01-100345 City of Federal Way ' Electrical Permit #:01 - 100345 - 00 - EL
Community Development Services +
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: EAGLE TIRE&AUTOMOTIVE
Project Address: 1515 S 344TH St" Parcel Number: 889700 0030
Project Description: ELE-Alter existing sign pole into a parking lot light
Owner Applicant Contractor
John M Kurosky NONE T C M ELECTRIC
1515 S 344TH ST 4023 S 216TH ST
FEDERAL WAY WA KENT WA 98032
98003-6805 NONE (000)852-0614
Electrical Fixtures
Description ' r Quactrt r Description (Quantity ,,;1Description 1Quantitx
Circuits- Commercial 1
PERMIT EXPIRES July 25,2001,IF NO WORK IS STARTED.
Permit issued on January 26,2001
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 Federal Way.
Owner or agent: OaLke._ / � (X Date: �1
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CA/ 5 t✓ — 2 • c i «
,P-
C/Ti;°f EcENED r , ,. CONSTRUCTION PERMIT APPLICATION
En ��?
• APPLICATION NUMBER: 1,s�y - / CC.[�TfJ$ -
uV FlY � 2 5 (mt5 \ APPLICATION NUMBER: - -
Ft)LHAL\NAY APPLICATION NUMBER: - -
ort O�F��t�IRG DEPT.
**ThOYtlf wing is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
f • PROPERTY INFORMATION -
SITE ADDRESS: 15 15 S' 3�(-E ASSESSOR'S TAX/PARCEL #: d,/ av - V c3e)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
'` ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING LI PLUMBI El MEC' ICAL ❑ .1\ OLITION
ELECTRICAL ❑ ENGIN 'NG❑ FIRE ' V . TION ' "v,EM
PROJECT DESCRIPTION (Provide detailed description): w� ..... s E' G • 1r' , , 4
►1�� 0. l Lka + 1LQ
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PROJECT NAME: EL-L4s'/ *To I a ` \‘1•6 V 't'
A L
■ PEO 'INFO, TION
PROPERTY OWNER: NAME: Ncill1111111ftas_ DAYTIME PHONE:
42\
MAIL ' ADDRESS ADDRES STA E,ZIP): %:
5l_ l. f
CONTRACTOR: NAME: # v DAYTIME PHONE:
T. --,c_ (a. ) -c l41
MAILING Ar •ESS(STREET ADDRESS; ,STATE,ZIP): 1 .-EVENING PHONE:
3 —3, cgtc[ _ �,\-• -6 ' CAD 9, ' ' ) _
. FEDERAL WAY BUSINESS LICENSE NUMBER: ) 1 a F•. MBER:
_ - _ _ _ ( )
CONTRA. :EGISTRATION NUMBER: _ \. * EXPIRATION DATE:/
(copy of card fired) C. '', L* ' 0'' - 0 C o 3 / / C/
APPLICANT: NAMESDAYTIME PHONE:
1 b CZ-3) S's- -de/c7(
MAILING ADDRESS(STREET ADDRESS; ,STATE,Z EVENING PHONE:
oat S, ac�i , � . `�r
9gC3 ( ) _
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ R(DESCRIBE): ( ) - j
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT k CONTRACTOR j
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ .14
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
..SPRINKLERED BUILDING? ❑ YES CINO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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: D 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) DISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIG .iATURE 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: tofLea/ DATE: \CC
❑ 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
(YlMMI InIfIV rIPAtcI r oMFNT ccRVTCFG•77G1n FTRGT WAY Gn rrH•P n ROY 9718•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129