05-101990 i
t City of Federal Way Electrical Permit #: 05 - 101990 - 00 - EL
Community Development Services r
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: DEVONSHIRE LOT 18
Project Address: 1009 SW 361ST ST Parcel Number: 202100 0180
Project Description: New T-stat wiring
Owner Applicant Contractor
NORRIS HOMES INC AIR SUPPLY SYSTEMS INC AIR SUPPLY SYSTEMS INC
10516 172ND CT SE P.O.BOX 331 P.O.BOX 331
RENTON WA 98059 BUCKLEY WA 98321 BUCKLEY WA 98321
(360)829-5384
Electrical Fixtures
Description Quantity Description _Quantity Description (Quantityl
Thermostat 1
PERMIT EXPIRES October 29,2005.
Permit issued on May 2,2005
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 actor with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: , Date: ,' ''11 /05-
06"/Pc9 5"
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101990-00-EL
Owner: NORRIS HOMES INC
Address: 1009 SW 361ST ST
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
r5 Rough Electrical(4225) ❑ Ceiling Cover(4020) En Final-Electrical(4055)
Approved Approved Approved
By 0 Lam- Date '4-13-p By Date By Datecgli.Dszick
❑ Under-slab groundwork(4295)
Approved
By Date
APR-29-2005 08 : 15 AM Air SuPPIV Systems 360 829 3584 P. 04
�,,..i BEGET)ED • 1 — 1 _/ 0
Federal Way PERMIT
SF' MF CO ME 420 PL DE EN FP
colds))rrYaevsrorlel)�rse""74 2 "' '
77M'W MWAY,0A7N•f39711 1MAY APPLICATION
.... 07Y, X53ria / /
IgunglIwlemirdwzium 157 il5 t�07•FAX 253435.2602
CITY OF FEDERAL WAY _
ThefollowingIs froth AltgalAP-1an taco rete Uoat1ort will not be aces ted. Please KO le rt I or
SITE ADDRESS )009 SW -S(2I In- Sl— Fed VICIA 4514° SUITE/UNIT
ASSESSOR'S TAX/PARCEL 1 .O .Z- I 0. O - O 1 8 0 LOT SIZE(S
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) to 11 C Wf 1 S/)/re
H''•v--ter r1lw l... ' *aIw
• PROJLCT INFOF.AIATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING O MECHANICAL.
• 0 DEMOLITION KELDCTRICAL O ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
S (,v t r-0--. _ -
PROJECT NAME(Name of Business or Owner Last Name) )42r r t S 4004e 5 — V'evD/.t Lire ill,.oennGL�
• PEOPLE; INFORMATION
t
PROPERTYArc PRIMARY PHONE
OWNER S(ri 5 4- pie% Lux,42-7 r - .lR•o
MAILING ADDRESS CITY,STATE,ZIP
�" ' VXnO O
05 3 DX. Me — lc. k pCl.
CONTRACTOR COMPANY K APPLICANT NAME OFFICE PHONE
Air RIMS Sy s-I � 1 u c. _ 6r,0 o) ild9 -53841
M172)0 A ABD.D ,S-s I E.uck ky IV C)cf a F 553133-1 - 42-D4
• CITY OF FEDERAL.WAY BUSINESS LICMNS$NUMBRR EXPIRATION DATE FAX NUMBER
72)- oy -_./ o a ge -SL. ii / 3 , / o5 ( ) -
coNTRAr.TOR'$REOL`3TRATION NUMBER It..,at earl retakrai wttk cash application) EXPIRATION DATE
a S V S f q2 5.1--. OI / I S /2 '0,
APPLICANT NAME��}}_� �n .�y�(� - APPLICANT NAME OFFICE PHONE
�� V. S ], ( )
MAILIN A ReSS - CITY,STATE,ZIP CLHI,PHONE
( )
RELATIONSHIP TO PROJECT -VAX NUMBER
a Architect O Tenant a Agent QO ther(Desert /1 (" ( ) -
PRIMARY PHONE`rk
CONTACT � I FIPHONEI R MAIL ADDRESS
�3► 133 � L4
LENDER
MAJUNO ADDRESS CLTY,STATE,ZIP
• DETAILED BUILDING INFOF.NATION
EXISTING USE PROPOSED USE •
EaISTINQ ASENs3ED/APPRAISED VALUE •._.. VALUE OF PROPOSED WORK $
EPRINKLERED BMLDINGP a YES a NO FIRE SUPPRESSION ETETEM PROPOSED/REQUIRED? a YES a NO
r
WATER SERVICE PROVIDER O LAI{ERAVEN O IMMUNE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAXEHAVEN a HIGHLRIE 0 PRIMATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION r EXISTING PROPOSED TOTAL
$ •FT. SO.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) •
- --
DECK(COVERED?) - -
GARAGE O CARPORT 0
UMBER OF FLOORS Wxr')'o rtorox' ia
L aik6oB`ti4ir' µ +r fi�yy
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
ri:TUX-WS
Indicate number of each type offtxture to be installed or relocated as puri of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS _ EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
MOS PANS HOODS sz.,x,rr;,p WOOUSTiOVES
BOILERS FIREPLACE INSERTS RANGES
MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS whew:boon SHOWERS WATER CLOSETS R.4.4 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE 81885
GAYS .q...o,*WO VACUUM BREAKERS _ ELECTRIC WATER HEATERS
DISCLA!MnR/SIGNATURE PLOCK
•/certify render penalty of perjury that the information furnished by me is true and eorrsct to the best of any know
on aatherMed( the ownertwigs,and further,ert that I
harmless the City a Aederief W the above premises to perform the work for*which the permit application is mads. I further gyres to hold
such a which f ay as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
►16 mall be made by any person,Including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out ofthe 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-
INAKOPTITLE Ce4f.k 414614/1424 *2i►k DATE4k-2 q--0 S
(eis.k.turvI Mtki
RELATIONSHIP TO PROJECT O Owner 0 Agent Contractor 0 Architect a Other
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Bulletin#100—January 7r 2005 Page 2 of 4
kWandoutalPermit Application
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•
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EBUSTIWO PROPOSED TOTAL
SQ.FT. SQ.PT. SQ.rT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
,
DECK(COVERED?) r
GARAGE O CARPORT 0
NUMBER OF FLOORS 1 WHIM rRoroseo I vera. �r ! r �W • .cC'►b<rl sorer nc' rwq �- j is►
**NEW HOMES ON I, '` NUMBER OF BEDROOMS. ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
11AAtiC.dL
Value of Mechanical Work
_ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Icomm.msp WOODSTOMS
BOILERS FIREPLACE INSERTS RANGES MISC(Deeeribe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
• BATHTUBS SHOWERS WATER CLOSETS(.,n.y MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIDES
DAVS to towo.croko VACUUM BREAKERS ELECTRIC WATER HEATERS
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 fwrth r,that r
arc sutheriz.d Yr the.caner of the above premises to perform the work far which the permit application is made. I further agree to hold
haretteee the City of 14.rtit Way as to any elairc(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claims,which mcg 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 oIfiaere and employees,uMrc the accuracy of the Inf rmatien supplied to the city as a part of
this apphaati n.
NAME/TITLE '41/1 e- 11/1 a tare 4 DATE 4- -
telr naturci (Title)
RELATIONSRHP TO PROJECT p Owncr El Agent Contractor 0 Architect 0 Other
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Bulletin 0100—Januaiy 7,2005 Page 2 of 4 k\H.ndouti Permit Application
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