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01-104225 w City of Federal Way Electrical Permit #:01 - 104225 - 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: PSYCHIC SPECTRUM Project Address: 1620 S 312TH SuiteC Parcel Number: 785360 0187 Project Description: ELE-Add(1)4tamp branch circuit for restroom. Owner Applicant Contractor Leila PRO ELECTRICAL INC PRO ELECTRICAL INC 1620 S 312TH ST 1707 S 341ST PL SUITE B 1707 S 341ST PL SUITE B FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 98003-4945 (253)835-3231 Electrical Fixtures ,m flescripti©n . Quantity ,,k,..q-''4 Description_ „ , :,_y Quantity Description =*ru��4uentityf Circuits- Commercial 1 PERMIT EXPIRES May 1,2002,IF NO WORK IS STARTED. Permit issued on November 2,2001 I hereby certify that the abov information is orrect and that the construction on the above described property and the occupancy and the use ill be in accor nce with the laws,rules and regulations of the State of Washington and the City of Federal y. , ., rr Owner or agent: Date: l z--/�� 6 '5-— i 2a,, ,..,. / l 0/. 2— 6 l/ i4(b ( t'''wo,„, lib- ((0 ( -Foy/I-11E C -C--,„ 1). Fe 141(g V CONSTRUC I ION PERMIT APPLICATION Ems — APPLICATION NUMBER: 0 J. — L O.Y-'24,1,..i-- EL Nem' 0 2 APPLICATION NUMBER: t,i i ' ur- t=i:.„ �.,st:L WAY APPLICATION NUMBER: _ - BUILDING DEPT. — — — — — — **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. //�� 5".• 7'� ■ PROPERTY INFORMATION SITE ADDRESS: //�2 V ✓• 3/v <f *CVASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .. ■ PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ^ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ` 0 61 ( � r K7 1 (' *�- r PROJECT NAME: r5 c1416.C1 � / rei/L A. I , ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: rnIME PHONE: k / 7 (STREET ADDRESS;3 4-T i.e a-fJ-%- f Aht 11.°-& CONTRACTOR: NAME: P n C bea g1-' ., J - — `G” s) i 2.3 I MAILING ADDRESS(SXREET ADDRESS;CITY,STATE,ZIP): �/jI j/� 144 ,/tfauf-x-3 ) EVENINGG PHOINNE: /( ID yNNSE NUM1: ft — 6 / ?W[ 41 �Qa CITY F DERAL AY BUSINESS FAX N BER: _ _ _ ( 3) 53C-3213 CrORS REGISTRATION NUMBER: — /� i �(� T EXPIRATI DATE: -7� (appy of mrd required) / I• o 5- ` - f` f q s cr/ 3o / 2603 - T APPLICANT: NAME S/„" / DAYTIME PHONE: - (' MAILING 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: CIPROPERTY OWNER ❑ APPLICANT tiONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES Cl 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) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SWING 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 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(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such dai arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the informatioip d to the d . �� v NAME/TITLE: ( • DATE: / ❑ PROPERTY OW R ❑ APPLICANT `CONTRACTOR FOR OFFICE USE ONLY: .[I NEW ) ❑ADDITION ❑ ALTERATION :REPAIR ❑=TENANT IMPROVEMENT CENSUS CODE: - -LOT:SIZE .. " _ZONING.DESIGNATION BUILDING SHELL ONLY? ❑ YES ❑ NO ;COMPPLAN DESIGNATION BASIC°PLAN? °- ❑-YES ❑ NO` SECTION : "-TOWNSHIP ` RANGE NEW ADDRESS REQUIRED? -❑'YES 0 N PLATTED LOT? ❑ YES ❑ 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