01-104161 -► '
City of Federal Way Electrical Permit #:01 - 104161 - 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: ODYSSEY GROUP
Project Address: 33400 8TH S Suite200 Parcel Number: 926500 0110
Project Description: ELE- Relocate switches and outlets for tenant improvement
Owner Applicant Contractor
BONHAM INVESTMENTINC LAZER ELECTRIC LAZER ELECTRIC
2190 BROADWAY APT 7E 9523 19TH AVE E. 9523 19TH AVE E.
SAN FRANCISCO CA 94115 TACOMA W 98445 TACOMA W 98445
(253)535-1900
Electrical Fixtures
DescrOtidr . Quantity 1,1 !6, : , Description ,m `Chin*lty POScription .'. -..;'Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES April 28,2002,IF NO WORK IS STARTED.
Permit issued on October 30,2001
I hereby certify +at the above info 1.tion is correct and that the construction on the above described property and
11
the occupancy a I t use 11 be in<c , :. - - .ws,rules and regulations of the State of Washington and
the City of Feder.
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Owner or agent. ` ` �`_JtDate: /
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ca � _ . �. CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: �1 - /O L(. L - i✓
uvFIY
r 3rr APPLICATION NUMBER: _ -
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APPLICATION NUMBER:
**The -Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
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SITE ADDRESS: 3)'1 c 11 `��'- ASSESSOR'S TAX/PARCEL#: - /( C
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 4:1LJILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT D SFRI
ON(Provide detailed descrip jo ): �l C-44-1` e -C 4L .-C— k � 6
Exp �o� p (
PROJECT NAME: e,se ss_y 6 rC)1.&_r
( ■ PEOPLE INFORMATION
PROPERTY OWNER: wine: �4 N V � `I 5 (AYTIMEPt�NE:
MA )
� EE
ADDRESS(STRT ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
L4Ze 1 c_ (,75'1)535-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): [EVENING PHONE:
)
fITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) PetL E E i c a F
APPLICANT: NAME: DAYTIME PHONE:
t ( )
1 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
I I RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
` E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: C ` C e e EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ // e_ `1C
PROPOSED USE: L CC- PROPOSED VALUATION FOR IMPROVEMENTS: $ `C
SPRINKLERED BUILDING? ❑ YES ❑ ND" FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 4-NO
WATER SERVICE PROVIDER: LLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN 0 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: 0 ELECTRIC 0 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)
" • • 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 - owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless • • Ci of Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred in the
investigatio and defen e of such dai ),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way, ut my ere such «ai arises ou the reliance of the city,induding its officers and employees,upon the accuracy
of the informa" . , up.li•. • .•e ay a• a p., •,.ycation.
0 NAME/TITLE: � DATE: V6 /
❑ PROPERTY 0 • :R qicPPLICANT ❑ CONTRACTOR
FOR OFFICE°USE ONLY:4 I
_"_. .. ❑:TENANTIMPROVEMENT
=L� NEW��<�. ,�ADDITION ❑"ALTERATION � ❑=REPAIR ..
CENSUS''.CODE: LOTSIZE
ZONIN„GESIGNATION ! BUILDING SHELLONLY?=Z❑ YES ❑ NO I.
COMP PLAN DESIGNATION = BASIC PLAN� ❑ YES ❑'NO' •
SECTION TOWNSHIP RANGE • NEW ADDRESS REQUIRED? ❑':YES ❑.IVO
PLATTED LOT? ❑;YES
0 NO CHANGE OF”USE?. "" ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129