05-100945 r
• City of Federal Way Electrical Permit #: 05 - 100945 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 + Inspection request line: (253) 835-3050
Project Name: DEVONSHIRE LOT 23
Project Address: 36121 10TH SSW Cr 5 Parcel Number: 202100 0230
Project Description: Security alarm system
Owner Applicant Contractor
NORRIS HOMES INC PREMIER SOUND&COMM INC. PREMIER SOUND&COMM INC.
10516 172ND CT SE 218 MAIN ST SUITE 564 218 MAIN ST SUITE 564
RENTON WA 98059 KIRKLAND WA 98034 KIRKLAND WA 98034
(425)226-3265
Electrical Fixtures
Description Quantity L Description Quantity Description Quantity
Low Voltage-Other Residential 2992
PERMIT EXPIRES August 27,2005.
Permit issued on February 28,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the ill be in rdance wi e laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: Date: �� w
C-A'z,„c
r
I
r •••%, THIS CARD IS TO REMAIN ON-SITE
CITY OF4011 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100945-00-EL
Owner: NORRIS HOMES INC
Address: 36121 10TH CT SW
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
ElSlab/Concrete Floor(4255) .❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
UZI Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Q y Date 3—as, o? By Date ByCa ' Date 5-1�a.\-
❑ Under-slab groundwork(4295)
Approved
By Date •
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A
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Fede Way . 0 T _o _ogc
PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258^t AVENUE SWA 9•PO BOX 9718 APPLICATION To
FEDERAL WAY,WA 98063-9718 /
253-835-2607•FAX 253-835-2609 /
pwwcit trofederal wa y.corn
The ollowin. is re.uired in ormation-an inco .fete a•.lication will not be acce•ted. Please •tint le•ib1 (in i or .•.
PROPERTY INFORMATION /
SITE ADDRESS - '6.1...- '6.1....2/� � /� 74-15-- C7- c� Z -IlONC'/ti IZJ_) SUITE/UNIT# LOT d2 1
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf (259 .2
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inciu ed on this permit only)
7 bbA)C/ ' 'v'/c ve/71/ 44C-/.AO��c i�r
PROJECT NAME(Name of Business or Owner Last Name) 2 e'VON Sfli/Z AWOL"?r/C.- ?'^'1•C f
I. PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER / ✓ozefr (4‘,/`-b-r (2O ) 75- -ffCI/
MAILING ADDRESS CITY,STATE,ZIP
....20C-T F,g4-E,u .•z MERc..srt,f(sM 4)o, AAA ggol/a
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PS C. zrivc . ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
,,,„, /g /fRiN ST d631/ iffeleziF•vP,A4 drat; (2 ) -z26<'-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -
- B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER 1,er CN 9 7f)9S rider n ormatlort s NAME
Teq r ..iliect value.=c -$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BDG INFORMATION •.
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LABI;HAVEN ❑ HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
. PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING tOPOSED TOTAL
fi^ ;Q.FT. SQ.FT.
BASEMENT 3/1 pS
FIRST "T DEQ 13 �+ E -
V
SECOND ED AS
-??..0\I
D EIDER EXP ' 2 0 0 2
FO RD I,ZC ,-% CO e-s3SE 9 192 10 122 1200 .
FOURTH �''�� �R.Di lI��
ADDITIONAL FLOORS(DESC ECO:6 6 TZVE �x- - O -SC
DECK(COVERED?) E�'FEC _ \AD & C
GARAGE 0 CARPORT❑ -15R S C�U21V"5 9 a el?
NUMBER OF FLOORS 2R a I W. D ,Nv0S 14-- s I Tor tsr
**NEW HOMES ONLY** NUMBER t ' LP•
' f:,/,,IV
�.
IIIIIPIIIIIIIIIIIIIOM tSnAwCe � -P ARTM
Indicate number of each type of. 1:sskIe,,by ...ea as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS crouch) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
' 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 .- form the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim f clu•ing costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by a . - son,in din• the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the retia he city, ing it offic: s and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE a DATE 9—2-2'G
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor ❑ Architect 0 Other
r. ® r
D ° Y _
' W . DITIONA= a„ALTERATION ” -a REPAIR4' " n'TENANT"IMPROVEMENT" ;r '
VIAING-SHELL)NLY?, 5' o YES a NO :° :I3ASIC PLAN? ,- ° " 3 A` ; o YES a NO;` S t,
NINGESIGNATION , t ,t aM r . 'CHANGE OF USES V, 3 ❑YES , `aNO
lbW . DRESS1REQUIRED? P YESl a NO ;UP/SEPA/SU? ,- '''''•39:1-,";:t-:''. - o YFS " a TO
' 11.3.- --1:46.: :TT? ■YES*N0 t 5 tDEMO_PERMIT REQUIRED?,,- i n CES 4.tk0: i..-:..
I
Bulletin#100—January 7,2005 Page 2 of 4 lAliandouts\Permit Application