01-104112 •
City of Federal Way Electrical Permit #:01 - 104112 - 00 - EL
Community Development Services
33530 1st Way S FILE
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DOLLARWISE/PACIFIC SERVICES
Project Address: 3455 S 344TH Suite204 Parcel Number: 222104 9006
Project Description: ELE-Electric work for tenant improvement.
Owner Applicant Contractor
BEDFORD PROPERTY INVESTOR BAYSIDE ELECTRIC CO BAYSIDE ELECTRIC CO
PO BOX 2044 PO BOX 2044
GIG HARBOR WA 98335 GIG HARBOR WA 98335
(253)381-4833
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Electrical Fixtures
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ti a��i°.u' °D,e criptldrI Quantity Descr,iptloil �ra���x a_ (Quantity Description n`� "; Quantity
Circuits- Commercial 16 Service/Feeder:101-200 amps-Comr 1
PERMIT EXPIRES April 22,2002,IF NO WORK IS STARTED.
Permit issued on October 24,2001
•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 �)4
Owner or agent: �) Date: l,(....12._4-10‘
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p _ 'Y CONSTRUCTION PERMIT APPLICATION
\>\> HYD (IN 2 4 ?r,91 APPLICATION NUMBER: a, - d 2- _ _
L yJAY APPLICATION NUMBER: _ _ _ _ _
't'BUT.DT ;C Dr-PT. APPLICATION NUMBER: - _ -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Are Prevention Systems and Engineering permits may require a separate application.
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SITE ADDRESS: 74-SS T-)1-4-1 o _
41`` ASSESSOR'S TAX/PARCEL#: 22- Z I D f Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): T 7�
•
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
LCYLECTRICAL ❑ ENGINEERING❑ FIRE� PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): -At E \i"'kr• Qvrzy-tic
PROJECT NAME: 7LA-A2wTL 64`/(tl ce-t FZ��
PROPERTY OWNER: NAME: DAYTIME PHONE:
4'U N til(C
MAIUNG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
CONTRACTOR: NAME: �� CO
C DAYTIME(25, )PHxNE:
"55 - LA- )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
�o P6 ( Zoa¢ GiC ‘0 - (zS� )ES
CITY OF ERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
CONTRACTORS REGISTRATI NU R. EXPIRATION DATE:
APPLICANT: NAME: A DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE, P): /EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT [ OTHER(DESCRIBE): ( ) -
,� � E-MAIL ADDRESS:
LJ
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ 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 ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE 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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSORS) 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)
- •
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 daim(inducting costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the Cityof
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: /k)(p‘ �tL �'�� ^d� ` �-- DATE: 101 2-410%
❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR
FOR:OFFICE USE ONLY:
0 NEW`i „ _❑ADDITION ❑ALTERATION ❑`REPAIR' D.TENANT IMPROVEMENT.
CENSUS CODE.' `LOT STZE..
ZONING DESIGNATION. BUILDING SHELL ONLY? .❑ YES ❑ NO
COMPPLAN DESIGNATION BASIC PLAN? YES ..❑'NO
SECTION _ TOWNSHIP RANGE " NEW,ADDRESS REQUIRED? ':YES - =❑ NO
PLATTED`LOT? ❑YES ❑'NO; CHANGE ❑NES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129