01-101006 City of Federal Way Electrical Permit #:01 - 101006 - 00 - EL
Community Development Services
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: DOW JONES
Project Address: 600 S 334TH Parcel Number: 926.500 0260
Project Description: ELE-Electrical work for (3) freestanding monument signs
Owner Applicant Contractor
DOW JONES&COMPANY INC PERMITTECH,LLC*CHARLES"CHAZ"DUt HEATH&COMPANY LLC
PO BOX 300 1916 PACIFIC PL 2300 N HWY 121
PRINCETON NJ 08543-0300 MOUNT VERNON WA 982 736 EULESS TX 76039
(206)623-3100
Electrical Fixtures
Description Quantity r Description Quantity Description Quantity
Sign 3
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PERMIT EXPIRES September 11,2001,IF NO WORK IS STARTED.
Permit issued on March 15,2001
4I)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:
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City of Federal Way Electrical Permit #:01 - 101006 - 00 - EL
Conununity Development Services
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: DOW JONES
Project Address: 600 S 334TH 51- Parcel Number: 926500 0260
Project Description: ELE-Electrical work for(3)freestanding monument signs
Owner Applicant Contractor
DOW JONES&COMPANY INC PERMITTECH,LLC*CHARLES"CHAZ"DUI HEATH SIGNS
PO BOX 300 1762 AIRPORT WAY
PRINCETON NJ 08543-0300 SEATTLE WA 98134
(206)623-3100
`a
Electrical Fixtures
Description Quantity Description "'- Qua** Description Quantity
Sign 3
PERMIT EXPIRES September 11,2001,IF NO WORK IS STARTED.
Permit issued on March 15,2001
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 A the aws,rules and regulations of the State of Washington and
the City of Federal Way.
i
Owner or agent: e - Date: /
4.
ar•C'• CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: O/ la e - EL
uv FlY � - —
APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**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.
• `.2 PROPERTY INFORMATION
SITE ADDRESS: to 5 ..--/--4.- .330 SST ASSESSOR'S TAX/PARCEL #: I Z 4 Sv 4 - 0 Z 6 Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r- P. PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MEC I EMOLITION
NEM ELECTRICAL ❑ ENGINEERIN FI• i,_:,•EVENTION STEM
PROJECT DESCRIPTION(Provide detailed description): 7,s,za / "• - s'r:l-'!- 5''
v . .
PROJECT NAME: 9C/14/ () /
PEOP,E INFOR. ATION
PROPERTY OWNER: NAME: DA E PH E:
, cs 1 ( . ) / -850
P' MAI ADDRESS REET A. 'ESS;CITY, •TE,ZIP:
CO 5 3 4 r1
CONTRACTOR: ME: IAYTIME PHONE:
c - C6 . e (eZo6) 62..E-3/GC
AI AD E S(STREET ADDRESS; . ATE,ZIP): EVENING PHONE:
7602 - 4j/"Pal./1- wG i/ S A f / ( /e ) ' A
CITY 0 L WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
7_ I2 SSy _ ( ) -
CONTRACTOR'S ISTRATION NUMBER: EXPIRATION DATE:
(copy of card requir _ / /
APPLICANT: NAME: DAYTIME PHONE:
3/1/ c e /Q/`f G J (g 06 ) G,2,.3 -iia G
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/ 9‘)-- /4 ;c 7 !ti k (r s' S'ek /7/7., ( /r ) / / -
RELATIONSHIP TO PROJECT: FAX NUMBER: I
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): S rrh C'c, ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT t(d"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)
I 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 HEATERS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK 5) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SU (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 cl.' . ises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information pplied to the ' •. •f this application.
NAME/TITLE: - ,� DATE: 3 -/q -o/
❑ PROPERTY OWNER ❑ APPLICANT CXCONTRACTOR
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