04-101684 .16
City of Federal Way Electrical Permit #:04 - 101684 - 00 - EL
Community Development Services
33530 Ist Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DANVILLE STATION,LOT 33
Project Address: 1751 SW 344TH el Parcel Number: 189545 0330
Project Description: Installing new L/V thermostat&wiring
Owner Applicant Contractor
SCHNEIDER HOMES,INC. HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD 9001 PACIFIC AVE 9001 PACIFIC AVE
TUKWILA WA 98188 TACOMA WA 98444 TACOMA WA 98444
(253)539-8709
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES November 1,2004.
Permit issued on May 5,2004
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: See Application Date: 51q614
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK
\\,
Rough-in inspection: A ,IP -Q,a/
Date
FINAL inspection: 1 � • a 111;.A _
\ ' • D to
RECEIVED BY COMMUNITY DEVELOPMENT SERVICES
COMMUNITY DEVELOPMENT DEPARTMENT 33530 FIRST WAY 50(1171•Po BOX 9718
Cm of FEDERAL WAY,WA 98063-9718
Feder Way 2�I8�ERMIT APPLICATION Y53661�I15•FAX:4enlw b61m179
a� it o , ,j[�j/ www ci15. 253.6 1-
For Office Use Only: FW File Number: .� �d - I l� L - () /
The oliowin• is re•aired in ormation-art Inco •fete a••lication Will not be acce•ted. Please •)int le•ibi (in ink)or .-.
_ - ..' • . - •• ••,,-.-.- = ._ ■ PROPERTY INFORMATION • I. - - •-
l
SITE ADDRESS: , )i S' ‘IN)‘IN)•5`114 `nI. 2 SUITE/APT#
CL
ASSESSOR'S TAX/PARCEL#: 1 q ,5' - 0 3 3 3 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) P>! i\ -(Attach separate page for lengthy legal description)
. . _ ' - . ' .'' ■ PROJECT INFORMATION '_ , . . . . _ -. - -;-
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTIONSYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 17-5 1 fT 1
PROJECT NAME(Name of Business/Owner Last Name):
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER � k s� � d rn� ( z000) `2- —1f
MAILING ADDRESS(STREET ADDRESS;): CITY,VATE,ZIP
CD 510 SpCkrt G �`bv - _'w I
m ernutL
CONTRACTOR NA' COMPAikr OFFICE PHONE:
MAILING A)L DIAS'S-(STREET ADulc ;I: CITY,STATE,ZIP CELL PHONE:
()DOI Pte) cic-Av-e 1- 0. AQ ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER:
1 44--9 9.-I- 0 1. 30 LI CI- CO - Fes— / / (163) 685 - 8'tcJ)
CONTRACFOR'S REGISTRATION NUMBER s+�- �/ EXPIRATION DATE:
x
(copy of card required with each application) A I T V ...0 0 Q K Ste• 6-1 / lb / u y
LENDER NAME: DAYTIME PHONE:
(I[Proposal value>$5,000) /�� ( ) —
MAILING ADDRESS(STREETADDRESS;): A CITY,STATE,ZIP
APPLICANT: NAME: L/�•r'•�' COMPANY OFFICE PHONE:
( )
MAILING ADDRESS(STREET ADDRESS). CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ Architect ❑ Tenant 0 Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION • '
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) •
■ PROJECT FLOOR AREAS
r AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ 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 Mechanical Work $
-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commord+y WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES G6S WATER HEATERS
DUCTS GAS PIPE OUTLETS
."I r
I UMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(-role) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS t
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B.Nuoomsink VACUUM BREAKERS ELECTRIC WATER HEATERS
a
■ 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 Y.
application is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and _IT
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, y
including its officers and employees,upon the accuracy of the information supplied to the city as aLJ
part of
this application.
NAME/TITLE: j 0 _ •Ni.r. / DATE: 11 `3) ` 0 4
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 operty Owner 0 Applicant ❑ Contractor 0 Architect 0
`3,6
FRFICEUSEOILrrik• 1
Q NEW - a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES 0 NO
ZONIIIG`DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
•PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
tiullcun ==10:X Ja;:,L: : I. ,(:0-1
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