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01-104681 City of Federal Way Electrical Permit #:01 - 104681 - 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: TEAM HEALTH Project Address: 3455 S 344TH Suite2+0 SA" L1Y1l+ alcp Parcel Number: 222104 9006 Project Description: ELE-Electrical work to relocate and add light switches and outlets. Owner Applicant Contractor BEDFORD PROPERTY INVESTOR SUPERIOR BUILDERS INC LAZER ELECTRIC 2112 CENTER ST 9523 19TH AVE E TACOMA WA 98409 TACOMA WA 98445 (253)535-1900 N0 s i.\--{CvI ct -C-r_A— Z -1C AV ST 1p--er-,A-< E eii r WI'f r O\ _. \ O`-1 l ! -o V - E L- Ve-e QS L, V, 4eil_A r- Electrical Fixtures , Description - : {Quantity Description. Quantity � ��� a�,Descnpf��r�,� ��.�a �t����tl 2 � Circuits- Commercial 8 PE'1 IT' XPIRES June 5,2002,IF NO WORK IS STARTED. Permit issued on December 7,2001 •I hereby certify th. - ,b lye informa on is co ect and that the construction on the above described property and the occupancy and t;=.. •e k be in a 1 1. 3 ii r ?62 6s and regulations of the State of Washington and ::::' i ti ���\,,_,4 A. � _,* � ,Date: I 7j -7 (r/ ....„-- /.2._/0_,/ w<: // Iry--e''' ir',t-'--1 .- /- e4- ° a eb/> 6 P�L' ( p tG ____Le---_- [ — $ -© 2 C Zt L(tAl C D (/'e R Oiler(a_( 89// -- P W Q-eS S L,l/ feoeii i f 1— /G— 0 F/1--/4 • / ...– az — o 2.. er:-.4-K C. cj i OA CONSTRUCTION PERMIT APPLICATION • iffr! APPLICATION`;°�A"" 1 IR16IJ1 +�' APPLICATION NUMBER �� �� - G ,� Q®`� c ,y or i.._...,,.:.,-;-.AL NAY APPLICATION NUMBER: - _ OSS Q BU1LD !G DEPT. 1J OB �W ** ollowing is required information-Please print(in ink)or type** el BU` o -: Et� al4Fir Prevention Systems and Engineering permits may require a separate application. • - ■ PROPERTY INFORMATION ..SITE ADDRESS: LI SS S� -S 1 `f (/l5t - ASSESSOR'S TAX/PARCEL #: 2 . 2 / 0'/- 1 c> 0 4 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): g +-4-4 c-ke ci . - - - ' ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): (ore 4) ccQ ( i` L` _st,t) ( A.S , Add .6 U-e ( oc-/-Y1`G Uct_-1-(Q_ 5 or- ,1/4..)e (tun V- t. et A ) . PROJECT NAME: 7?ot414. /d , • . . ■ PEOPLE INFORMATION . . PROPERTY OWNER: lamE % � DAYTIME AYTIME PH ONE: c - otok R-0 e4y1S`.0t-c (20(9) S` Z/8 g05' MAILINGADDRESS( S:E1P):7o /''tt1 ADDRESS; Z/� S - TT(e J4 /gio E CONTRACTOR: taw:G ,¢ z_e_0.- 77 .c-c--f C DAYTIME PHONE: rY`Y (.is3) 57j -1689 • MAIUNO m• • - - ADt t1%S;C:; %yE, +P), I'4- EVENING PHONE: e: •.• - - . - -` -• " s f 9 (a0 C,) .r2`fc -`2 k.,I( CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: I FAX NUMBER: ."1,-.0- ---± "D S. L (.SS3 ) 573 -/7' 7 CONl RACTOR'S REGISTRATION NUMBER: /4 Z S2 © 2 EXPIRATION DATE: �f (cony of cart,cqu rc ) , lh1 p i _ 1 1 -r D 2s Z / 4/ 1200,. APPLICANT: NAM[: O DAYTIME PHONE: ' L-Fe c-Zc 111.,,C,' I C e c- , ..1--e• (-: (:&S3) c73 - /0$ MAILING AlooRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING PHONE: 110Z 1.e..4 e t-- S i-, l r4 L O e f►, WA- 9 ? LI o ei c206 ) LALs o -9 1 1 RELATIONSHIP TO PROJECT: 1 FAX NUMBER: ❑ ARCHITECT ❑ TENANT Isl OTHER( DESCRIBE):C�•JVtA-dOt- 53 ) S7".?•,- 1 7,7. • I E-MAIL ADD'Ea `� 1'A , CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT yl CONTRACTOR SKTC� c&ot I -/-^ ' - - ■ DETAILED BUILDING INFORMATION . - / Ir EXISTING USE: 0 c•� i L e_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ S!3 o PROPOSED USE: 0.4 C t e PROPOSED VALUATION FOR IMPROVEMENTS: $ 3,gSZ Oa I SPRINKLERED BUILDING? V YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES VI NO WATER SERVICE PROVIDER: I'S LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: slA LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) r -- "NEW RESIDENTIAL CONSTRUCTION ONLY•' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROIECTFLOORAREAS - - FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) T DECK 1I GARAGE HOW MANY FLOORS? 1 TOTAL: I I 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) ';::. -1 -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 ' the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmle-s t City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the investigationd defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, I u, .nl where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the inform, pplied ti the ,- as a pa j 1 s application. �4 NAME/TITLE: 4: r- .... 10rt1\I 6.A DATE: I L / C4 l ❑ PROPERTY O`' NER Li APPLICANT CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION _❑ ALTERATION ❑ REPAIR ❑ 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? LI YES ❑ NO PLATTED LOT? L] YES L) NO CHANGE OF USE? C] YES -] NO l !'rr r. . ire.r.r.,r i. ri :1 t'\'Ii1'.. Jr.:'11I::' 1 \'..'.v.. 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