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01-104671 r , ' City of Federal Way Community Development Services Electrical Permit #:01 - 104671 - 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 41, Project Name: EDGAR,DR'S BRYAN&LINDA Project Address: 32114 1ST1S4 e2.00 AVE 5 Mri i+ ago' Parcel Number: 926450 0010 Project Description: ELE-Intercom&video low voltage wiring for dentist office Owner Applicant Contractor OCEANVIEW PROPERTIES PACIFIC AUDIO CONSULTANTS PACIFIC AUDIO CONSULTANTS 32114 1ST AVE S STE 200 PO BOX 25395 PO BOX 25395 FEDERAL WAY WA 98003 SEATTLE WA 98125 SEATTLE WA 98125 (206)364-5944 Electrical Fixtures Description jP a ' Quantity U DesCr tion `::: Quantity i ,DescriptioliTatZgUantityl nta Low Voltage-Other Commercial 4500 PERMIT EXPIRES June 4,2002,IF NO WORK IS STARTED. Permit issued on December 6,2001 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: (V7('.6 Date: ( �- -v✓-O — 3 — 02 pts\ a - Paa s c .1._ ©rte -a— l,- V- CwSY'r``e-`I':u c,. ` G (L. 3 9 /4. 60,7 DI E 0► t ;Of G 71 fm r-°P1N/F CONSTRUCTION PERMIT APPLICATION _ "" EDEJ L APPLICATION NUMBER: 0:1 - 1.046. 1 UEC O 6 ?O1 7 APPLICATION NUMBER — - _ APPLICATION NUMBER: **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 : s 5 Z Wf l$y- S 2Q7 ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ -.L.--: ■ PROTECT INFORMATION - TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION VIMAIMMICAL„- 7 ENGINEERING❑ FIRE PREVENTION.. ,, SYSTEM PROJECT DESCRIPTION(Provide detailed description): 4A., , e•O-1 d-CJ t(.ffJJ620 19.1 1;s.-, �/ ./T l 511- O !€-‘e___ PROJECT NAME: K/ r 9 SV I o'". .'"41 LV 's ��-Lt ((e 4 -' in PEOPLE INFORMATION PROPERTY OWNER: NAJy� DAYTIME PHONE: ���t//�y.� 1'�aM �Q/q/ate (Z53) F'3$- ?33j MAI NG ADDRESS(STREET ADDRESS;Cllr,STATE,ZIP): 3L lig tst 4-� S if ZOO CONTRACTOR: NAME: �< DAYTIME PHONE: �4CC�«- �r.G� Q (AZ) %i - �fei MAILING ADDRESS(STREET ADDRESS;CITY,Vv/ _ 2 5 3 STATE,ZIP), u/'/9- D 12S E( NNING ONE: y - 5.116 ..�� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUM ( %3 -g5O3 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE (copy a card required) r 4- c 1P , -c 1' 1 4 J _ c / 2yc / zons APPLICANT: NAME:paCA ^ --/a91- _/ DAYTIME PHONE: _ c' i MAX AD'• %(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: VO ' • 2.5341S t W4- T ?25 ( 766) 36 -5-41CT. l RELATIONSHIP TO PROJECT: ((,,�� �,,,,//� FAX NUMBER: I=1 ARCHITECT CI TENANT OTHER(DESCRIBE):0441.1YR.�a, ( ) .6 -T5-0) E-MAILMiHADDDRRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT (CONTRACTOR !t/t9-1'42—. R::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:0 YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN El HIGHLINE ❑ PRIVATE(SEPTIC) r � **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 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.( ) INTERCEPTORS) SUMP(S) W 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 father,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I fcUtther 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to�the city asGrt of thi pplication. • NAME/TITLE: �f�/Z (6) r/ 'r' DATE: /Z —6 _C/ ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR • FOROFFICEMSE ONLY: NEW �t �El ADDITION ❑ALTERATION ❑,REPAIR' TENANT=IMPROVEMENT CENSUS CODE LOT SIZE .._ ..'. i,ZONING DESIGNATION f BUILDING SHELL ONLY? .❑YES ❑ NO :COMP PLAN DESIGNATION F BASIC PLAN? ., (ES ❑'NO` SECTION° TOWNSHIP RANGE - NEW,ADDRESS REQUIRED? ❑-YES - ❑ NO PLATTED LOT?._ ❑YES ❑ NO CHANGE OF;USE?,. ❑YES COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129