The URL can be used to link to this page

02-104499 No. i r^ • CI,Community Development Services Federal Way CommuniElectrical Permit #:02 - 104499 - 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: HORNBY Project Address: 33319 41ST SW Parcel Number: 327900 0150 Project Description: ELE-Altering up to 4 circuits to wire the remodelled area Owner Applicant Contractor VETERANS ADMINISTRATION BARRY&PATRICIA HORNBY BARRY&PATRICIA HORNBY 915 2ND AVE 33319 41ST AVE SW 33319 41ST AVE SW SEATTLE WA FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 98174-1001 (253)569-3339 Electrical Fixtures ' ' , t_;,, ` ,;=;0j ,,;;..+ a.»r -:,i 7.6 '4ic7, ;42+,'"',:' .a 1!9" ''1:41. ' 1, ^ac'i a ta Q0nt Circuits-Residential 4 PERMIT EXPIRES April 8,2003,IF NO WORK IS STARTED. Permit issued on October 10,2002 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 accordance with the laws,rules and regulations of the State of Washington and the City of Federal W . Owner or agent: ,J7e__ / im:LI. Date: ooil/0/ 2 00-1. 2'-'20/- A CO Co.(i)s .4 iv (t- iz r - 01,-,2D bo, , - - 4 t04-t Rough-in inspection: L ' PO v D - -2 D-- 03 Date Service inspection: D to FINAL inspection: '�coc " 4 & z 3pc p date 1 JmEJIZFR. CONSTRUCT 110N PERMIT APP ICATION ' APPLICATION NUMBER:FlY RGvo1V53 APPLICATION NUMBER: — �- APPLICATION NUMBER: (]C1 102002 - - **The following is r`,�oiLtl�ed information-Please print(in ink)or type** Please note: Ele ERAL Y`ys c�i��dJ,�c±Pt�v��,Systems and Engineering permits may require a separate application. - • - , [�I- . !-, PROPERTY INFORMATION SITE ADDRESS: 5331 f W 5 .51.-i ASSESSOR'S TAX/PARCEL#: - lZc� C1/f i TY / LEGAL DESCRIP ION OF SUBJECT PR PERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ��//.�,/� ��p1�,��1��4� -.. ___��...' :_-- .-_.__ �_--::.-.,-..: . . R/ PROJECT INFORMATION-._ -.-- - : TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): .1i. .q, g a i .,-.4/ii/L/ - •• iA_ II ` /�, PROJECT NAME: j4rn ' r - PA PEOPLE INFORMATION . ,. PROPERTY OWNER: NAME: DAYTIME PHONE: i ' Parr/ctt_ f-61..407 (a ) �b -33 3 , MAI NG ADD SS(S EET ADDRESS;QTY,STATE,ZIP): / 3 3315 Lit s. Av Z L✓, f - 1 14,4 cis-073 CONTRACTOR: NAME: DAYTIME PHONE: OwNe/Z ( ) MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): A EVENING PHONE: r <, ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - ( ) - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: LIN ADDRESS(STREET ADDRESS;CTTY�STATE,ZIP): ^ EVENING PHONE: 4 ' l l 5-f /.� S LJ FL-L.) L.✓/ 7' 1J (z.c3)5 9 3f TI NSHiP TO PR(OJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: • PROPOSED VALUATION FOR ENTS: $ SPRINKLERED BUILDING? ❑ YES II OPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ • < • ' N ❑ HIGHLIN U TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVID •. 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE • **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 III' GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each typ,-of fixture MECHANICAL AIR HANDLING U (S) EVAPORATIVE COOLER(S) AS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) H b•D(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RA E(S) MISC.( ) COMPR =OR(S) FURNACE(S) DUCT : GAS PIPE OUTLET(S) HEAT I URCE: ❑ 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) 4 '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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE, (2 , ^ /lh�I DATE: I C) - I VI PROPERTY OWNER 0 APPLICANT ❑ CONTACTOR :=FOR:OFFICE USE:ONLY:Al J4EW_= 771 1DDI;TIdritl=® 1LTERATION .REPAIR4-a]j.itNAN,LIMP,ROVEMENT : EtiSOS CODE: a sLOLSIZEta . "OP iGA GNA'IrO WeiPEtii �P= IESIG G ECTION -- TOWNSHIP RrANGE ', . ; i1DDR��QUIRWant_E - ,© f O;. = ��y�x•.�.s._,..f��::,�_�_ -+�""-'-�3=�.;�"��.�e',t;:fit J�^r'e�xr..;�ix �.�..c-_:�-_F',�.-rte-- �_- :1.:�'_-_�,��,�-.,.W :PLA7TLD.LOT?z__LD fES NO==F== CHANGE OFUSE?_�;- _ :-11§l ltIti ,= : 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