01-104648 City of Federal Way Electr cal Permit #:01 - 104648 - 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: BERGER/ABAM
Project Address: 33301 9TH S.Avs 5 Parcel Number: 926501 0130
Project Description: EL-Alter service for tenant improvement.
Owner Applicant Contractor
SPIEKER PROPERTIES L P SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC
1150 114TH AVE SE 2112 CENTER ST 2112 CENTER ST
BELLEVUE WA TACOMA WA 98409 TACOMA WA 98409
98004-6914 (253)573-1698
Electrical Fixtures
4,,i :, Description n Quantity ,1': Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PE IT E 1'IRES June 2,2002,IF NO WORK IS STARTED.
IPermit issued on December 4,2001
I hereby certify he a.s v- info . 's n is cora ct and that the construction on the above described property and
the occupancy •, a ts 11 se in . *rdance ' its -: aws,rules and regulations of the State of Washington and
•
the City of Fed: ,,_ 1 ��
Owner or age 4A, l�� --Eigligk, --Date: I 476 /
/ ' - )1 4,4//5 Gp-, Cry-e* -17:j
c,r.o. G RECEIVED CONSTRUCTION PERMIT APPLICATION
uV FW DEC 0 4 2001APPLICATION NUMBER: C / - L U y. yr- ELI.
APPLICATION NUMBER:
til I Y OF FEDERAL 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.
■ PROPERTY INFORMATION
SITE ADDRESS: J O ' CI 4- A v C' , S, ASSESSOR'S TAX/PARCEL #: g 3 6::, S- 1 - C, ( 0
LEGA DESCRIPTION qF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Z.,9-1- 13 LU , o .eipc�S
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D c e It P a. , A cc 4 - 4- L-t-c n— r
s e. co pct dl %'1
[3 P (rti -s f ply 1 yl reCGTck �4- I`,c�. ZO, , Lit-s�i i/. ( fJ
V
r. - . ■ PROJECT INFORMATION -.- .-...--..';-:.-.... ... .--.• . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
It ELECTRICAL" ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): i) Cl (() r).. t F• L. I �L'�
PROJECT NAME: IA / ' ` '` A)G.\ ee t -
•
■ PEOPLE INFORMATION •
PROPERTY OWNER: NAME: DAYTIME PHONE: •
MAILING ADDRESSy e CS.TC_C ATE.ZIP): (aLot) yy7-77y 7
11 1 1 TL t_o&. /1- 3 e_, , Sus-4-?.._ 2._2_3o S c. -H-1 e, Lo A `le/o
CONTRACTOR: NAM DAYTIME PHONE:
Gt. Lt" d Z EC-LA 1 CX cs t j-n3 c-.i (2S3) 3 -1 G €
MAILING ADESS(STREET ADDRESS;CITY.STATE,ZIP): EVENING PHONE:
,:k112 Ce.r3 c" s-I'. , 1 6-c-- 4 °1 e y t•)C1 laoo at-co -94. t (
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
OO - 1 O / 3 `( � - 00 (253 )S?3 - 1797
CONI RACTOR'S REGISTRATION NUFIBE R- (� p r(''�' Q R T ^J EXPIRATION DATE:
(Copy of Card required) -` C C •\ V J- I ( Y, b / `I /,2a9).
APPLICANT: NAME: DAYTIME PHONE:
LOCO 1 t—6-C--44Dr- ( ) - .
MAIUNG ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - • 1
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT VONTRACTOR i
." : - . _.■ DETAILED BUILDING INFORMATION , • - . /.
EXISTING USE: ® CC- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 61 S-00/ 00 O
PROPOSED USE: 0.-4( Ce PROPOSED VALUATION FOR IMPROVEMENTS: $ 2b 00
SPRINKLERED BUILDING? 3 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES CYLNO
WATER SERVICE PROVIDER: ` . LAKEI4AVEN ❑ IIIGHLINE ❑ TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: fi6 LAKEIiAVEN ❑ IIIGIILINE ❑ 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 1
HOW MANY FLOORS? I — ----- -----
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) SINKS)
WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
:,:-:-:1. .----:";-:.::= . , . 'II 'DISCLAIMER/SIGNATURE BLOCK ..
I certify under penal., of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized .y the ikwner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmle-. the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation -nd defense of •uch clairi),which may be made by any person, including the undersigned, and filed against the City of
Federal Way, b . I where •uch s.l-ai i arise .ut of the reliance of the city, including its officers and employees, upon the accuracy
of the informati-, ..I e• o ' city ii a As of .•R..yd• icafion. J
NAME/TITLE: �\,_ `_ .�.`L��l I 1 > ' DATE: 1 1 irt b (
[A PROPERTY OW R APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: l LOT SIZE:
ZONING DESIGNATION : I BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PEf N DESIGNATION —_1 BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE I NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 NO l CHANGE OF USE? ❑ YES O NO