04-101668 a
4.
City of Federal Way Electrical Permit #:04 - 101668 - 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: ORCHID LANE LOT 25
Project Address: 1302 SW 342ND pi Parcel Number: 640370 0250
Project Description: 60amp temp power pole
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Temp.Service up to 100 amps-Res. 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 W
Owner or agent: ` _ ;//
Date:'` )l )f DI
IF
,C---- /7- o..el
-trL/rteAp9f61/:; ---
)b
2 / 9
D?)\
C>izot,, /N.
6
FINALED
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTI!•PO B05 9718
CITY OF FEDERAL WAY,WA 98063-9718
Fe eras Way PERMIT APPLICATION 253-661-4115•FAX.253-661-4129
1�
TD
For Office le Only • .q - 1 0 —C) -
FW File Number: ern / /
The oiiowin• is re.uired in ormation-an incom.Iete a.•lication will not be acce•ted. Please .rint le.ibi (in ink)or
- - - _ -, --=: : ■ PROPERTY INFORMATION - _- '
SITE ADDRESS: cjbb2. 5W 12. `�1 VEC /r""Q 1 SUITE/APT #
ASSESSOR'S TAX/PARCEL #: - SQUARE FOOTAGE
�OFF LOT:
LEGAL DESCRIPTION (eg:Acme Estates, Lot 1) i 1%d
OLAV `p - +--V t 2.6
(Attach separate page for lengthy legal description)
= `` ■ PROJECT INFORMATION -
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on th permit only):
(DO lain r mpo pOVJtQ h "COe_sr t
PROJECT NAME(Name 0 Business/Owner Last Name): r
■ PEOPLE INFORMATION
PROPERTY NAME•p ^`1 PRIMARY PHONE:
OWNER F hhl 11` (3163a61 -Aak
MAILINGDDRES545Tj:F.F.T At SS,I' C STATE,zIE 24 u30.4
/ a � 3
CONTRACTOR: NAME'5.51�w�W//�`J ` COMPAft�N-'f. OFFICE PHONE.
1_t ana ?col�acn- Eye (alp) coil -115b
MAILING ADDRESS(STREET ADDRESS,(- ITY,STATE,ZIP CELL PHONE.
o. eb z e roh,AA ccYr5g (atiow l)c -a1 II
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER.
- - aka za / CAD (ate/3J b3) -11%
CONTRACTOR'S REGISTRATION NUMBER: . PIRATION DATE. A
(coPy of card required with each application(? FL 1 1 1 1.—0' � 44/ a. /O o
LENDER NAME. DAYTIME PHONE
(If Propo.el Vdv.>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS,) CITY,STATE,ZIP
APPLICANT: NAME: COMPAN OFFICE PHONE:
Ltana 14\ de -Y'aN)dent- Elec lei c ( 5 4, 1 - 77a
MAILING ADDRESS 1STR' T ADORES' I CITY,STATE.ZIP EVENING PHONE.
pc). \--2,0( 5q2_ ' 'fi n via a aGgie' (e915 v51 - -775)
R0 Architect
IP TO PROJECT ( ,t ^ _ y� j (Fc3 )NUMI.
--7
❑ Architect ❑ Tenant (Other (Describe):( ,`„C,'�,/�, l/`.�•1Vl
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-SLjIL ADDRESS'
• DETAILED BIITLDING INFORMATION -
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: S
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE a TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER n LAKEHAVEN a HIGHLINE :- PRIVATE(SEPTIC)
I.
'A.it,. ''•-,.,'
;.'• ;i; ,;,,, -e-:?"-
•s.:.%-:•,+ --.';`,14...:1-'1, -1-.'
;`14..^ -A _;sM.. - -JECTP /OR ARES_O...•;0:..,..----f..,.--2:--",71,,,, _ 4 '4.',--f''':,&,-.---,,!-:-., .--,-.---;•.-t. . _ ,,f.M.
• - -- - AREA DESCRIPTIO' EXISTING SQ, FT. PROPOSED SQ. FT. TOTAL
i
ff, . T
- •
i SECOND i 1
11 i - I I
1 THIRD
.� • a
•
FIJI ifl '
1
.:1:J;i1','•.... . D,c,i . 1i,1.. .'Il: (
• .
•
_____ _ a - _z_______ _ _ •__ i_ _ __ __ -__ _ •
HO`., MANY ( t i
"NEW fiC"..'i•:`ONL.:'" NUMBER OF BEDROOMSESTIMATED SELLING.PRICE'
Indicate nurtt,et of ei_tcit type el fixture that 15 to he iilsfatl,•c or'relocate(f as part of this project D not rlttdi c fisting fixtt•res'to rl'main,
MECHANICAL
Valls.o.(1.1,--t;,,..,, ,:Ii Y..W:rr' ti - _ -
Ali: l i'•.'.IJl.1:,GT.:',:-1-:-, E•.':\I't,i'\-1p.i.C,,t,LE l S — (1.5S LUGS _____ i'EI'E•:IS S1 STEMS
— — 1:::(1( FANS IiUUDS1,_o:,,m,:,,.a — \''O(IDSTO':ES
BOILERS _ FIREPLACE INSERTS RA\C1EES MMISC (Descnbc)
CO.'•1PRESSt)F'S __ FLF:':ACES GAS. \TER HEATERS
UC .
DTS . . . G\S PI PE-t r'TLE•:TS
PLUMBING -
il; ii,. - . :i(r..._ . 1:'.IiLF'CI„ :,i.”I:::-‘ti:,ti.:\;!!l i.'5 ,,.17 t `-, OF:i.`:F.1 .('• PUw.'iAl.'.;;
_ • .(. .V( :, ' - • •
---i •lI"`�!L4 - ---— .•.!'.;', VT! ti: . ...
__}_ _ '.� Sc'i'... '.!'..,:}1-•: ... Ii'):,t' III,I . •
. L\'.. ,s....,,, > \t'l, :! I;f'4:\hEI'S ELECTRIc V.XrEi:Iii.... •.i.'S
F ' )
■ 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. 1 further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the
undersigned. and filed agains h City of Federal Way. but only where such claim arises out of the reliance of the city,
including its officers and em,toy s. upon the ace acy of the information supplied to the city as a part of this application.
/
NAME/TITLE:. '— - •,• -D. ��TE- tL bi
RELATIONSHIP T• •RO-, CT: 1''03-;, ,':r;i< • „\: .:C. :°t ,\,r :til, I
f .
1 FOR OFFICE USE ONLY:
:NEW -- ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
: BUILDING SHELL ONLY? ?`ES NO BASIC. PLAN? YES NO
ZONING DESIGNATION- CHANGE OF USE? YES NO
NEWADDRESS REQUIRED-, YES No UP;SEPA;SI''' - YES NO
PLATTED LOT") YES NO DEMO PERMIT REQUIRED? YES NO
t
:-.111--SLECTRICAL RESIDENTIAL
-
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Sq1.1 .irt-
:• I , (::! 5. : .••: '1- - .1)
j t„, in, 117 Th. 7.:
tt L-1
1 I -
Hrut
NEW MULTI-FAMILY(11.:(-)- 111'):)•)
) (".•- l()»(: „:..
4:13 20() )31:1i.) S 23( II))
71-1 r ;olts
201 - ";1) (10
lit rlictrI S 80 (,(1
1,j 401 - 600 i:111) 161 00 Ita) 00
no - sou anip 20t.).00 110.00
ALTERED CONINIERCIAL/INDUSTRIAL
LI Over 800 amp 294 50 22050
•
ALTERED SINGLELMULTI FAMILY 0 to '00 ‘0111) s
)llisp(cted sei-)0,0tel% Irian tir 1-'oC() 11 201 - t100 ;11111) )20 F4)
r):Ir)•0r 1),))11) r U Ii()))() ;):1);) (»)
L.] 0 to 20(1 0m1) S 7250 o:(r 1000
L.1 21)1 6(0 01111) 117 50
D over 1)00 zirrip 177 00 U ;: 01 circuits to tic added/altered
It 5 cIrcult):. 57-11)0„-',I4:1,-.IC1.11t,, St) ()(,,',
CU(MIS to be,ititicci/aitcred
00,A
1C1t)()( ! ) COMMERCIAL/INDUSTRIAL PLAN REVIEW k1 .11 S1 (.:1
5C1`.1.0(Ill': 200
of tc)()),:r H•pall 43 2 U MeW,nil:I(lit(:I06(1)34:111:-.);:o6))11.(1 I6)( 111)...
S 7; 00 plus Flint 1.t
SINGLE/MULTI FAMILY PLAN REVIEW
(1',0: •100 .(101),
71 00 p11.1 35",.of Permit 1,e(
MOBILE IIONIES TEMPORARY SERVICE
scIvi(e or 1-cede'. OIIIV S 35 00
CI Service and feeder S 94 50 COM111Creltil
II ') 5 F,'-; 511.0
MOBILE HOME/RV PARK
L.) ()I - 200 7 ; On Ci
. 01 NCI'',0 0 (11
U 2),j -100
11.... ";
' -1( - 1,00 117 50 :
‘0,yr t 127 0,,
MISCELLANEOUS SERVICE!EQUIPMENT
: Thermostats U •••, : signs
••:-1:•: •-•• • •.
' U Low Voltage J Swimming pool/hot tub
Suuare • • ,
Additional Plan R,_!3....e3).-
" ' :• .:. ''„
. .
1