02-102716 City of Federal Way
Community Development Services Electrical Permit #:02 - 102716 - 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: SILVERWOOD,LOT#59
Project Address: 705 SW 363RD Parcel Number: 779645 0590
Project Description: ELE-New 200amp service;3688 sqft ie Rzurseo est 4t 7+e,'POD to w v ollif*e voicOiltetEN
Owner Applicant Contractorfite
QUADRANT CORPORATION*KATRINA TO MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
PO BOX 130 11109 66TH AVE E 11109 66TH AVE E
BELLEVUE WA 98009 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
s riptian-" _ . :? i escriptivr4 . ,Quantity F .Description: ,!:n:IQuantity
Service: -Residential 3688
t•..w tie 11.4 e. -oftier 3Wil
PERMIT EXPIRES December 25,2002,IF NO WORK IS STARTED.
Permit issued on June 28,2002
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. 6
Owner or agent: a4 Date: ..20/Q�-
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INVOICE
City of Federal Way
GTY OF G Invoice Date: August 8,2002
Federal Way,WA 9gh8003-6210 33530 1st Way South �ERF11— Bill#: 76119
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Ph:253.661.4000 Permit#: 02-102716-00
Project Name: SILVERWOOD,LOT#59 Site Address: 705 SW 363RD CT
Applicant Name:MERIDIAN CENTER ELECTRIC INC
FEE DESCRIPTION AMOUNT `
ELECTRICAL FIXTURES (8032) $55.00 '
001-0000-074-322-10-007
DO NOT ACCEPT THIS CHECK UNLESS THE PINK LOCK&KEY ICONS FADE WHEN WARMED AND YOU CAN SEE A PENTAGON-SHAPED TRUE WATERMARK WHEN HOLDING THE CHECK TO THE LIGHT
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,{� 1�.: 14=` � 24HourBanking -
I - ..:- d eras W,,, ay :r.- 73 355
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33530 1st Way Soutii intIMAstinait Segfaig aER:_'tet 'C�l .
P.O.Box 9718.. s* ,,,,,,, r't 4; r •- w-
�`' _ Federal Way,WA 98063-9178 f 006537,:,,.. 11I1512002- 169838 1,857.06
PAY
,
,.1 ,i4Y. -,`C oe"Thoncand F.iuht Hundred Fifty Seven Dollars and Six C`e.nts •
'atviz,' ,Z ., . eriri,/,411,..:. :
TO THE F173ANCE OIRELYOfl- � -
MERIDIAN CENTER ELECTRIC INC
ORDER ATT : KERIr-• . —7:- .--- ----7/74-•---------/-4—%Th ' ,.
1.A6'';ir's.;;•, 11109 66TH AVE E = CITY MANAGER°F PUYALLUP,WA 98373 �,
.bH.
t 1 Il' 1698 38u' is L 25'000 Law. h,L 5 3 59080 4 396ll iA »,�
+«.,e,r RUB OR BREATHE ON THE PINK LOCK&KEY ICONS—COLOR WILL CHANGE ON AN AUTHENTIC CHECK—IF COLOR DOES NOT CHANGE DO NOT ACCEPT
TOTAL DUE: $55.00
;°' � L CONSTRUCTION PERMIT APPLICATION
�jv �y APPLICATION NUMBER: r 2 - / n z 71 6 _ r�
• APPLICATION NUMBER:
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: 0f5 5 l,Q�i;c' C-+ ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-N PROJECT INFORMATION` .
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
aELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 760 a r,! L� �j�6 :` F(�xS Se-74.
i--
T bo/ 90, r
*peurtAt erfAa- #75- isciat /444) preAv ofirAycism,e.
PROJECT NAME: 31)tI Y w C))d 101- e9
■ PEOPLE INFORMATION
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PROPERTY OWNER: NAME: /l DAYTIME PHONE:
QuacYGAYI-i' ({z-s) ti55 -2Io0
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,IIP):
PO. Pox /30 (trill I /7-Th Jove- NE Ith.3ool e / /e-Uf ' Oo 1
CONTRACTOR: NAME: DAYTIME PHONE:
J1(1E1 1DI -nl C'-FY'J TER- ET &Crit tC_ (z53)5248 - 55551
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Ill Uo L.PC_P M 1171E g P0961/Up Ts373 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
z0 L) c1 o z L (' z v o (2-63 ) ( - OE-4Z.
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) M , __ _l c L E 3 1 s& Z /2-8 / 03
APPLICANT: NAME: DAYTIME PHONE:
ILLY I (25:3) az-18 -6595
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER JUAPPLICANT :CONTRACTOR
■ DETAILED BUILDING INFORMATION •
EXI • _ • EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? 0 YES 0 NO a •E SUPPR EM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHA • G IGHLINE 0 TACOMA m - -
SEWER SERVICE PROVIDER: I LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• - ■ PROJECT FLOOR AREAS -
FLOG• EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? AlIlkk
•
TOTAL:
.,..........,„......._ ...--_ _ - s.. .r..m ,r,,,,,i,,,,,.,:-t,FIXTURES _y:.<...,.x-v- _,.....«, r».....;Yn:—''..:'>..--,..,,.,, M.. .
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) ' C.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC M GAS
PLUMBING •
BATHTUB -) LAVATORY(S) URINAL(S) WATER HEATER(')
DISHW• .HER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRIN • G FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS P 'E 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/TITLE: _ .e - / / L DATE: �/ a7) CV--- ❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
COR:OFFICE_USE:ONLY:_
` 1IV VAgAZI ODIRON ; $❑ALTERATION ,a = f 0'41(1 0TENANT IMPROV MENT
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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
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