02-102747 City of Federal Way
Community Development Services Electrical Permit #:02 - 102747 - 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: PARMENTER
Project Address: 537 SW 293RD Parcel Number: 119600 1690
Project Description: ELE-Install(3)circuits for garage door opener,bat,and garage.
Owner Applicant Contractor
STEFANIE PARMENTER*STEFANIE PARM QUICK WIRE ELECTRIC QUICK WIRE ELECTRIC
537 SW 293RD ST 29724 53RD PL S 29724 53RD PL S
FEDERAL WAY WA 98023 AUBURN WA 98001 AUBURN WA 98001
(253)887-9650
Electrical Fixtures
Description= 1 , ' ascription")""; """" ;.;' Quantity Description.ry Quantic
Circuits-Residential 3
PERMIT EXPIRES December 28,2002,IF NO WORK IS STARTED.
Permit issued on July 1,2002
I hertby 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:
tc / j-pc,•/
G
;°f G GIEIZFIGG CONSTRUCTION PERMIT APPLICATION
�jV L �C��YG� APPLICATION NUMBER: .9,2.- / 0 2 7 (c 7 - pZ,
APPLICATION NUMBER: -
3UL 0 1 2002 APPLICATION NUMBER: - -
**The following is re i formation-Please print(in ink)or type**
,may�F FEDER�►�-
Please note: Electrical'"-„ ganKems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
•
! SITE ADDRESS: 537 .5"1..A.) 2 93 -- S' ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
= • -■ PROTECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
k' ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESC• PTION(Provide .• ailed description): �L„,,,t, ,
/ '._.--.... - _A!�/ `ice i/.i - _ 1 AM -,411/
--/ /
PROJECT NAME:
■ PEOPLE INFORMATION r
PROPERTY OWNER: NAME: j DAYTIME PHONE:
i �./,f (41,25) !v9,3-Sort
MAILING .. J• (STREET ADDRESS;CITY,STATE,ZIP):
S3 " svt/ .293 ' Sr /::: IAA ?g 'z 3
CONTRACTOR: NAM ' DAYTIME PHONE:
- - (25 ) N-7 - 6.5"a
M N (STREET A1:132.75.,; STATE, P): EVENING PHON
v2- / l `` S (2,53) 5$7- 945v
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - 435.5) IV/ - 4./9--7
CONTRACTOR'S REGISTRATION NUMBER: / /_V /� EXPIRATION DATE:/
(copy of card required) Q U i Lt Lc) 2 9 9 42✓i 1/ / / 7�/
/ e-3
APPLICANT: NAME: / DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) -
/✓' E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: R/OPERTY OWNER 0 APPLICANT NTRACTOR
■ 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:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ 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: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING$Q.FT. PROPOSED SQ.FT. TOTAL
BASEMENT -
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• - - ■ -DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this
application.
NAME/T]iTLE:-
G� / Lam" DATE: / v Z
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
_ tkOR*DF.FICE USE:ONLY::I
EIK9,1411ADDmON; 4= ::®;ALTERATION ,]REPAIR:� OENANIIIMPRDVEMENT
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ECTION TUWNSf1IPx J RANGE_.. ;: ;NEW ►DDRESSREQUIftED? x s 'ES J NO,
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TTEDIOT?=;--❑NIES_..= 10 -- -: C1ANGEOF,USE?_: •, :,N❑BYES: zLa$IO , xx -
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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