02-100620 City of Federal Way
Community Development Services Electrical Permit #:02 - 100620 - 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: LI
Project Address: 108 S 297TH Parcel Number: 052104 9214
Project Description: ELE-Install(2)low voltage thermostat in new residence.
Owner Applicant Contractor
COUSINS CONST ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC
739 SW 337TH ST 1515 S CENTER ST 1515 S CENTER ST
FEDERAL WAY WA 98023 TACOMA WA 98409 TACOMA WA 98409
(253)383-7718
Electrical Fixtures
Description Description IQuantityf` Description -. : !Quantity
Thermostat - J 2
PERMIT EXPIRES August 7,2002,IF NO WORK IS STARTED.
Permit issued on February 8,2002'
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.
Owner or agent: 4,16144kt
Date: 2/d' OL
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------ RECEIVED BY�FpAR�ME
�, CONONSTRUCTION PERMIT APPLICATION
N>.\> FEY FEB 0 7 2002 APPLICATION NUMBER:0Z-14,04 .Oa_ er_
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 . •• =z,`;4
SITE ADDRESS: 108 S 297th Pl. ASSESSOR'S TAX/PARCEL#: C S Z I 0 y - Z / 41 r
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;PROTECT INFORMATION • .• .. . ..
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
�[ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat Wire
* LI)
•
PROJECT NAME: Cousins Contruction Wing Li
i "PEOPLE INFORMATION:.. • :_ •
,...
PROPERTY OWNER: NAME: DAYTIME PHONE
Cousins Construction Wing Li ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
•
CONTRACTOR: NAME: DAYTIME PHONE:
ALL-WAYS AIR CONTROL INC. (253 ) 383 _ 7718
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE:
1515 S. Center St. Tacoma, WA. 98409
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Z 19 - 92102806 00 - }3L ( 253 ) 383- 7736
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE
(copy of card required) ALLWAAC004JQ _ _ I 4 / 18 / 02
APPLICANT: NAME: DAYTIME PHONE:
ALL-WAYS AIR CONTROL INC. 1#€ dik h
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ��N"`""""' EVENING PHONE:
Same as above ) _
RELATIONSHIP TO PROJECT: A FAX NUMBER:
❑ ARCHITECT 0 TENANT In OTHER(DESCRIBE): H.V.A.C. 1 ).7L►. ( ) _
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: $
= * ■ PROJECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
^BASEMENT
FIRST
SECOND
a
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 ❑ GAS
PLUMBING -
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 OUTLETS) 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(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,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: a (��1 DATE: e2
- O
❑ PROPERTY OWNER xr APPLICANT ,I CONTRACTOR
FOR OFFICE USE ONLY:-1
❑ NEW; ; 0 ADDITION ❑ ALTERATION -❑ REPAIR . 0 TENANT IMPROVEMENT
CENSUS CODE: - LOTSIZE: : -
.ZONING DESIGNATION:' BUILDING SHELL ONLY? ❑ YES 0 NO
-COMP:PLAN DESIGNATION BASIC PLAN? ❑YES. 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 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