
Community Development Services Electrical Permit #:01 - 100264 - 00 - EL
33530 1st Way S
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: PAGING&CELLULAR
Project Address: 29500 PACIFIC S SuiteG Parcel Number: 304020 0093
Project Description: ELE-Electrical work for(1)set of illuminated channel letters.
Owner Applicant Contractor
DAVID RHODES MUSIC GALORE PAGING&CELLULAR LUMIN ART SIGN CO INC
29500 PACIFIC HWY S 29500 PACIFIC HWY SOUTH#G 1118 A ST SE
FEDERAL WAY WA 98003 FEDERAL WAY,WA AUBURN WA 98002
98003 (253)833-2800
Electrical Fixtures
Description Quantity Description Quantity Description m, Quantity
Sign 1
PERMIT EXPIRES July 22,2001,IF NO WORK IS STARTED.
Permit issued on January 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 accor ance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: .��� �� Date: /-Z3 - 0
CIT.Of CONSTRUCTION PERMIT APPLICATION
-- � L Ef\/ED .
APPLICATION NUMBER: D I - /DOZ� .-
JAN 2 3 Mill APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
RAS NAY
**The follwY419OgaTtorrmation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION Y
0.
SITE ADDRESS: 2.�y J(--D D p ("lr t Carejr ASSESSOR'S TAX/PARCEL #:3 0 0 2 6 - 0 6 5' .3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
" ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):: / S P"- ::_am /' 'M► `T I ,. F / ' C rfs
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PROJECT NAME: (ASIC 0 f D re. ' (. (uickr4 a i fi '
Aidi ■ PL 'PLE INK. •""TTON
PROPERT NER: NAME. ,.. DAYTIME PHONE:
I / `c� S ( ) -
j MAILIN DRESS(STREET ADDRESS;C • ATE,ZIP):
2-q1-6 P L
CONTRACTOR: E: -}- •YTI 'HONE.
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MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIe. 'I ING '•NE:
1 I ( i -s� . SE -
SF FEDERAL WAY BUSINESS UCENSE NUMBER: II NUMBER. .-
_ _ _ - > • ; '9 -t?3 7•_
CONT•• BR'S REGISTRATION NUMBER: 5
i PIRATION DATE:
(copy of card required) _ j 6 P I/ /
APPLICANT: NAME: ' DAYTIME PHONE:
.^-
MAIUNG 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 LI APPLICANT >if 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 ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
!v."-
NUMBER
.'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,!_lfG(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: El 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 a ises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to t e ci s part of this application.
NAME/TITLE: ", f DATE:
1 -Z -f 0/
❑ 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
COMMI INTTY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129