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02-103619 , City of Federal Way Electrical Development Services Permit #:02 - 103619 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: •- ,050 Project Name: STONE Project Address: 1420 SW 296TH lumber: I .21 I 139 Project Description: ELE-Changeout panel and wiring for residential addition and re •el. Owner Applicant ontract• Christopher M&Margaret Stone Christopher M&Margaret Stone Christopher :aret Stone 1425 SW 296TH ST 1425 SW 296TH ST 1425 TH ST FEDERAL WAY WA 98023-3411 FEDERAL WAY WA 98 -3411 L W Y WA 3[3411 53)569-690 , \t44 fikk rical Fixtures ^Descri•tion -- Ma "'""' *i t' '•tiot't? . :-. ,0 an I ,i : - Descriptions '--.i". Quantiti Alt.Serv./Feeder:0 to 200 amps- •es. _....46 ' ' IT EXPIRES February 22,2003,IF NO WORK IS STARTED. Permit issued on August 26,2002 re ify that the a'.•. ' ormation is correct and that the construction on the above described property and ancy and the e )41.e•1 Gorda a wit,�- laws,rules and regulations of the State of Washington and t of Federal W y. Own or agent: r,11 Of Date: 96/ , p_oe 2-- , I C) -- Ic _ (ii - ©Z NO -rEM p 0 w m VA/ s, tE, g - 0 - 03 �.efl„tc.P Nper - _q--- -D - -- - k -- Z -04 O:W.,.. co✓.er 5crvi cam-- c,,ti.Du.A- tyroL � .g - t l - o Q,0 1� V\fp ra 40f2— I .+ aT.Or GEC RECEIVED CONSTRUCTION PERMIT APPLICATION uv 1-- RAPPLICATION NUMBER: e.)2- - AUG 2 6 200Z APPLICATION NUMBER:APPLICATION NUMBER: - - **TICe O W formation—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. . ,� ��"11TA PROPERTY INFORMATION SITE ADDRESS: l(`9v SW `11 ASSESSOR'S TAX/PARCEL#: -z_ CD - O�T7�J 9/14 LEGAL`/6` _RIPTIp 1§SUJ(CT P PE TY TTAASEPARATE DESCRIPTION IF LENGTHY): .P PROJECT INFORMATION` . TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION )LECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): NUJ iii,sa7 P240 ti 1 /0-1/a_de44-- PROJECT NAME: /c PEOPLE INFORMATION PROPERTY OWNER: NAM ,4tvip r L. l 1 �� P ifw<_ DAYTIME PHONE: - MAILING ADDRESS(STREET ADDRESS;011 ST TE,ZI L /I t_ L-04:9.4eittal4._ CONTRACTOR: NAME: afe (DAYTIME P1 HONE: - 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: PHONE: MAILING ADDR (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** , NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .- . ■ PROSECT 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. ....:-.1_......,...•.‘....;-:- ....� ...a.,...,Lw--.:.. s.a,- .,,s.fah�+a..r�4......R-..1,li.Fix.URES•Xri4fi,—;->ti,,—...w. ......—.ai3+i...t.in. z=i:_.i-:+lr-M.ii,,, K.aaFv.,.....ke a.,.., 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) " ". . P• -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(including costs,expenses,and attorneys'fees incurred in the investigation and d- • - e •f such claim),w ich may be made by any person,induding the undersigned,and filed against the City of Federal Way,but - ly :re ch d,im at of the reliance of the city,induding its officers and emplo ees,upon the accuracy of the informati• supp :.//the • as .�r o • is application. —'1 96 `� NAME/TITLE: (I DATE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: .7..-I«TI _ NEW��'� ❑= DDO[V ��❑/1LTERATIONs��.REPAIR�:�= .:.;D kTEfVANTfIMPitOVEN1ENT'�' �;_ iCENSUS�ODE:---- `�=;=�..; _ -� :��- =LOT-sSIZE _mss- nt*__: y O1VWWGNA ON'' ==_ * rdrit ING_SHELlONLY Y E3NO _- = t11 DESIGNATION:-'• =7_. =} -93ASIG •LA ?-=': C((ES_ tiraMEMIAW M l�iJ��i�'..' ro .;�_ .�-'"z�r�..�.454 ay�'�scwc.r-=•;z�...._ y-s+..;..-K��•;.� �a s+. � - r_T01MNSHIP RANGE; , _ ;NEW ADDRESS. OIR olEtP . '1f,iVaa;[r0 = firaTTEU°LO_ _❑ ES.c,,:<❑:-NO-_4''rrZ:: v IX,='fCIIANGE OF USE7. =.;n:- ,YES..' CI;N,*$ r x - 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