06-106376 {
• •. Z
City of Federal Way Electrical Permit #: 06-106376-00-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: DA VI NAILS
Project Address: 34520 16TH AVE S Parcel Number: 212104 9010
y.
Project Description: Add/alter up to(5)circuits for tenant improvements.
Owner Applicant Contractor
DA VI NAILS CM ELECTRIC CM ELECTRIC
5805 S STATE ST PO BOX 127 CMELEEL944KP(5/17/2008)
SALT LAKE CITY UT 84107 MILTON WA PO BOX 127
MILTON WA
•
Additional Permit Information
Electrical Fixtures
Circuits Commercial 5
PERMIT EXPIRES Sunday, June 17, 2007
Permit Issued on Tuesday, December 19, 2006
I hereby certify that the above information is correct and that the construction on the above descry property and
the occupancy and the use will be in atcordance'with the laws, rules and regulations of the State ofkWashington
and the City of Federal Way.
Owner or agent: ,,,�, — c Date: \2---\9 0‘1-0
FINALED
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106376-00-EL
Owner: DA VI NAILS
Address: 34520 16TH AVE S
FEDERAL WAY, WA 98003-6841
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.
O 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
Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By '►�!(,\ Datel tb By Date B S Date /-5--40
❑ Under-slab groundwork(4295)
Approved
By Date
OFA RECEIVED 0_6 _ / o , 3_7(0
Federal way PERMIT
COUMUM1YDEVELOPMENT SERVICk 'C 1 9 200 SF MF COMdi L DE EN FP
333258^'AVENUE SOUTH•PO BOX 9718 PLICATION
C AT I O N
FEDERAL W , 0 8 m
253-835-2507A•FAXWA 25398=Fir FG 6RA� pli
The ollowi • is • fired in ormation-an incomplete • • •lication will not be acce•ted. Please •rint legib in in or •
■ PROPERTY INFORMATION
SITE ADDRESS . V ...
O /4, ofo G. 50 / SUITE/UNIT#
1 ,T
ASSESSOR'S TAX/PARCEL# A l D\ 0 - '7 0 / LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Muada a w...de Page for I.ne by laud del
a PROJECT INFORMATION
TYPE OF PERMIT CI BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION. ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Pti)0;ev, I C:2C4;k roe 144,4-- Wa4v .'.4-et
A-D0;',v! I C..;a-c /4- CoA_ IX I+ s,4- F
A-DO,'/4 I 1_.4 v. .'1(A_ O.f#\e-4- OrJ t3?15:C-1.�) C.'n -, A • -
0_VA-A.4, . T 4 Di( )0.4.- r.:1A- IC-Vi% Lt G.ECT o J* te�+-s
PROJECT NAME(Name of Business or Owner Last Name) l�AQ i N Ai t
■ PEOPLE INFORMATION
PROPERTY NAME J PRIMARY PHONE
OWNER Pled-4-44-i. wM.A t(ct e t SN.fir c�.s C-1—�I ( )
MAILING ADDRESS - E,
p) CITY,STAT
37a 4
0a.A--r-c__ (--ce Be.[(�aj 1J-e.- WA 98 zz b
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
I 5 k-t-- GN S'AllJG�� ( ) -
MAILINO'ADDRESS CITY,STATE,ZIP CELL PHONE
35(/2_ 3C f- A.r` S &A'a.K._ La.4 w A• 9s•,:13 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXP( TION DATE FAX NUMBER
- - -B L / I ( )
CONTRACTOR B REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L µ Tc * g 5- 3 6- t. '3 / 8 / ° 7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C (Y° c 1cc4.4_.4._ LLQ ,;s r o - ( )
MAILING ADDRESS STAT P CELL PHONE
CPO g>k 1'Z"Z tn ;L-{.J tJ A 933* ( ZS3) Zb t. - 1/17
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑ Tenant a Agent ' Other(Describe) Sr 8 co...44,4 -bz ( )
CONTACTNA • PRIMARY PHONE E-MAIL ADDRESS
L4,_ ,%t (zs) Zb6 - r35/ CwteteTiL<22A.z-.6..^
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP 04S 80 C" S 544•c.S'� �C..+- 84(0 PHONE )
ca.0
■ DETAILED BUILDING INFORMATION
EXISTING USE ij a ac.1`•41 5J:4e,_ PROPOSED USE 004-q.- S'-co-
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I Z 00.0"•
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
•
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK(COVERED?)
GARAGE 0 CARPORT❑
o PROuuosm Taus.
NUMBER OF FLOORS
'*NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
MECHANICAL •
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(commaztq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roileq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAYS panc000m sinks VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/SIGNATURE BLOCK
I cert{fy 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 authorised 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.
NAME/TITLE \--ly�� � ) DATE \Z-\ -
RELATIONSHIP TO PROJECT (] Owner 0 Agent ❑ Contractor 0 Architect 0 Other
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Pennit Application