03-101826 City of Federal Way
Community Development Services Electrical Permit #:03 - 101826 - 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: F RITCHARD
Project Address: 425 SW 356TH 5i Parcel Number: 302104 9034
Project Descri 'on: Rewire garage w/3 circuits serving flourescent lights,switches and outlets.
Owner Applicant Contractor
Violet E Fritchard R.I.C.ELECTRIC INC R.I.C.ELECTRIC INC
35714 4 rw1'L SSW PO BOX 99471 PO BOX 99471
- FEDERAL WAY WA TACOMA WA 98499 TACOMA WA 98499
98023-7342 (253)588-1084
PERMIT EXPIRES November 4,2003.
Permit issued on May 8,2003
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 Way.
Owner or agen• ��� �� Date:
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05.06/2003 11:04 FAX. 2536614129 CITY FEDERALWAY Iit 002
y I RECEIVED Q.,
r k CONSTRUCTION PERMIT APPLICATION
CITY OF � .
..r , 0(.0 8 2003 APPLICATION NUMBER:C 176-J2. - `do
Federal Way c'TyOF FEDERAL WAY PPLICATION NUMBER: _ _
BUILDING DEPT, PPPUCATION NUMBER: ,_ - _ _ _ 1
"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
�—r'� 5- 3 5-6-A• s
SITE ADDRESS: ASSESSOR'S TAX/PARCEL ti:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• - - ■ PROJECT INFORMATION - ,
TYPE OF PROJECT(This application): O BUILDING D PLUMBING n MECHANICAL D DEMOLITION
Zi kIECTRICAL O ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
yer„..4...-27..Q___
PROJECT NAME:
' • PEOPLE INFORMATION .
PROPERTY OWNER: NAME;
DAYTIME PNONE+
MAILING ADDRESS(SfHEEf ADDRESS;CITY,STATE';,ZIP): - ��
1
CONTRACTOR: NAME: "
n/, C; z--z,c Tit'/ //V c._ (A2 3)N.r S'fS/o
MAILING ADORSS(ST GCT ADDRESS:Cfrv,gTA ZIP): l EvENING aMONE'
CYIY OF ,JCC NESS UCCNwSC nln9+:R: 4• - r f r _ ( NUMB R: es7 y 6 4
CONTRACrOP.'S REGIStRATJON//NJUMBER: r�� �/ C� 1/1r5"^ T — -- — 1 B RATION )PTE
(erra'd mrd mooed) •!�/ //V i t O 1 /
APPLICANT: _ l
r i r / it 1 & i DAY'T'IME PHONE:
SLI( ` /��f fSS; rY __}( ) ✓ 8S-/O$I
MAILING AO 55( A07RE55;OI'rr,ST TE Z�Sf�J
��/ l / EVENING PHONE: _
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kEATION SHIP TO PROJECT: 1 FAT(NUM3ER: ,
D ARCHITECT D TENANT C OTHER(DESCRIBE)• c�� 1 ( ) -
if MA ADDRESS: ---1
CONTACT PERSON FOR THIS PROJECT: n PROPERTY OWNER D APPLICANT D CONTRACTOR ! -
■ DETAILED BUILDING INFORMATION
EXISTING USE: 6-% EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S_.
SPRINKLERED BUILDING? D YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:C YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 00 TACOMA C PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHUNE 0 PRIVATE(SEPTIC)
05/06/2003 11:05 FAX 2536614129 CITY FEDERALIYAY 2003
• "riiii-gf RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE; $
Y
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ FT. PROPOSED SQ.FT. ._ TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH r—
OTHER FLOORS(DESCRIBE)
DECK r
GARAGE /
HOW MANY FLOORS?
TOTAL: 1 - _ _____ ___
r FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) ' GAS PIPE OUTLET(S) HEAT SOURCE:O ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) _ RAIN WATER SYS. VACUUM BREAKER(S) O ELECTRIC p GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLEt(S) SINKS) WATER CLOSET(S) MISC.( ___)
INTERCEPTORS) SUMPS)
• 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 claim(Including costs,expenses,and attorneys'fees Incurred In the
Investigation and defense of such claim),which maybe made by any person,Including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,Including its officers and employees,upon the accuracy
of the Information sup led to th d as a part of this application.
NAME/TITLE: / ATS/�"„ � .- PATE; 5—'
/
O PROPERTY OWNER o APPLICANT frCONTRACTOR
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OOMMUNITY DEVELOPMENT SERVICES•33530 FIRST wAY SOUTh•PO BOX 9718•FEDERAL WAY,WA 96063-9718•253461-4000•FAX:253461.4129
www.citeort'rctiralwav Com