04-101683 City of Federal Way Electrical Permit #:04 - 101683 - 00 - EL
Community Development Services
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: DANVILLE STATION,LOT 17
Project Address: 1788 SW 345TH pi Parcel Number: 189545 0170
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 L Description Quantity Description Quantity
Thermostat
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: $f5(0Lf
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK
FINALED/---b ir
Rough-in inspection: • �. - /
Date
FINAL inspection: by
• Date
RECEIVED B. COMMUN7YDEVELOPMEN'SERVICES
COMMUNITY DEVELOPMENT DEPARTMENT
33530 imsr WAY SOUTH•Po BOX 9716
fry of 1.11.. FEDERAL WAY,WA 98063-9718
R- ' y MAY 5 2J ERMIT APPLICATION �-_ 253 61-I115•FAX:253661-♦129
�-ederal Wa0 ��„walu��'�e�.�L���vmm
For Office Use Only: FW File Number: .)L - I _ l_ ., 1/ (L EY----
/
The oiiowin• is re•uired in ormation-an inco •lete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or •e.
• ,' - . '.( - - ..- M PROPERTY INFORMATION - .
SITE ADDRESS: VI VI. ' S i V)..3 4s SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) M - '
(Attach separate puyC,Iv. ..Lylny Legal description)
■ PROJECT INFORMATION `.
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): "1-''' ST1A 1
PROJECT NAME(Name of Business/Owner Last Name):
- ■= PEOPLE INFORMATION . • - - •
PROPERTY
NAME: PRIMARY PHONE:
OWNER �C tl, 2_ / _ ( nn) -
MAIL(NLA5I SS 0 J�+ -): CITY,(iJ�."��v'� e lve1 5TE, I--C/4 I L[J.er u�r)
CONTRACTOR: NNE IUY,//, COMPANY OFFICE PHONE:
W 'cw,n.e (2c3 ) q2V-2l-I _
MAILING ADD (SIRE •ADDI ;): V CITY,STATE,ZIP CELL PHONE:
C O EDE AY USINESS LI ENS NUMBER: 1Qp E XPIRRAATION DeSTE: FAX NUMBER:
i q -19_-4 of Ce to 9- by - BI-- / / (7.63) 56c1 - glCCI
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER: NAME:
DAYTIME PHONE:
(If Proposed Value>)5,0001 ` ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: 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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRWVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
IP PROJECT FLOOR AREAS '
AREA DESCRIPTION EXISTING S•.FT. PROPOSED S e.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
lis.nr-nrrr rill■!c0 nnn v** Nithroc,/µ -7---_-..- --. --- )
r Detach And Display Certificate ---+
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I7EPAR F 1...i-Z,
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LICE1SE ';S PROS,-, s '•.-8 PM, `-
- . - a'lw, lel; .. -.a4- 1.:a::- . 1
, _ $
'E -:- --I f-'''' .7i.'41-5'-'• :-• -:::- "••'' 7 't., ''' '1 l'''' -1'' i
'�` 7 E .PR N . ,.
HERITAG�.,.. .,,: �S�'3 �•I�iC
9001 PACI 'iC',ViE
TACOMA WA 98444 ;
•
F625-052-000(8197) —_ -' --
•
S
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 and employees, upon
ntthe accuracy of the information supplied to the city as a part of tit application
NAME/TITLE: j n �.,\MA DATE: LA j
q '
(Signature) (Title)
RELATIONSHIP TO PROJECT: o1---/-a-
operty Owner 0 Applicant 0 Contractor ❑ Architect 0
Vis.;..:-,,.w.<.r.•"...,�,r,Ky ,:..,•»:�:=#+,waxs� .:
r0R ZIAC Ual�,dtO�NLY ' ;�`z
-q NEW . - - - a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL-ONLY? _ o YES ❑NO BASIC PLAN? o YES a NO •
ZONING`DESIGI!IATION: CHANGE OF USE? o YES a NO
•
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PIATTED LOT? - o YES a NO DEMO PERMIT REQUIRED? o YES o NO
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