02-102366 A
City of Federal Way
Community Development Services Electrical Permit #:02 - 102366 - 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: BINDER
Project Address: 37007 8TH S Parcel Number: 322104 9146
Project Description: ELE-Alteration for(1)circuit for attached garage for(3)new lights and(4)outlets.
Owner Applicant Contractor
Theodore G&Mary Christi Binder Theodore G&Mary Christi Binder Theodore G&Mary Christi Binder
37007 8TH AVE S 37007 8TH AVE S 37007 8TH AVE S
FEDERAL WAY WA 98003-7405 FEDERAL WAY WA 98003-7405 FEDERAL WAY WA 98003-7405
(253)874-1999
Electrical Fixtures
Description:. Quantity ar.:..;1} .Description ; . jQuantit r 7�'• Description [Quantity
Circuits-Residential 1
PERMIT EXPIRES December 3,2002,IF NO WORK IS STARTED.
Permit issued on June 6,2002
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 accors. ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date 6j o ?�
S ' (3- 0t\Prc1�-.c7 �S
•
RECEIV
ED CONSTRUCTION PERMIT APPLICATION
uV FIY APPLICATION NUMBER: ‘22.-_ Q 23 4_6-
JUN 0 6 2002 APPLICATION NUMBER: -
EALWAY
** R`1`j
APPLICATION NUMBER: - -
red 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: .57i107�O 'AVC ,s6, ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
= • PRO]ECT INFORMATION -
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Ru QIUE A P C-1 J2e 1,/f 7D !V O M )
. -A)s7-spu_. (3) ,Vg-to 1
PROJECT NAME: evitosz_ /moi P IV S
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
1-EP 8/tiJ (2g7/ 14T5'
MAILING ADDRESS
70177ADD a STATE, � d 9lehly
CONTRACTOR: NAME:
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTORS REGISTRATION REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: • DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ •
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 d.'m),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such,m arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supp d - th: .s a .• of this application. //__ ley
E/TITLE: ��"a DATE: [F/(!
II
( WIA
ROPERTY OWNER APPLICANT CONTRACTOR
' r
,FOR OFFICE USE ONLY:Al
�t,NEW ADDI IONS L ALTERATION- .REPAIR 4] ENANT IMPROVEMENT �=- "
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-'oP( � • GN �O -__ =z BUf DING SHE foNi,Y?J fEs _fl:NO ._�
"eo` 1-P Ar1)ESIGr A.tor. x: 4 ; ffinXG Pair 1'�@ YEs : :® . o F ` �'
pi• •
SECTIO'Nom, =TOWNSFIIP ��i ANGE:. ; ;r, ;NEW ADDRESS REQUIRED?
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.citvoffederalway.com lway.com