03-100183 City of Federal Way
Community Development Services Electrical Permit #:03 - 100183 - 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: STAR LAKE VISTA,LOT#1
Project Address: 2603 S 275TH LI Parcel Number: 720480 0015
Project Description: 1 low voltage t-stat
Owner Applicant Contractor
SCHNEIDER HOMES INC HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD#1 9001 PACIFIC AVE 9001 PACIFIC AVE
TUKWILA WA TACOMA WA 98422 TACOMA WA 98422
98188-2549 (253)539-8709
ElectricalFixtures
,
Thermostat 1
PERMIT EXPIRES July 15,2003,IF NO WORK IS STARTED.
Permit issued on January 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 Way. L-4-.--).'Owner or agent .I Date: I L, (7�
I
0 ' '
Jan 14 03 11 : 56a Heritage Enterprises (253) 539-8709 p. 2
CONSTRUCTION PERMIT APPLICATION
*The following is required Information-Please print(in ink)or type"'
Please note: Electrical,Fire Prevention Systema and Engineering permits may require a separate application.
-- _ -- >--1 -PROPERTY-?NFORMATPflN- _ -_ ---- - =�_m�—.
SITE ADDRESS: 2L o J S� C9 �. A$5 SSOR'S TAX/PARCEL#:2 To t_o -Q' S
LEGAL DESCRIPTION OP SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S\-7 R-.
• PROJECT INFORMATION-
TYPE OP PROJECT(Thio application)! O BUILDING a PLUMBING 0 MECHANICAL o DEMOLITION
XELECTRICAL a ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):LUQVQL'iv�cv-e✓ -S N}i (Al
PROJECT NAME: kin N-2Y`J `''O// lA j V1�fr 1,04- 1
■ PEOPLE INE-ORMATION -<.-
PROPERTY OWNER: Nom: DAYTIME PHONE;
��
(.% .t In-e s (20(, )Z-( - 2,14 I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP);
CONTRACTOR: NAME: DAYTIME MORE:
� E (Z53 )922 -2Zil
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
4,0) PAY CiF'tr✓ •t ( .1 ) -
QTY OP FEDERAL.WAY BUSINESS LICENSE NUMBER; FAY(NUMBER:
-Gury74 9f yy'-/ I - 9 9, 6 s'I 007I-(253 )539 - Ivy
cormACTORs ReoisrmnDN PAAWR
1�-(!Q-`0 E1�7�1AnoN DATE:
(copy of oard required) � I \L
APPLICANT: NAME. 4 1't.4 (-Slvo,-1 f s-IvrT9 DArnmE PHONE:
MAIUNG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EEVENING PHONE:
( )
RELATIONSHIP TO PROJECT; FAX NUMBER:
a ARCHITECT o TENANT a OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER *APPLICANT 7<CONTRACIOR
U DETAILED EUILDING INFORMATION
Elf/STING USE; EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES a NO
WATER SERVICE PROVIDERS o LAKEHAVEN a HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE a PRIVATE(SEPTIC)
Jan 14 03 11 : 56a Heritage Enterprises (253) 539-8709 p. 3
**NEW RESIDENTIAL CONSTRUCTION ONLY*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
El PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
III FIXTURES
Indicate number of each type of flittute
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCEt O ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) —- . SHOWER(s) WASH MACHINE OUTLET
GAS PIPE OUT LETS) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) SUMP(S)
is SIISCI AISdFR/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 mad . I
further agree to hold harmless the City of Federal Way as to any deim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and flied against the City of
Federal Way,but on( where such da arises out of the telance of the city,including its officers'and employees,upon the accuracy
of the informatio, uppiled to the d a part of Mir)epplcation,
NAME/TITLE: 7/747/7
DATE: �
0 PROPERTY OWNER o APPLICANT o CONTRACTOR
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY 50001•PO 00X 9718.FEDERAL WAY,WA 98063-9718•253.661-4000•FAX:253-661-4129