04-102898 r1
• r
City or Federal Way
Community Development Services Electrical Permit #:04 - 102898 - 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
Project Name: FEDERAL WAY MORTGAGE
Project Address: 33438 1S'T‘S Parcel Number: 926500 0350
vNi Project Description: Install(2)20-amp circuits for security system.
Owner Applicant Contractor
Partnship Lincoln-Ratclif COCHRAN INC. COCHRAN INC.
11661 SE 1ST ST#203 PO BOX 33524 PO BOX 33524
BELLEVUE WA SEATTLE WA 98133-0524 SEATTLE WA 98133-0524
98005-3526 (206)367-1900
Electrical Fixtures
Description ,Quantity Description jQuantity Description Quantity,
Circuits- Commercial 2
PERMIT EXPIRES January 18,2005.
Permit issued on July 22,2004
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: }2Date: 7e /Or
FINALED
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. A THIS CARD IS TO REMAIN ON-SITE . n.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102898-00-EL
Owner: PARTNSHIP LINCOLN-RATCLIF
Address: 33438 1ST WAY S
FEDERAL WAY, WA 98003-6214
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) 1 ❑-' Final-Electrical(4055)
Approved Approved Approved
By Date By Date B,, --Z.5 Date�-- 1
❑ Under-slab groundwork(4295)
Approved
By Date
' RECEIVED 6--
aff G CONSTRUCTION PERMIT APPLI ON
EIZAL_ JUL 2 2 2004 APPLICATION NUMBER: 6/ - I a ' 3 r-o.
CITY OF FEDERAL WAY APPLICATION NUMBER: -
),J.DiNG DEPT. 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
SITE ADDRESS: 32 c_
����1 1V�1 .�1M Yl ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • • . • PROJECT INFORMATION
•
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
XJ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): CEC # -1-11-41-1 5O-yqy 18. t fl5ta11 `?�>
tJ.e. W/s. Gr-clAA'S
PROJECT NAME: K' Ct' AtYl¢'f<C—CA MOettlytti)Z.d LtiA.n
• PEOPLE INFORMATION `J
PROPERTY OWNER: NAME: k A CcA DAYTIME PHONE:
(
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33L-4Fie6t 5oL VN
CONTRACTOR: NAME: DAYTIME PHONE:
COCHRAN, INC. ( 206 ) 367 -1900
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
PO BOX 33524 SEATTLE 98133-0524
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
9 8 - 1 0 5 6 3 0 - 0 0 (206 ) 368 - 3193
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 4 C.. H 1 L * 0... 8- .B J. a 4 / 10 / 06
APPLICANT: NAME: DAYTIME PHONE:
(lxln ,l,ru. �u� 3'vst'4c.2 (2o(, )glob -5221-4
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: dricakFAX NUMBER:
❑ARCHITECT ❑TENANT o OTHER(DESCRIBE): ' (SLOIp ) 3 e - 319
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT \CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
•
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•
**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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 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 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 su. 'ed to th as a part of this application. /07 NAME/TITLE: DATE: 7 c�
o PROPERTY • '/ • ❑ PLICANT XCONTRACTOR
FOR OFFICE USE ONLY:
a NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? a YES a NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES a NO
PLATTED LOT? ❑YES a NO CHANGE OF USE? a YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvofederalway.com