01-104312 City of Federal Way Electrical Permit #:01 - 104312 - 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: WASHINGTON EDUCATION ASSOCIATION
Project Address: 33434 8TH 9. AVCS Parcel Number: 926501 0120
Project Description: ELE-Add one light switch and one outlet to remodeled storage area.
Owner Applicant Contractor
WASHINGTON EDUCATION ASSN SASCO ELECTRIC SASCO ELECTRIC
33434 8TH AVE S SASCO ELECTRIC SASCO ELECTRIC
FEDERAL WAY WA PO BOX 3887 PO BOX 3887
98003-6323 SEATTLE WA 98124-3887 (206)571-3973
Electrical Fixtures
Description 01 G2ua tty Description 'Quantity
Circuits- Commercial 1
PERMIT EXPIRES May 7,2002,IF NO WORK IS STARTED.
Permit issued on November 8,2001
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 Way.
Owner or agent: __ Date: %//O eta `
'k(7--i/°L 10s�ei-•
RECEIVED
CONSTRUCTION PERMIT APPLICATION
_
\>\> FIry NOV 0 8 2009 APPLICATION NUMBER: 01 - LO fel' _31
G L
APPLICATION NUMBER: - _ - G_-_
v,e Y OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT. - - - - - - - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention ystems and Engineering permits may require a separate application.
• / :4 PROPERTY INFORMATION
SITE ADDRESS: 33' 3'7' - � Ve- 5: ASSESSOR'S TAX/PARCEL#: Z - c / -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGT. • CO/-1/-PG*2 e//it
l! PROTECT INFORMATIOt\
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUM: G ❑ M HANI i L 0 DEM ON
%ELECTRICAL ■ ENGIN• • NG❑ FIRE PREV ON S EM
PROJECT DESCRIPTION(Provide detailed description):
/ ../GA/`__ 5' �� , eV L.? �a
PROJECT NAME:
1i PL`°LE It FORMATION
PROPERTY • , •: NAME: Ili O
GJ lh/j,e..)G Yo ac..51 Y/O fj0 c, -
MAILI I,DRESS(STREET ADDRESS; ,STATE,ZIP):
3 3V- '-f' r�- Le) /9
CONTRACTOR: E: D ME PHONE:
NG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP). EVENING PHONE:
lD 110X gg 77 9'Q'IZS/ ( ) -
CITY 0 I ERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
zo a _ /e_fc -d - ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE
(copy of card requ 5 A. $ c v 6- d S 1 /Z / ZL / zee,/
APPLICANT: NAME: DAYTIME PHONE:
f9- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: d�C�� FAX NUMBER:
❑ ARCHITECT ❑ TENANT ( OTHER(DESCRIBE): /c ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT VCONTRACTOR
■ 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 Cl TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT 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 UNtF(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) *IISC.( )
INTERCEPTOR(S) SU P(S)
�• DISCLAIMER/SIGNATURE BLOCK •
I certify under penalty of perjury at 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(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 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.
dhl
NAME/TITLE: .7l �L�G G/ific� DATE: /6976/ElPROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICEUSE
❑ NEW:. , , ❑ ADDITION • ❑ ALTERATION ❑ REPAIR- D.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•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129