02-104577 City of Federal Way Electrical Permit #:02 - 104577 - 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: DARBY IV-
Project Address: 32508 2ND S Parcel Number: 169730 0970
Project Description: ELE-Replacing 125amp panel
Owner Applicant Contractor
ALICE DARBY ELECTRO SERVE LLC ELECTRO SERVE LLC
32508 2ND PL S 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98003-5779 (425)451-3358
Electrical Fixtures
k: ;_%,. s ♦° r « .,. eft; QC1c !tilt:MW=ilf27Z2:".rMffa
Alt Sery/Feeder:0 to 200 amps-Mull 1
PERMIT EXPIRES April 14,2003,IF NO WORK IS STARTED.
Permit issued on October 16,2002
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 Way. Q
Owner or agent: See Application Date:
MEI/ il11101FINIFAWRIM11111.4Plir
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: AppG2_2t' (. !,l r- ( E 6
Z
Date
Cr•� CONSTRUCTION PERMIT APPLICATION
• •1-1 APPLICATION NUMBER: O ��-
uV L Q
4 • • COMMUNITY DEVELOPMENTRECEVEDBY DEPARTLICATION NUMBER: - -
cV •
' APPLICATION.N(1MBER:-- , - - -
OCT 16 2002
**The following is required information—Please print(in ink)or type** '
Please note: Electrical,Fire Prevention S stems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 3,.503 ara Pt 5 (60B3 ASSESSOR'S TAX/PARCEL#: � I,(. - 0 3-i-o
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
L
PRO]ECTINFORMATION'-.: :+. . . ; .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
NI*ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ---\4.)4110S Q� �(�Lj C. rYnQ
PROJECT NAME: (/L V
FA PEOPLE INFORMATION '
PROPERTY OWNER: NAMAt_t, Nar DAYTIME PHONEE0:i� (33
MAIUNG
(STREET ADDRESS;
s - . v ,�. t o-- cA6CC3
CONTRACTOR: NAME: DAYTIME PHONE:
ELECTRO SERVE (425 )562 - 8709
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
13547 SE 27TH PL #3-D BELLEVUE, WA 98007 (425 )562 - 8709
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
l *:# _ _ _ - _ _ (425 )562 - 4948
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy olGird required) ELECTSL042M2 07 / 22 / 04
APPLICANT: NAME: DAYTIME PHONE:
( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
•
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: *PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO b
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) �q( �✓
Sent By: ELECTRO SERVE LLC; 425 562 4948; Oct-16-02 3:21PM; Page 2/2
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. • - : •' •. - . • --•• - ■'PROTECT FLOOR AREAS • • - . . • • • •• -
FLOOR EXISTING SQ.FT. • PROPOSED SQ.FT. TOTAL
BASEMENT' .
FIRST - — –
SECOND
THIRD
_
FOURTH
OTHER FLOORS(DESCRIBE)
DECK - • __..
GARAGE
HOW MANY FLOORS? T
TOTAL:
■• FIXTURES . . .. .
•
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.( )
INTERCEPTORS) 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(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 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 inform.tiort supplied to the city a . I art of this application.
•
...4. � � _ j l� �
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NAMEJTTTLE: � _ _ ` DATE: �\``� ((,V,a,,
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
•
•;,T-0R.'OFFICEiUSE ONLY; 1
ZONE,V vJ AOUm oN ❑,AC5EftAYO l • y;ri] REAIR: _ ".❑ TEA1tYM� P
ROEENT'. _kM
',CENSUS,CODE:-:- _ - -- -� : 't.OT_SIZEs - --" ' " - ' :' -_
.iW.NINGSiESIGNATICyN;_: - ' --: '" �-BICO
UIN.GtSHELLONLY? -❑=YESr •Ci NO
COMPTPLI UCSIGiYATION. .i.,i - 14ra❑:_YES -❑ NO _ - • -
$SEC ON ,' TOWNSHIP RANGE. <; Ejj{j 'DRF.S5yR UIREO?t 4❑xY,ES
'`P(1lti"TEO Y07�. ,,.0ry. - .0 NO `Cfltiht_E;U t/SE?".' CT'1'ES=-. =Q"t i
COMMUNITY OEVELOptEH I SERVICES•33530 FIRST WAY SOUTH•PO BOX 9.118-FEOFRAL WAY,WA 98063-9718-253-661-1000•FAX:253-661-4129
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