06-106165 City of Federal Way Electrical Permit #: 06-106165-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: 99 BOTTLES
Project Address: 35002 PACIFIC HWY S Suite A102 Parcel Number: 185295 0050
Project Description: Installation of bathroom,office buildout,drop ceiling and misc lighting.
Owner Applicant Contractor
OPUS NORTHWEST LLC KM ELECTRIC,INC KM ELECTRIC,INC
OPUS NORTHWEST LLC 17730 SE 257TH ST kmelee*961ku 05/31/2006
915 118TH AVE SE SUITE 300 COVINGTON WA 98042 17730 SE 257TH ST
BELLEVUE WA 98005 COVINGTON WA 98042
Additional Permit Information
Electrical Fixtures
Alt. Serv,Feeder up to 200 amps- 1
PERMIT EXPIRES Monday, June 4, 2007
Permit Issued on Wednesday-December 6, 2000
I herebycertifythat the above information is cbrrect and that the construction on bove described ro and
(� Per#Y
the occupancy and the use will be in accordance wth the laws,rules and regulations of the State of Washington
n t, City of Federal Way.
Owner or agent: 4.4 Date: /210C / O C
V—
.- --AIL, THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106165-00-EL
Owner: OPUS NORTHWEST LLC
Address: 35002 PACIFIC HWY S Suite A102
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
,RRough Electrical(4225) ❑ Ceiling Cover(4020) 10 Final-Electrical(4055)
Approved Approved Approved
B fiDate �'z ke( Oke , By C_..,e4„j Dateb1_k Q�6 t By t't Date I /11 09
,❑ Under-slab groundwork(4 95)
Approved
By Date
ERY OF
�►► ReCEIVED o c- - 1 6 to / c, s
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICEDEC 0 5 2
0 6 SF MF CO ME EL PL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718 C A T I O N
FEDERAL WAY,WA 98 063-9 718 . TD
•
253-835-2607•FAX 253-8351/OF FERE AY —- / /
w.
wwatuoffederalwa4.cam BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• . . • PROPERTY INFORMATION
SITE ADDRESS 35002 Pacific Hwy. S. SUITE/UNIT # Al 02
ASSESSOR'S TAX/PARCEL# 1 . _2_ - _O-_ _5_ 0 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
' IN PROJECT INFORMATION '
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
.❑ DEMOLITION Ri ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlq)
TI - Installing bathroom & office buildout, drop ceiling, lighting •
•
PROJECT NAME(Name of Business or Owner Last Name) 9 9 Bottles TI
MI PEOPLE INFORMATION
PROPERTY NAME • .PRIMARY PHONE
OWNER • • • Opus Northwest LLC ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
915 118th Ave. SE Ste. 300 Bellevue,. WA 98005
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
• KM Electric, Inc. Ken Hill (253 )639-0225
MAILING ADDRESS CITY,STATE,ZIP • • CELL PHONE
•
• 17730 CITY OF EDERAL WAY BUSINESS LICENSE NUMBER •SE 257th Street Covington,•EXPIRATION WAATE 98042 A5 NUM)261-6673
• ( 253) 639-1236
cory°r°.re mywrda CONTRACTOR'S REGISTRATION NUMBER • EXPIRATION DATE E-MAIL ADDRESS .
"� 'pp°°'"°" b •'KMELEE*961KU 05/31 /2008 ken@kmelectric.net
APPLICANT COMPANY NAME APPLICANT NAME •OFFICE PHONE '
KM Electric, Inc. . Ken HI11 (253 )639-0225
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
17730. SE 257th ST. Covington, WA 98042 (253 )261 -6-673
RELATIONSHIP TO PROJECT FAX NUMBER •
❑ Architect 0 Tenant 0 Agent 0 Other (253 )6 39,,12 3 6
PROJECT NAME • PRIMARY PHONE E-MAIL ADDRESS
. CONTACT Ken Hill .(253 )639-a225 ken@kmelectric.net
LENDER NAME Per RCW 19.27.095: '
Frontier Bank . Lender information is required if project value exceeds$5,000
• MAILING ADDRESS . CITY,STATE,ZIP PHONE
221 W. Gowe St. • Kent, WA 98032 ( 1 -
• DETAILED BUILDING INFORMATION
EXISTING USE New Commercial PROPOSED USE Commercial
EXISTING ASSESSED/APPRAISED VALUE $ _ . •VALUE OF PROPOSED WORK $1 0, 3 45. 0 0 .
SPRINKLERED BUILDING? 0 YES 0 NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
1232 1232 -
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS 1
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offucture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS \ GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(co=croiei(
COMPRESSORS FURNACES �\ RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTuub/shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
- DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS BOWERS WATER CLOSETS trona)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /� r
l�` n ,�_ I� - f�� (G � DATE Z'105 1 0`O
NAME/TITLEr `�V i^"JW r
(Signature) ' (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent j�Contractor 0 Architect 0 Othet
an �fy�'J7 'i•t56�^+ a31iQ'���j
❑NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin 4100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application