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02-102917 I City of Federal Way Community Development Services Electrical Permit #:02 - 102917 - 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: NIXON Project Address: 36814 12TH S Parcel Number: 322104 90 Project Description: ELE-New SFR 200amp service; 2350 sqft. Owner Applicant C. or WAYNE HOMES NW*JASON DEARINGER MERIDIAN CENTER ELECTRIC INC MERIDl. NTER EL CTRI WAYNE HOMES NW 11109 66TH AVE E 11109 66 VE E 201 VALLEY AVE NW PUYALLUP WA 98373 PUYALLUP 3 PUYALLUP WA 98371 (253)848-559 �• Ele -1 Fixtures � Description: . Qu tnity : -":' ° , Des► • ' r MO"` A a escri•tion ,Quantity Service: -Residential 1 4) P nuary 6,2003,IF NO WORK IS STARTED. Permit issued on July 10,2002 •I her fy that the abo' ' ormation correct and that the construction on the above described property and panc d the use wi - in accordance with the laws,rules and regulations of the State of Washington and th ' o a1 Way. Owne agent: � �' Date: /1) Z S�o2 V. fie,f D U E:& — tp - 3 / _ 2 02R C 1/ 044 — — (g—D 2— Go R-fL 7?`o ci-_s- to-,2( 1-19 �/v. o 11 3, 0lv Ft WflrPtz- flv , • RECEIVED CONSTRUCTION PERMIT APPLICATION VV � L JUL I 0 2002 APPLICATION NUMBER: 02- 4 , 21 J 2 -Qt2 APPLICATION NUMBER: -CITY OF FEDERAL 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. � . u■ PROPERTY INFORMATION SITE ADDRESS: 3 (.Pbl Ig" ', ► V' e S ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1I ' ■ PRO]ECT INFORMATION . " TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION VFELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ?(f b C' Q 5l, a C% c�g 1�-I' WI PROJECT NAME: \X 0Y1 Ver5 ■ PEOPLE INFORMATION • PROPERTY OWNER: NAME: DAYTIME PHONE: X1'1 Gey Y?Le 4z' - .:21U:?5 MAILING ADDRESS tEET ADDRESS;CITY,STATE,IIP): L V C11 �t Pcvey M f 101 u P , CONTRACTOR: NAME: DAYTIME PHONE: Iv1Er,e 11�-y'J cc-7v rem E LC c - c. (i55)s2-18 - 5515 MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: 1//6' L,vLP l� Khe Pu9acllvp T & ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 2_ GI a zL t' zvo (zs3 ) l - Ggi . CONTRACTOR'S REGISTRATION NUMBER: �� t 1 C EXPIRATION DATE: (ropy of card m) 1 Dc, z 3 I $ S vL Z /2-g / 03 APPLICANT: NAME: DAYTIME PHONE: ILer I (263) X18 -5595 MAILING 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 jg5APPLICANT CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: 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 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: $ ■ PRO]ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT - FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? • TOTAL: _. _...._,•,,,.s.�:, :..,_ . .._5,�__�.., _ - se.�r:::,.��..�..>,.,»-��,,:t•FIXTURESK.-:y:......�-;,,,.__.,,.....,-,�_,.w.. , F:�._4.�,�-...:�...x...._,�..,.»,_�<.:.�. Indicate number of each type of fixture MECHANICAL • AIR HANDLING UNITS) 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 CLOSETS) 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(including 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. �/ f NAME/TITLE: pif�� C41--Le / C f� DATE: 1 I "/J /6 O`er ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR FOR;UFFICE USE-ONLY:i NEW 1DDIfiON`,�� s❑ 1LTERATIOIV tEPAIR TENANTtIMPROVEMENT +1;: : CENSCIS_CODE:=��z��-_.��r� ��_�:`-":g741-4 ALOrszzEs =_ ,; 0,,,, !�SIGIVA�ON_ ��ILDINGSHELI�ONL1Ct�®-�YESC��10 ��,>i�- • P lid .ESIGNATIO ASCA_7 'RES�� ©7 >i - #NEW ADDRESS= EQUIRED�:��Y�E5ran:N:074_ 3.arry..=��_ t 'F>s-a_".e', i =4 -1•.� W:ta�^�!_-e_.�� -srz'=—�_� iL� 1Ev`_`_: zP_ ITED.LOT? _❑Ver71:1<1r' <NO_ == '__`'___ �CtIANGE OF;USE?.. xF �YES" L� IVO s = COMMUNTTY DEVELOPMENT SERVICES..33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvofederalway.com