02-104580 •
City of Federal Way
Community Development Services Electrical Permit #:02 - 104580 - 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: SILVERWOOD,LOT#31
Project Address: 924 SW 363RD Parcel Number: 779645 0310
Project Description: ELE-Installing 200-AMP service for new single family residence approx.3788 sq ft.
Owner Applicant Contractor
QUADRANT CORPORATION MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
PO BOX 130 11109 66TH AVE E 11109 66TH AVE E
BELLEVUE WA 98009 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
tDescriptJiNalaggie Wiligilielgaliati06-5_- Quantity .l Qti4ritity
Service- -Residential 3788
PERMIT EXPIRES April 15,2003,IF NO WORK IS STARTED.
Permit issued on October 17,2002
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.
Owner or agent: Date:
//— ( O2 "S.e-rt- c-e loprov‘ed
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;°� G RECEIVED CONSTRUCTION PERMIT APPLICATION
uV APPLICATION NUMBER: D z - l0 f J`-vd - c,d
our 1 '7 2002 APPLICATION NUMBER: - -
Y pF FEDERcALTTWAY APPLICATION NUMBER: - -
**The f I !ptieWuwea information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
•(� t 1- ■ PROPERTY INFORMATION
SITE ADDRESS: } '1 Zz-1 11� 3 LP .Gi PL ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION`
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICALENGINEERING❑ FIRE PREVENTION SYSTEM
S
PROJECT DESCRIPTION(Provide detailed description): 2iCR) C4 'YI..F cs V
PROJECT NAME: 5 i ` V 1 r wood I - �I
■ PEOPLE INFORMATION
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PROPERTY OWNER: NAME: DAYTIME PHONE:
QUadYCAn+ (� r�5) LISS -200
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
P() P o;IC /30 (M b 112-Th 1'kvt N r✓ 4: 3 o o ) 3-F / /e v -e 0 0C)
CONTRACTOR: NAME: DAYTIME PHONE:
C1�1 E12I D IPi-nl 0-EN T-EP— E—Le-CiY i L (153)a2-18
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
i1/01 LQL, T l fu y�pup 78373 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2- 0 0 c l 0 Z 2, 0 0 (Is3 ) l - G�S4Z
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy or mrd i W( � �1 Dc, E 1 FS. 5 ca_ Z 12-k3 / 03
APPLICANT: NAME: DAYTIME PHONE
K-�Y (263) l,/8 -5S'1S
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER j5 APPLICANT 13: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:❑ YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
*r F
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
_ FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT -
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
..;_ ..._ ..� .- _ . c. .r tea{ .�� . p�•.R F1)CTURES ..� ..Y-: .. ..„__ 0:� F ��,r.. x._._ �.f:�.
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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 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 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. /1 t /
NAME/TITLE: �';� il�C.� C k-C-�G f/ DATE: 131/64 o Z-
13
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
. f
;FOR OFFICE,USE"ONLY:4"
EIH_ =_ ®,ADDIIO01LERATION 'lam tEPAIRaNANTI( P,(tOEMENT
'O r !. ll! ` T-=_ =:= -=a -BU_IL.--iii SHELL ONLY?-" E ES .i3N0 {�'
4..._.' " E T'` =a: - ,: , ASXG ..'?__ .1C ES.-- 137.. 9-57 _,._.- -
i5 i0_ =r4` ,OWNSI�IP , *.;: ' GE "`,'V ;Nr DD UIRED? _. 1 .64-t,
_ -- T EEQ.b? I7=_ =�® �`tV' x , g.;1CHA�GE1OF=_7 -- _ AYESIdo
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-661-4000•FAX:253-661-4129
c` www.dtvoffederalway.com
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