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02-103737 4. City of Federal Way Community Development Services Electrical Permit #:02 - 103737 - 00 - EL 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: YALANZHI Project Address: 31427 12TH SW Parcel Number: 416810 0160 Project Description: ELE-Wiring outlets,lights for new addition Owner Applicant Contractor Peter I&Lyubov P Yalanzhi Peter I&Lyubov P Yalanzhi Peter I&Lyubov P Yalanzhi 31427 12TH AVE SW 31427 12TH AVE SW 31427 12TH AVE SW FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-4505 98023-4505 Electrical Fixtures ©esc,riptionItt $150 'r'IIe`s"cription - " 'Quantity "rJs'µ` -",","Desi~rifitio % . Q'�larltity Circuits-Residential 4 PERMIT EXPIRES March 2,2003,IF NO WORK IS STARTED. Permit issued on September 3,2002 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 accordan/ with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: `%/� Date: Le _ QZ D� /✓ tetP g-Q V , 1 r) — 2,— ©L 642A-2 7 b R--( tr*^1• CL 47 RECEIVED `n or c CONSTRUC I ION PERMIT APPLICATION �oErzRL SEP 0 3 2002 uv f-iY APPLICATION NUMBER: 1D3EL CITY OF FEDERAL WAY APPLICATION NUMBER: - BUILDING DEPT. APPLICATION 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: I 1�1 Vo SW ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • :.■ PROJECT INFORMATION' : TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed 1 I description): tA,99k Y\Q. \i}Q4Z/ O%.c).,',.i' S (X\Y, Liftj& j I) 1 e }.�Q.v) ��C 111 \ DJ) bel "��2 �x 1 S \ I PC) PROJECT NAME: • ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: ` \ DAYTIME PHONE: ( L i Qi J (e`r�Zk ' (2C-3 ) 941 - YAC, MAILING ADDRESS(STREET ADDRESS•'CITY,SATE,ZIP): 3 I y 2"1 Zfii 1\,i e <\AJ CONTRACTOR: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Cl CONTRACTOR ■ DETAILED BUILDING INFORMATION " EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .- ■ PRO3ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: *yam .... .�.•..c-.•.+..s c,< ...,� •-«a......,,.w«_.... ,sWc�,-,,,• •.sh*a•Cu-aswlvr's?•i�•Firm RES-XrrL+ixw*+i .w+ +.rw�.:.•,wotir,../mi Smartlvr�.ii.:.....�U44v.wk*a+r: Indicate number of each type of fixture MECHANICAL 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 claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: L 0-1 (9— Y7.-1^) DATE: 09/037v2._✓ O3 "\PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR WOR:CiFFICE USE ONLY: 21.4%71 .❑ADDITION; ❑:ALTERATION �❑,REPAIR= :r,❑TENANT IMPROVEMENT " _ * - x:ice :_-�3 ozA E?-=;.,-. �LOTsSIZE: ��=:�s�._.z� -�-�-�;a,-.u-�.�_.,. _ �-��;- ESIGN N Y? J a', Oi�`ING A'f�QN,�-_-'�,��-�_��==�=�r=--K„=;Evg �gC1ILDINGSHELlO L C�=NO��_ E:�'��,�_ COM�I�'AN_DESIGNA7IOT1-�,,� ,,� �T ,�_ ��BASXG'PLAI�?��' il.V0144O`fV0:V_- VSECTIOR_-Ra, _TOWNSHIP RANGE ,NEW ADDRESS REQUIRED? V*,fSYE5C*7 fO; MfrirLOT? _ ❑ (ES NO =�• :-CHANGE�OF USE?- :r' - _,`,❑„YES_ %fl NO,= '� �= �- I 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