04-101254 . _ .
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if
C[ rnmunity lElectrical Permit #:04 - 101254 - 00 - EL
Development Services
335"i0 1st Way S
Federal Way,WA 98003-6210
j Ph-253.661.4000 Fax.253.661.4129 Inspection request line: 253.835.3050
Project Name: DANVILLE STATION,LOT 34
Project Address: 1763 SW 344TH PI Parcel Number: 189545 0340
Project Description: Install wiring for new single family residence.
Owner Applicant Contractor
SCHNEIDER HOMES,INC. BYERLY ELECTRIC INC BYERLY ELECTRIC INC
6510 SOUTHCENTER BLVD 28001 173RD PL SE 28001 173RD PL SE
TUKWILA WA 98188 KENT WA 98042 KENT WA 98042
(253)639-8773
Electrical Fixtures
Description Quantity LDescription Quantity 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:
%km---i-, w-1/49,, on 4 - aq -0 1-i e A.,.,`
4- (--c-c) c26÷ t\, 490AJA
1(14k04 le w.za i.cVkci.>(-1,1) - -
°II(VACe-S9(\\V\
RECEIVED
CONSTRUC I ION PERMIT APPLICATION
CITY OF �+,�..� APPLICATION NUMBER: Q(J - .1 Qj,g5(' - EL,
Federal Way pR 0 5 2004 -
APPLICATION NUMBER:
CITY L../E--FEDERAL WAY APPLICATION NUMBER: - -
;i ,UIL,DiNG DEPT.
"The f wing 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: l 2 FJ / 5WV 3 / 11 091- ASSESSOR'S TAX/PARCEL #: / O / S',s- 0 31 o
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ' 1 . • - • PROSECT INFORMATION - ' : -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
I
1
o ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
fPROJECT DESCRIPTION(Provide detailed description): tt `L MA( k e 1013 4
4.
PROJECT NAME: icf.rt,pnvlik, 49/1 , tio-f 3 f
-•_■ PEOPLE INFORMATION '
PROPERTY OWNER: NAME: DAYTIME PHONE
1ch4
C1tee,Q, 4/177/4.4.5
i (217k,) 2(10 -21(7)
MAILING EE KESS;CITY,STA 570 40 1/4yN✓Vv ) 4 -III i 11*)
t4rd q 4e1l v i
CONTRACTOR: NAME DAYTIME PHONE
9' W 6Ier - , _ (70 ) 639 - _ 773;
' MAILING ADDRESS(STREET ADDRESS; STATE.ZIP)• i EVENING PHONE'
I Z 8c21 ) -n r PG 5.5 f4 411. wr- ` g 9y2- I ( ) Siu
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: , FAX NU BER•
7 -/ 07374/ - 00I ( 3) d3/ - S7ST
CONTRACTOR'S REGISTRATION NUMBER:
C j� ,?� I EXPIRATION DATE:
(copy-et-card required) B y C� Y 1 L g. �J' 0 0B -� ; / / -2 / 06
APPLICANT: NAME:
/� �.n J,i-• . (AYTIME PHONE
MAILING ADDRESS(STREET AD ITYQ,STATE.ZIP): 65-27`/"/'4 GIr� EVENING P`ONE
RELATIONSHIP TO PROJECT: j FAX NUMBER
0 ARCHITECT 0 TENANT o OTHER( DESCRIBE): ? ( ) -
�
E-MAIL ADDRESS.
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
-
-
-- -•■ DETAILED BUILDING INFORMATION - - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .h
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑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 againstthe City of
Federal Way,but only where such claim aril tlfUt of the reliance of the city,induding its officers and employees,upon.t&. accuracy
of the Information supplied to the city as a pa of this ap•lication. G
11(
NAME/TITLE: DATE: ` ~G���
❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTO•/
_.FOR,OFFICE.USE ONLY:-r.11
n�D NEW �yOADDIiION q-ALTERATIUN� itEPAIR #z,1TENANT.IMPROVEMENT: w
!CENSUS'_CODE:iW*' rr4f;e4r
ZONING DESIGNATION' `� "�_ * '"
�BUILDIIVG SHELL''�ONL�(7 v YES :n NO x=„,t ;t :4
COMP-PLAN DESIGN > ,. - ' _w
�i3ASICPLAtV?-`�`;3�•YES ,°='o`NOVez ..,..
SECTION 's' ;�z TOWNSHIP K� ,*RANGE ".NEW ADDitESS REQUIRED?`�AZ-76 YES
PLATTEU LOT?r ;"❑YES kms"'ONO' ;Rt s'`'€ '3`^CHANGE OF USE?,i0,e,;! t]YES'"if NO'=:='�
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com