04-100059 City of Federal Way
Community Development Services Electrical Permit #:04 - 100059 - 00 - EL
33530 1st Way S ,A,
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax-253.661.4129 Inspection request line: 253.835.3050
Project Name: MCGAR
Project Address: 32304 9TH s Ave.5 Parcel Number: 150240 0570
Project Description: Repair wiring damaged by fire; replace(1)circuit.
Owner Applicant Contractor
Ronald S McGar C&W ELECTRIC LLC C&W ELECTRIC LLC
32304 9TH AVE S PO BOX 127 PO BOX 127
FEDERAL WAY WA EATONVILLE WA 98328 EATONVILLE WA 98328
98003-5920 (253)307-3429
Electrical Fixtures
aescripbon10ua0ty t M on : °::Ctuanti =s.Desch tiorii:W'` 4 a uantity
Circuits-Residential 1
PERMIT EXPIRES July 6,2004.
Permit issued on January 8,2004
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, L.g�— Date: //14
RECEIVED
` COMMUNCIY DEVELOPMENT SERVICES
CM of 3353o FIRST WAY swat•PO BOX TAR
JAN 0 8
Federal way 20VERMIT APPLICATION ;"'S FAX:: ,
www.cityolTederalway.com
CIT �OF FEDERAL W //.
For Office U. Only: 'r'A"i'l14/ggiE r: - i `/ Q O 1 - e_ TD
F— CC// / /
The ollowi • is -• fired in ormation-an inco •lete • • •lication Will not be acce•ted. Please •rint le'• • or I• -.
■ PROPERTY INFORMATION
SITE ADDRESS:3 23 or/ ?Ave 5 ASSESSOR'S TAX/PARCEL#: / 50 Z_ff0- 0� 7 6
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT:
• PROJECT INFORMATION
•
TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPT1bN(Provide detailed description of work included on this permit only/:
PROJECT NAME Name 0 Business/Owner Last Na -: RA A c- Z/,
■ PEOPLE INFORMATION
PROPERTY NAME: I ^ PRIMARY PHONE:
OWNER W=1.L--��L1� reawa-\d' YI✓ C— e, ( ) -
MAIUNG ADDRI "" (ST[�"`T ADDRESS*I CITY,STAT 4
I
CONTRACTOR: NAME COMPANY OFFICE PHONE:
-4ig C.7c ( SLC cg
4 co )3 - e/ rr
MAILING ADDRESS(S,TREET ADDRESS;): CITY,STATE,ZIP c CELL PHONE:
i 23 0 X IS 7_ � 97404 (//7/P al� (2S3 )7 3 Z - F y75
CITY OF FEDERAL WAY BUST ESS LIC NSE NUMBER: EXPIRATION DATE: FAX NUMBER:
/ I ( )
(ItEriAcl-mR5 REGISTRATION NUMBED) EXPIRATION DATE:
(copy of card required with each application) / /
LENDER: NAME: I DAYTIME PHONE:
(If Pror. a.. Via.>$s,000l N ( ) -
MAILING ADDRESS(STRE ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ Architect a Tenant 0 Other(Describe): ( ) -
ICONTACT PERSON FOR THIS PROJECT: ❑ Property Owner '. Contractor 0 Applicant E-MALI,ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PRO e D USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO s°4 SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHA 0 HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: a L VEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
• ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? ,,IFT•d;otx=isu."-G -!..aTAL W!!)PR•°7-ED4::`-,
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
II FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanirnl Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
aBBQS FANS 4100DS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Tub/Shower Combo) SHOWERS WATER CLOSETS(roikt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
•
• •
• III 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 claim(including costs,expenses,and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the
undersigned,and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers a7dmployees,upon ' accuracy of the information supplied to the cityas apart of this application.
NAME/TITLE- 4" DATE: // ,4
igna ure) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant ptractor 0 Architect 0
„
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