01-104619 City on FederalWay
CommunitytyDevelopment Services Electrical Permit #:01 - 104619 - 00 - EL
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- uite136— Ave S U n t fi 13 lQ Parcel Number: 926500 0110
Project Description: ELE-Install voice and data cabling within existing office space approx.3125 sq ft.
Owner Applicant Contractor
BONHAM INVESTMENTS COMPAN DIAMOND COMMUNICATION DIAMOND COMMUNICATION
999 3RD AVE#2626 24830 SE 224TH ST 24830 SE 224TH ST
SEATTLE WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
98104-4018 (425)432-6068
Electrical Fixtures
.;s A .. ..,Descriptio 44 uantiy Q.asctption Quantity 7 , Description Quantity
Low Voltage-Other Commercial 3125
PERMIT EXPIRES June 1,2002,IF NO WORK IS STARTED.
Permit issued on December 3,2001
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 ac : . .ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: - Date:
o ULB v-
Z— /.3-6 /cf- f 04 �S
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JIF11
G CONSTRUCT I ION PERMIT AP LICATION
� APPLICATION NUMBER: �_ -eel/-/e2
RAPPLICATION NUMBER: _ - _
'��� APPLICATION NUMBER: _ _ _ — -- _ _
**The folICIEG 0 eqfffl1nformation-Please print(in ink)or type**
Please note: Electrical,F Iyrg c tioDn SRystems and Engineering permits may require a separate application.
tt
- - CI P tOPERTY INFORMATION .
SITE ADDRESS: 33'4'00 9/f//,to S , /_. ASSESSOR'S TAX/PARCEL#: ‘,..r0 _ - 0//00
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
>. ;` 1 PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL CI DEMOLITION
ELECTRICAL ❑ ENGINNEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): =s" 7/ 4/tom_ ` /. ‘e7
PROJECT NAME:"
. ' ■i'PEOPLE INFORMATION r .
PROPERTY OWNER: NAME: DAYTIME PHONE: ���
�i� l/ssr�r.1/- �o r 1(267) /BYO'
MAIU ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: + NAME: WPM:A) /,6/-MAtu �ntra0/0� p~.049U,`vi j- 1p.v /^y� _ z �e
Z �_o G ADDRESS Qt CITY,,Z�477./311-,�f he/4, /QO� (EVENING PHONE: -
CITY FEDERAL WAY BUST ESS LICENSE NUMBER: J ( FAX NUMBER:
r- - - ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
141711/1 -14. &Thieelf
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
) -
i RELATIONSHIP TO PROJECT: F UMBER
❑ (ARCHITECT ❑ TENANT OTHER DESCRIBE): ( ) -
�� �OE-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,/QNTRACTOR
a 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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of su• = 1m',which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only whey• . ch dai). . ses out of the reliance of the city,including its officers and employees,upon the accuracy
of the informa •• suppl••• to the «-• as a part of this application.
NAME/TITLE: ...-z"---- DATE: /2/3
/6
❑ PROPERTY OWNER ❑ APPLICANT CO RACTOR
FOR OFFICE:USE:ONLY: `l
`CI NEWS .,_-_❑ADDITION ❑ ALTERATION ❑:REPAIR -CI TENANT=IMPROVE• MENT
CENSUS'_CODE SOT SIZE ..,._.
ZONING DESIGNATION ,_ L
,,,,,_ ,,. , = ,' .. BUILDING SHELL"ONLY?_,❑ YES ❑ NO ;': - ;':
COMP PLAN DESIGNATION BASIC PLAN? g EYES ❑ NO'
SECTION j .. TOWNSHIP RANGE NEW,ADDRESS REQUIRED? ❑:YES ❑
FLITTED LOT? _ ❑YES. "�NO CHANGE OF:USE?. ❑YES El NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129