05-101181 t
ctity of Federal Way • Electrical Permit #: 05 - 101181 - 00 -'. L
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 12
Project Address: 914 SW 361ST P1 Parcel Number: 202100 0120
Project Description: Telco/CATV/Security/Vac/Audio 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 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 accor ce with the laws,rules and regulations of the State of Washington and
the City of Federal
Owner or agent: Date: '" /`//-DC—
C
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101181-00-EL
Owner: NORRIS HOMES INC
Address: 914 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) ❑ 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
a Rough Electrical(4225) 0 Ceiling Cover(4020) ipi, Final-Electrical(4055)
Approved Approved Approved
By@ Date,3..3,6.,0 By Date B b ' \/ Date 1 1 1 4&----
0
Under-slab groundwork(4295)
Approved
By Date
I
, A
, Of C35— —I —0± 1 C? 1
Federal Way
PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
3338TH8AVENUE SOUTH•PO BOX 9718
E APPLICATION TD
FEDERAL WAY, 98063 / /
253-835-2607•FAXX 253-835-260-260 9
wwwci t yofederaIwa y.com
The ollowi • is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le,ibi (in in or .
• PROPERTY INFORMATION
SITE ADDRESS 9/y 5--A) 76/ STS .' C-, _ `hf-y SUITE/UNIT# L 07- /2
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) WO SCI FT.
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page jor lengthy legal description)
IN 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)
TFC CSC/ (di?"5 --Co 5--Cor P/ � ,AU66
PROJECT NAME(Name of Business or Owner Last Name) . t v0•'J c i'1',2Z l Zoo'
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /Az& /-7‘AA-4-S- (.,706 )-.)7s— -/ej'q/
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COINY NAME APPLICANT NAM5 OFFICE PHONE
cCm. *Ztic . kz'ti ( ) -
MAILING ADDRESS r /6' CITY,STATE,ZIP CELL PHONE
2/i 4"I
v7/IA% ) . 9' ,/,e/e4-*"./ J Cr"T (.2 ) .2 C.. -c.2-CZ <_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EkPIRATION DATE FAX NUMBER
- - -B L / I ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
I MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
� iNAME
LENDER . ., :".1:',11:2.,-tors.,,,, �r�inforrriations
ed,fro aiue exc1vedsM$5 000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEIIAVEN a HIGHLINE a PRIVATE(SEPTIC)
AREAS
PROJECT FLOOR
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
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL C USTRf6 SF TOTAL PROPOSED sr :i<J'? TOTAL Sr /
.. ., `w
*•NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECh ANICAL
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(orTub/Shoe'''Combo) SHOWERS WATER CLOSETS Qotet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sathh.00msinka) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the injormition furnished by me is tragi 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 the invesigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City forma of Pal Way,but only where such claim
arises out of the retie= f the 'ncluding i - ffTcers and employees,upon the accuracy of the information supplied to the city as a part of
this application
NAME/TITLE A_ _ A.0000,
DATE '-/e-/-6)
(Signatu ) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent contractor ❑Architect 0 Other
'; 1 D ON = °"lp ALTERATION 4 j REPAIR TI:N TT IMPRO' EMENT 4 .q' '
� G-HELL:NL YES 1 SIO BASIGI'LAN? .6, AYES rt NO ` a a
r.,..,[4:-....,....1.,-7.- o-.I NAT ONE ' • -rte
_ : ;CHANGE OF arE? b YEs o
+ ` !°RESS„ {EQUIRED? - r .NO :UP/SEPA/SII? �.. 4 a YES 'fit IQ ._
. .,. �p �± O; ;? x "DEMO RMIT d UI12ED? �> YES .0 ;
l )
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application