01-104151 City of Federal Way
' • Electrical Permit #:O1 - 104151 - 00 - EL
Cotrnnunity 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: WASHINGTON MENTOR
Project Address: 33400 8TH S Sdti'te196 1#le S 5-e. i 3(2 Parcel Number: 926500 0110
Project Description: ELE-Install 7 light switches and relocate outlets for new office cubicles.
Owner Applicant Contractor
BONHAM INVESTMENTS COMPAN LAZER ELECTRIC LAZER ELECTRIC
999 3RD AVE#2626 9523 19TH AVE E. 9523 19TH AVE E.
SEATTLE WA TACOMA W 98445 TACOMA W 98445
98104-4018 (253)535-1900
Electrical Fixtures
,.Description , -Quantify F"4 Description' Quantity] :Descripti'an`- Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES May 5,2002,IF NO WORK IS STARTED.
Permit issued on November 6,2001
I hereby certify .t t - abe e info •tion i correct and that the construction on the above described property and
the occupancy an. th s: '11 be in . cord.nce with the laws,rules and regulations of the State of Washington and
the City of Federa i Vtricii� /Owner ora ent: 8�, X11 ��9'�` Og _�• � , r��� � Date: //
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cn•a CONSTRUCTION PERMIT APPLICATION
VV FET t.-- ~ � P:'-'"F. t '= APPLICATION NUMBER: 01_ - / �=71 — - (�
APPLICATION NUMBER: - -
.' 3 2.(_';',.,:i APPLICATION NUMBER: - -
**The fAtiulib§v4 drir�formation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
:' - ' - - ■ PROPERTY�� INFORMATIONN - .. .
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SITE ADDRESS: , 1 00 13 e S . ASSESSOR'S TAX/PARCEL #: Cl 2, r0 S-0 0 - D j j 6
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): a)01 S-e d,v, I I foes*
CAriFLAS O4 c.e PA-t-k As rece,rc?ee i:`1 0ufu>tiO 9 ? o4 pill+ , pet e..
55- S e( re Lo c 5 c K i.--,3 y 1,3 A
g.. -V , ' ■ PROJECT INFORMATION - .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
siALELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
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' PROJECT DESCRIPTION (Provide detailed description): _ S I--1- (I (1 ) / �LT IO .51 �L 4
4 r-e. (a c ,1--4-c tif„)o A4 e ..v _ ice > ,
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PROJECT NAME: IN /4-5'1\ 1 *A) Apk) / e,v (1st"
. . • . • ■ PEOPLE INFORMATION . . .
PROPERTY OWNER: "ME' j DAYTIME PHONE: •
Lc›.-._ kAM -Llovesl-.itc.�Ts Irvc,. (2') 515- 0&,3o
(•TAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: n LAN/ JDA ME PHONE:S.� < -;c — f !c!ets , ln&c-, 64 57
s ) -tc9i3
MAIUft <ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): "•••••............ EVENING PHONE:
tZ I I C t.a 4 e t- Qt t A cot-v/1 , 1,0 et q S L( (2o6 ) 2 1° -`l(01 I
CITY OF FEDERAL WAY BUSINESS UCEUSE NUMBER: fAX NUMBER:
00 - 1 0 / 3q6 - 13L (,25-1) s73- /7/7
CONTRACTOR'S REGISTRATION JrNIR- c '` -�•l > EXPIRATION DATE:
(cop)of card requrtc J) J L r'/� E K U 1 ( ✓. b �j / 4-/ /)&6..Z
APPLICANT: NAME: DAYTIME PHONE:
SIA pc,rioc- &A., /ci .,5 , TA,..c; , 063) S73 - /( .99
mAILINdADDRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING PHONE:
I ( 2- (e.:.A-e; 57 , TA cc,,tA . Wri gS90ci (),et>) ;240 -qb(I
RELATIONSHIP TO PROJECT: ,,++ FAx NUM•TBER:
❑ ARCHITECT El TENANT [ OTHER ( DESCRIBE):C.U,34- ACA c-- (2S3) 5-73 -179 7 .
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR S`1i: C-`L'I cAICc,"P
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- - ■ DETAILED BUILDING INFORMATION V
EXISTING USE: Dccc E e. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 77 1� 3 00 to
PROPOSED USE: b ` F ( C e PROPOSED VALUATION FOR IMPROVEMENTS: $ S, 4000
SPRINKLERED BUILDING? ❑ YES *NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES CV-NO
WATER SERVICE PROVIDER: I LAKEIIAVEN ❑ IIIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: T}'LAKEHAVEN ❑ HIGHLINE LI 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 i l
HOW MANY FLOORS?
•
TOTAL:
Indicate number of each type of fixture
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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 LI GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Li GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
..::'-1.-'.:..: III •DISCLAIMER/SIGNATURE BLOCK . .
I certify under p nalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that am author zed by the owner of the above premises to perform the work for which the permit application is made. I
further agree o hold ha (less the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation d de ens of su • ,. ),..w ich may be made by any person, including the undersigned, and filed against the City of
1/4
Federal Way, b on y v,/ler er Bch cl se he reliance of the city, including its officers and employees, upon the accuracy
of the informal i s •pli d o e
iff
•. �,'. pplication.
NAME/TITLE: 4 Ai to z
V al -11-4111P /07, ,A
` eAI* DATE:•
/� /
❑ PROPERTY 01 ER .APPLICANT ❑ CONTRACTOR
•
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: j LOT SIZE:
ZONING DESIGNATION : I BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION _ ! BASIC PLAN? Li YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? LI YES_ El NO
PLATTED LOT? [i) YES L) NO 1 CHANGE OF USE? ❑ YES C) NO