04-101255 • ,v -
om unity eral
vel pme Electrical Permit #:04 - 101255 - 00 - EL
Community Developtttpnt Servl,es
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 5
Project Address: 34434 20TH`SW lm& Parcel Number: 189545 0050
Project Description: Install wiring for new single family residence.
Owner Applicant Contractor
NONE BYERLY ELECTRIC INC BYERLY ELECTRIC INC
28001 173RD PL SE 28001 173RD PL SE
KENT WA 98042 KENT WA 98042
NONE (253)639-8773
Electrical Fixtures
Description !Quantity Description iQuantity Description ;Quantity
Service: -Residential 2813
PERMIT EXPIRES October 3,2004.
Permit issued on April 6,2004
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:
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�\ CONSTRUL I ION PERMIT APPLICATION
CITY OF
APR 0 5 2"4 APPLICATION NUMBER: _¢`{ - J O ( ?-3-S.--
_ c_i
Federal Way APPLICATION NUMBER: - -
C�T gUOILDING DEP WAY WPPLICATION 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 . . : . - -
SITE ADDRESS: 3111/3Y 2. ate 5(41 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - 1 . . . , - - ■ PROJECT INFORMATION • - _1-_
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL o EENGGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): tear &a() Ido/04 Z 813
Or
PROJECT NAME: Duff) Uafe S 1 1 �i 1- oi
. . _ . - . -■-PEOPLE INFORMATION : ,-- - - - -
PROPERTY OWNER: NAME: W�.o., iiffiniis DAYTIME PHONE'
(266 )V0 -1 7 f
MAILING ADDRESSET ADDRESS;CITY,STA P) gw0k U4- u.� �8"bslo 6194-4641,
1 , 1
CONTRACTOR: ( NAME:
136R(4. g(e4--444., DAYTIME PHONE:(7g3) 63q - 9773 ;
MAILING ADDR SS(STREET ADDRESS; ,STATE.ZIP): - 1 EVENING PHONE
• 7'9 1 173.cg Pt 4cc �Nl (t/{4 ! ( ) Sf w,, . '
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( { FAX NUMBER:
qI - j 07 3 ? 'I - 00 l (r0 ) 423/ - SSB
CONTRACTOR'S REGISTRATION NUMBER: /� „` � k � �� 0 � 0 �� I EXPIRATION) DATE: /
�f (Y I 7
(copy-43f-card required) t
APPLICANT: NAME: M �� 3 yill-y� i DAYTIME PHONE
MAILING ADDRESS(S1RgT ADDRESS; STATE.ZIP): C6924
' ; EVENING PHONE
)
-
S `
RELATIONSHIP TO PROJECT: j FAX NUMBER
❑ ARCHITECT ❑TENANT ❑ OTHER( DESCRIBE): ( ) -
{ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
I . ' '-■ DETAILED BUILDING INFORMATION - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
,
**NEW RESIDENTIAL CONSTRUCTION ONLY**
a
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES .
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
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: a ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 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(induding 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 ariWStfirt of the reliance of the dty,induding its officers and employees,upon 1-&-- accuracy
of the information suppli•. o • e d as a p� of this�plicatio/
NAME/TITLE: / DATE: g/S1-26ril
❑ PROPERTY OWNER o APPLICANT [CONTRACTOR
-FOR.OFFICE.USE ONLY:,::j
t❑` ''NEWS ❑ADDITION AiD ALTERATION D REPAIR"-"��E=TENANTeIMPROVEMENT - "`=;= ;.
-� s � LOT:SIZE: ` .f Y z` `= �;:_€Y,�Y. ter''-.�.; ,.:,:
�:CENSUS'CODE�;� ,:, +: '� �z.�.�,,_,_..�k__ -'.-. _ .,
ZZONING DESIGNATION,C ,ji BUILDING SHELL ONLY? I YES =o NO'!-..:: :5; :`-.:
-.''" _ ,-r
O.
=COMP PL'ANDESIGNATION _ = - --•-�=�-- _. . ,_ _ '',-,N,
.�,, :� :::�=i:�'=�st�BASIC_PIAN?=���n AYES ^o:NO •= _.. .._.
`SECTION P7i4tOWNSHIP: _;-Z RANGE =:h4 LNEWADDRESSREQUIRED? „:..a2:''❑'YES=Y:'a'NO• •
^PLATTED`Lori: i"❑YES 7:13140'c' t�.'�=t'-t``eag=5 '•:CHANGE OF USE?.C.' ":O YES'"`~O'NO ` a'-',- -,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000.FAX:253-661-4129
www.dtvoffederalway.com