02-100710 I L ,
City of Federal Way
iii
Community Development Services Electrical Permit #:02 - 100710 - 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: DEFEO
1
Project Address: 37003 12TH S Parcel Number: 322104 9160
Project Description: ELE-200 amp service for new single family house
Owner Applicant Contractor
PATRICK R DEFEO PATRICK R DEFEO PATRICK R DEFEO
PO BOX 3613 PO BOX 3613 PO BOX 3613
FEDERAL WAY WA 98063-3613 FEDERAL WAY WA 98063-3613 FEDERAL WAY WA 98063-3613
(253)874-8782
Electrical Fixtures
Description _ Quantity Description "4 Quantity " ',:'M''.Description " Quantity
Service: -Residential 3100
PERMIT EXPIRES August 13,2002,IF NO WORK IS STARTED.
Permit issued on February 14,2002
III 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 Wa
Owner or agent: 1////` �� Date: WC,-2__
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ar.of G_ � CONSTRUCTION PERMIT APPLICATION
RECEIVED
\>\> fAPPLICATION NUMBER: v' 2- t 1-10 - L
APPLICATION NUMBER: -
FEB 1 4 2002 APPLICATION NUMBER: - -
**The follooir9 tv D' ion—Please print(in ink)or type**
_BUILD NG DEP
Please note: Electrical, Fire Prev on .ystems and Engineering permits may require a separate application.
' ' - - • ' - ''' 41 PROPERTY INFORMATION ' - -
SITE ADDRESS: 3 n!L O 3 - / -2,""-- 4 t/C , S! ASSESSOR'S TCP /' 22Jo4- 7/60
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
A7hd.
' ' • ,;�° _-- ,`. - 2- , ■. PROTECT INFORMATION - -
TYPE OF PROJECT(This application): ❑ BU$LDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
s /
PR JECT DESCIIIPTIO�vide detailed description): cm 44 ca 447/ !y home ,
Pee 7nl"r a/ • /a4// oo Sla
PROJECT NAME: *111.7 e crc' t'Y. Pao r t t)6,1"e4 — 23' - 41,c, :12 46
- - • -` \ PEOPLE INFORMATION -
'PROPERTY OWNER: NAME: kick_
//_� s OIT '
DAYTIME PHONE:MAILIN
Prr /<ADDRESS k i cADORESSe: G cs D M -69am/2
P, )1 $o% IA /3 fe 4 r4ety, 60 a, '? 'o63
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET AD S, TE,Z ) l
sT�: e. EVENING PHONE: I
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADORES;FEY,STATE,ZIP)• EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO-
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
. . ■ PROSECT 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: ❑ ELECTRIC ❑ GAS
PLUMBING
I
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET '
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
- - •• W. 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 1
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 l
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 ' pplied to the dty as a part of this application.
I
NAME/TITLE: I Lr'Zii4 --7-{1 DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ,
-FOR OFFICE USE ONLY: ,
.0,NEW:='-:•':':-:-::-_-0-ADDITION ❑ ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
-CENSUS CODE: - - LOT SIZE: _ - ,
ZONING,DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO
=COMP PLAN DESIGNATION BASIC PLAN? : ❑ YES ❑NO -
SECTION-j. , TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑ NO
PLATTED.LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citycifederalway.com