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01-100827City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph:253,661.4000 Fax:253.661.4129 Project Name: RAI SMOKE SHOP Project Address: 2020 S 320TH SuiteF Electrical Permit #: 01-100827 - 00 - EL Project Description: ELE - Installing electrical connection for new wall sign Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Parcel Number: 092104 9297 Owner Applicant Contractor Andrew Cratsenberg SIGN -TECH ELECTRIC SIGN -TECH ELECTRIC 34016 9TH AVE S, SUITE D9 34016 9TH AVE S, SUITE D9 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 (253) 952-6559 Electrical Fixtures Description tQuanti Description Quanti Description Quanti Sign 1 PERMIT EXPIRES August 27, 2001, IF NO WORK IS STARTED. Permit issued on February 28, 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: Date: _cx�2—'q - d f Q7 OF QNXW PLEASE PRINT SITE LOCATION Tenant name Building Owner=s Name Description of Work 6LIILDING CONTRACTOR Company Name Address � City Contact Person /YY Contractor-s # (caYd must be ARCHITECT Name Address City Contact Person LEGAL DESCRIPTION R E r,r" I vr- r7 OrT l4PTu.I,pATION FOR BUILDING PERMIT D o - 16-`5 f S" APPLICATION # Site address y Lot # Assessor=s Tax # / Address State �,°1 / i Zip I Phone ' Federal Way Business License # W (AP Pak State ) U zip Phone _ 2 Expiration Date Verified ❑ Yes ❑ No V State I Zip Phone Fax STRUCT" iE - sting Use jn&nWoposed Use Permit includes: G Building Other Type of Work: G Residential G New Commercial G Addition sPgema G Repoir G # of be G Deck G Garage G Shed Enter 1 st 1`40hs I Area Base L 2nd Floor s s ft Decks sq ft 3rd Floor sq ft s ft Gara e s ft Existing Floor Area sq ft Pro used Total Area s ft Water Availability G Sewer Availability G On -Site Septic System Availability G Project Valuation $ ID 60 Zonina I Lot Size Existing Bldg Valuation $ LENDER Name City For new residential only - Proposed selling cost: Address State rill MECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified G Yes G No Contractor Name Address City State zip Contact Phone Fax License # Expiration Date Verified G Yes G No PLUMBING FIXTURE COUNT Water Closets Sinks U Urinals Lawn Sprinklers Bathtubs Dish Washers DrinkinU Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count MECHA_ NIE UNIT COUNT MFCHANICAL EVALUATION-OWY`5' Fuel Type as/electric t-he Gas Drver Air Hand' - ,O00 CFM 15-30 Tons Length of Gas Piping ' -Ra e Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lo Unit Heater 50+ Tons Furn > 100 BTUs Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ=s Wood Stoves 3-15 Tons Ta it Count DISCLAIMER: 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 ofthe above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses. and attorneys' fees incurred in 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 claiiryarisC' Qf the reliance of the city, including its officers and emp �s, upon the accuracy of the information supplied to the city as a par, f this application. n Owner/ K:\W0RDHAiAD01}16tAPPLICATION FOR BUILDING PERMIT.DOC REVISED 10/12/00 Date: o t • 1004tie -S C CITY Of RECEIVED _ CONSTRUCTION PERMIT APPLICATION VV rev FEB 13 's PPLICATION NUMBER: L PPLICATION NUMBER: - - ;�;`fY OF FEUZ ORAL WAY - - BUILDING 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. - L,ht-r-ex diwzt SITE ADDRESS: Q -Jo?O-r'- .�%. Sic.'�� ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBIN ❑ M ANICAL ❑ DIV OLITION VELECTRICAL [IE NEERIN FIR EVENTION -)STEM y e9, PROJECT DESCRIPTION (Provide detailed description PROJECT NAME: I-C.t PROPERTY OWN NAME: C MAILING do do CONTRA%R: FNAMTJ APPLICANT: I NAME. (STREET A SS; CITY, STATE, ZIP): ;_ - / -e t LeC "' ADDRESS (STREET A SS; CITY, STATE, ZIP; V6, q -h-= Av-e. S .� FEDERAL WAY BUSINESS LICENSE NUMBER: :'S REGISTRATION NUMBER: required) RELATIONSHIP TO PROJECT: ❑ ARCHITECT ©'TENANT ❑ OTHER SCRI 0 1n544111'n5 61e,*1 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: DAYTIME PHONE: (,),5'3 ) q,;L'1 - conn2of ''''I DAYTIME PHONE: ( 1S3) 9 14-o7 EVENING PHONE: ) FAX NUMBER: ()g"T'F -/S EXPIRATION DATE: -11 /-/' Q DAYTIME PHONE: (q)s-) -1.741 - o� EVENING PHONE: ( ) FAX NUMBER: E-MAIL ADDRESS: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) Indicate slumber of eactype of fixture MECHANICAL EVAP RATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN S) OOD(S) WOODSTOVE(S) �FRF PLACE INSERT(S) RA GE(S) MISC. ( ) ACE(S) PIPE OUTLET(S) HEAT URCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) DISHWASHERS) RAIN WATER SYS. DRINKING FOUNTAIN(S) SHOWER(S) GAS PIPE OUTLET(S) SINKS) INTERCEPTOR(S) Z SUMP(S) URINALS) WATER HEATER(S) VACUUM BREAKER(S) ElELECTRdC El GAS WASH MACHINE OUTLET WATER CLOSET(S) 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. NAME/TITLE: DATE: ❑ PROPERTY OWNER ❑ 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? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO rOMMI INITY nFVFI OPMFNT SERVICES • 33530 FIRST WAY' OtJTH • P.O. BOX 9718 • FEDERAL WAY. WA 98063-9718 • 253-661-4000 • FAX- 2S"1-661-4129