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01-100393 • City of Federal Way Electrical Permit #:01 - 100393 - 00 - EL Conunwiity 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: FARRELL GROUP CID Project Address: 30924 PACIFIC S Parcel Number: 785360 0215 Project Description: ELE-Electrical work for(1)freestanding pedestal sign Owner Applicant Contractor SUNSET GROUP IV NONE LUMIN ART SIGN CO INC SUNSET GROUP IV 1118ASTSE PO BOX 66826 AUBURN WA 98002 SEATTLE,WA 98166 NONE (253)833-2800 Electrical Fixtures Description Quantity) Description IQuantitA Descriotiont, Quantity Sign 1 PERMIT EXPIRES August 22,2001,IF NO WORK IS STARTED. Permit issued on February 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 accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: ' 2- 3U 2a - c7747a,,' Jam_ f'9 Al /qtr "1"../i Jia ��r�{��t l � Z t/ 3 r , 44.„„, z CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: D( - ZQ Q. - - ....5APPLICATION NUMBER: -E AAPPLICATION NUMBER: -**The folluwmg is required information—Please print(in ink)or type** RAL Please note: Electrical,Firecg S "" ryg9TWAYs and Engineering permits may require a separate application... ■ PROPERTY INFORMATION - SITE ADDRESS: 7 ( z( p 1 ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTIF LENGTH • Illi ` ■ PR' ^•T INFOR 'ATION TYPE OF PROJECT(This application): ❑ BUIL 0 ❑ UMBI ❑ MECHANIC• N 0 EMOLITION g ELECTR ❑ r- . EE G❑ FIRE P VENTION SYSTEM PROJECT DESCRIPTION(Provi. .etail. •escription dit Tit i +fe.s-1-74 A)Z (N( ((./J )ihrIP PROJECT NAME: ► R 1 C FaNY(4 ( torAlk ■ PEOPLE INFORMATION V PROPERTY OWNER: E: DAYTI •HONE: 43VC / SCom( , Ckti4 ill OL ( 2eL 2i/(- i(EDO MA G ADDRESS(STRE DDRESSY,STATE,ZI ): .©0( 2�•( P k5 CONTRACTOR: NAME: ��11-/ DAYTIME PHONE: i - /n'� 3'• y_s ( )?3�, :2-SOo MAIUN ADDRESS(STREET ADDRESS;CITY,STATE, EVENING PHONE: t (( 0 pc_ ST • S ( ) CITY OF FEDERAL WAY BUSINESS UCENSE NU R: FAX NUMBER: - - — — ( ) q3� - 372 CONTRACTOR'S REGISTRATION NUMBER: (( �l •" ' 1 M / Q EXPIRATION DATE: (copy of card required) L Vk S , 2 ( J 2- I / 2'2_ / 0 3 APPLICANT: NAME: DAYTIME PHONE: S0.✓h ( ) - 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 0 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 ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) r **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) HEAT SOURCE: CI ELECTRIC El GAS DUCT(S) GAS PIPE OUTLET(S) 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 a a part of this application. ff DATE: / ' ��`� /NAME/TITLE: Ati,„// ❑ PROPERTY OWNER ❑ APPLICANT rytpNTRACTOR 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 (OMMI INTTV nFVFI OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX[753-661-4129