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03-104258 City of Federal Way Community Development Services Electrical Permit #:03 - 104258 - 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: MALLORY Project Address: 30423 3RD$s P15 Parcel Number: 232960 0070 Project Description: Install 100-amp panel only. Owner Applicant Contractor Gregory K Mallory &Karlene A Mallory QUICK WIRE ELECTRIC QUICK WIRE ELECTRIC 30423 3RD PL S 29715 55TH AVE S 29715 55TH AVE S FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001 98003-4006 (253)887-9650 Electricalr. Fixtures =moi ax N , _CO.,„ s ;: '"` e ` , .` 4--e ale w :.tR. y. uantl_ Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES March 14,2004. Permit issued on September 16,2003 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 �y./ Owner or agent: SL "`,1r2 Date: 'g/ /4,7 q--- ..Z-—S--- N 4 4%) si:" .t..)-c I CV NA,Ap 41q9 yol/-ot— ,.":-‘ -5 ' 1....* Ojr\l/ Ct)041 RECEIVED et. � L SEP 1 6 2003 CONSTRUCTION PERMIT APPLICATION VV FAY APPLICATION NUMBER:( - [Q.j 4 Q CITY OF FEDERAL WAY APPLICATION NUMBER: - BUILDING DEPT. APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION • SITE ADDRESS: OC/ - f� -��• S. ASSESSOR'S TAX/PARCEL#: ti* y a Ycz% LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1 PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 1 v')�kc.(I t I DO .„r ) L1i. J 12.4y) PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE:NE �1 ( 1 rf�L j t Ka.r'I��Y'l/J= d L't Liu` i y (2 ) `7 /- & /o 7 MAILING AQJ ESS(STREET ADDRESS;CITY,STATS IIP): / 3v 2 3 ,z• •) ‘-',.J ('I . S y 3 CONTRACTOR: NAME, DAYTIME PHONE: -7 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 2- j 717 55'Z-k) �Le_ S ✓-k. JcA (AA CI tt c,/ ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: Cal - J L' - L - G (L5� )qq/ - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of ora rem, ) (1 y C ,(:-Lf--/L- _6/9 4h2 II / 144 12-,:(,7 APPLICANT: NAME: / DAYTIME PHONE: �'.Cit- ,ice l•CI u -/ 5 MAILING ADDRE (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RE ii -. '4" 6 C46L �r� -*54) TI P T PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: .,..;-:_...-4.......:.. .....-..,-,- . ,_- . ...,c'Z-a..e... .t.{cm: .Y..- .I t6FixTURES'H�:..r..s->..<:_. —. .....::-la,,,-� .�.-.—.,„....��,,,Y _.....F.m:a 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC Cl 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 informationsupp'•d to the city as a part of this application. /,7 NAME/TITLE: /� �/L /1/4/ _, it- .. DATE: C 'a (� ,/C) s ❑ PROPERTY OWNER APPLICANT CONTRACTOR .FOR OFFICE=USE ONLY ag:N- ❑%1DDIfION 4-1.i, 0 + ,ALTERAION },� RPAI..R�; itTENANT IMOVEMEN T CEYSIS.COpE _ — ` 21 3 4 4V�. �k#iViiLOTISIZE� i �= s . K -. t. :4 `'iitii`G ESIGNATsIO � -n. � -FiAi��`��4et MP IjDINGSNN1YrCT1FO' Lrfib .._- 14, S >DSIGAION � 1, cBAXC PIA ' 1Vrts'901 � S SEECON i TOWNSHIPnANGE _-� �NWADDRSRQUIREDOLVsft . �*WM tiAirfOriBiti F'2-:❑VES f:MX!10- ,-..._.' :1 CHANGE OF';l)SE?„i.1 ..,< .,0„YES� ©,N�k�.. at .. COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvofederalway.com