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00-105309 City of Federal Way Community Development Services Electrical Permit #:00 - 105309 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph 253 661.4000 Fax.253 661.4129 (3:30pm cut-off for next day inspections) Project Name: GASS Project Address: 342 SW 293RD Parcel Number: 119600 0735 Project Description: ELECTRICAL-Install low voltage wiring for(1)thermostat for existing single family residence. Owner Applicant Contractor Michael A&Lorne J Gass CITY SHEET METAL CITY SHEET METAL 342 SW 293RD ST 4202 AUBURN WAY N #8 FEDERAL WAY WA AUBURN WA 98002 4202 AUBURN WAY N #8 98023-3536 AUBURN WA 98002 Electrical Fixtures Description Quantity] Description Quantity Description Quantity Thermostat I PERMIT EXPIRES April 22,2001,IF NO WORK IS STARTED. Permit issued on October 24,2000 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and thejse will be in accordance with the laws,rules and regulations of the State of Washington and the City of Feder, ay. Owner or agen /// &WI Iii/ 7 Date: !° _ - 1Z - / 4'A z �� G_ CONSTRUCTION PERMIT APPLICATION �� HY L REG E VED APPLICATION NUMBER: d D - ( 0 S3 d - APPLICATION NUMBER: - OCT 2 4 20 APPLICATION NUMBER: - **T .ill®pr yinformation—Please print(in ink)or type** BUILDING°D Please note: Electrical,Fir revention Systems and Engineering permits may require a separate application. ' .! ■ PROPERTY INFORMATION SITE ADDRESS: .34 Z ' W Z93v^c(� ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PRO3ECT INFORMATION TYPE OF PROJECT(This application): �❑ B�ILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION [ LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): V \S±C.aQ •y PAI kvVIO QTc LAD l re. PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: rnt C� &S5 (4-i ) 432 - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 2°t 3 rd Fac)-Q_rd lALli WO, `2 8 o z� CONTRACTOR: NAT DAYTIME PHONE: Vv (Zs3) 8S z - ariq MAILING ADD (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: pZ '\ l DC4A4 IK)04kS (ZS3) 85L- ZI74 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: C- 1T S �'1-* 13a8 0 ( / 0 ( / z.cx, i APPLICANT: NAME: DAYTIME PHONE: �`'.`n�"-�/`�� MAILING Al) ( RESSV CITY,STATE,ZIP): EVENING ONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT 0 TENANT El OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: (e_51 aaN1C.2.� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) t **NEW RESIDENTIAL CONSTRUCTION ONLY** 4 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: • ■ 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: 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 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 dty,induding its officers and employees,upon the accuracy of the inform- • • • s ied to the dty as a part of this application. NAME It VISI/ G(y,-L DATE: /fl— ZO 0 0 ❑ PROPERTY OWNER 0 APPLICANT E'CONTRACTOR ;FORD FF,ICE''USE ONLY:I © 161= ;ADDITION_ .:::❑ALTERATION a ;REPAIR_ . -0-fiN'ApirlireiNibiiikENT :CENSUS:CODE: _-_= _ - .__ ___:- r LOT$IZE: _ -#� *__ -47; : ONING' ESIGNATION:':_- _ == _ 01414,4--1-1E.SLL'OIGLY?', COM'ILA bESIGNATION'_ _ _ __ s3CC.PLAN? '0 YES A:13 4401.7;.,;', SECtIOIV.}:, _' .TOWNSHIP ,RANGE ,i4(E1ll24:13DRESS-REQUIRED?'' - AYES;.,, 0140 J'LAT7 ED.LOT? ❑YES ❑ NO - AIiGE OF USE? -❑,',YES" q:u` COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253-6661-4000•FAX:253-661-4129