05-101179 ,
1
City of Federal Way1111
Electrical Permit #: 05 - 101179 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 es 9 Inspection request line: (253) 835-3050
Project Name: DEVONSHIRE LOT 16
Project Address: 1010 SW 361ST 5T' Parcel Number: 202100 0160
Project Description: Security/Vac/Telco/CATV/audio
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 3300
PERMIT EXPIRES September 10,2005.
Permit issued on March 14,2005
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 0
Owner or agent: ' Date: —/ -if - C?
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ID
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101179-00-EL
Owner: NORRIS HOMES INC
Address: 1010 SW 361ST ST
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 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
Rough Electrical(4225) • 0 Ceiling Cover(4020) P Final-Electrical(4055)
Approved Approved Approved
By C vir_-,, Date 3 -3 bp- S By Date B,.4Y' Date
❑ Under-slab groundwork(4295)
Approved
By Date
I
i
CITI of 0L5Z1 /; 1 . -_
• Federal Way PERMIT �l
COMMUNITY DEVELOPMENT SERVICES SF MF CO M 40'1, DE EN FP
333258TH TH.PO BOX 8
FEDERAL WAY,WA98063-9718 APPLICATION
/ /
253-835-2607•FAX 253-835-2609
wwwcit uoffede ral wa u.corn
The ollowi • is re• fired in ormation-an inco •lete a••lication will not be acce•ted. Please •rint le•ibi (in in or • .
■ PROPERTY INFORMATION /
SITE ADDRESS /0/0 5-11) 6)it S f� S-/— ' Axt/�/ /SUITE/UNIT# �r `7%- 70
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) 402 c2 !e T
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aaadt separate page for lengthy Legal des ip ion)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
`��c cc> C/11-4/ 66c 612. l-4c Xo?•-a
PROJECT NAME(Name of Business or Owner Last Name) l/ 4"gg '" I t)
• PEOPLE INFORMATION
PROPERTY NAME //a PRIMARY PHONE �+
OWNER 1✓J /- /4,f-x-r (.7�-'fi)%275--/ 1I Cl
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR CORNY NAME APPLICANT N OFFICE PHONE
S.( 2A) . x� .4-z� ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
'/g /7I4Vn, s: ' C�e( Ac (
e.�J,�¢ O?
, ' � '� . ),)a6 - 2S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- I / ( )
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
0 Architect a Tenant a Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER dNAME'9Lenern o n
s
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL E7QS1Ilf6 Sr� � SOTAL PROPOSED IIP � "r01'AL SP
NUMBER OF FLOORS 7,,, r
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated 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(commerc ap WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShouerCombo) SHOWERS WATER CLOSETS(toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(salhloom sal 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 perform the work for which the permit application is made. It further agree to hold
harmless the City of Federal Way as to any claim/including costs, expenses, and attorneys'fees incurred in:hew, investigation and defense of
such claim),which may be made by any perso t including the undersigned,and filed against the City of Federaay,but only where such claim
arises out of the reit e of city,incl u• s officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL DATE S /' -t� _
(Signa ure) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
I! Ty _ DII YON ALTERATION xa REPAIR xMPROVEMENI`
e t O -HELL DIiI. •.. � Q. .., :BASIC PLAN? ' `� � AYES NO'
I i3 e ESIGNATIOPt 'C7777:77- -17 HANGE OF USE? a YES ria®iO
? � PRESS REQUIRED? . NOUP/SEPA/SU? D YES CI NO
I i
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Bulletin#100-January 7,2005 Page 2 of 4 k\I-Iandouts\Pennit Application