03-102637 • ei ,
City of Federal Way
Community Development Services Electrical Permit #:03 - 102637 - 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: PARKER MESSANA AND ASSOCIATES
Project Address: 33811 9TH IAve$ Parcel Number: 926480 0170
Project Description: REconnect AC unit @ roof; replace conduit&wire; replace AC 150amp panel
Owner Applicant Contractor
Patrick W Rhodes CORNERSTONE ELECTRIC INC CORNERSTONE ELECTRIC INC
716 S 348TH ST 8425 25TH ST E 8425 25TH ST E
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98003-7000 (253)922-1191
Electrical Fixtures
- �rpIr ®
tioi 24Y13.4ivant,
Alt.Sery/Feederup to 200 amps-Co' 1
PERMIT EXPIRES December 23,2003.
Permit issued on June 26,2003
I hereby certify'i' t the above information i 'rrect and that the construction on the above described property and
the occupancy an he use will be in . _ ere lwith the laws,rules and regulations of the State of Washington and
the City of Federal \ ay.
Owner or agent- it _AL j __ Date: Ca G^® 3
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cL COMMUivll ,. ._... _.,;;.`AlliM NCONSTRUCTION PERMIT APPLICATION
CITY OF
APPLICATION NUMBER: 03- C. Q2.(03 7- Da
Federal Way JUN 2 6 2003 APPLICATION NUMBER: -
kPPLICATION 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.
. -<I PROPERTY INFORMATION
SITE ADDRESS: 33 F) / 9 4/11/GSOASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): a BU • NG o PLUMBING 0 MECHANICAL o DEMOLITION
LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIP ON(Provide detailed description)• . II . ...—...1A- ...4, A ' 4L60 T t
S b <_ . / _ .AL\ 1 C - - _ ,c % ,t,,ei 1
u,deo ttaiyip
PROJECT NAME: W€ TA E 5 ANA �J ASsoc_,
-PEOPLE INFORMATION '
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( ) 1
1
CONTRACTOR: NAMEDAYTIME PHONE:
- t1EP- S1fo E LE-c_ (.2:)--1 3 3/68
MAI4Uor D.RESS(STREET ADDRESS;CIT',,STATE.ZIP): , (`� � EVENING PMO •
JV\ / '� 7)cX I 1• ) 2, //9/1
s �� J�
• FEDERAL WAY 8USI'ESS LICENSE NUMBER: • FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: IXPIRATIONDATE:
(ropy of card required) CC) PNEET L a 6 L/ i (fl 1 / / 1
APPLICANT: I NAME:
I DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( ) -
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( ) -
I �
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERT e NER ❑ APPLICANT ❑ CONTRACTOR .
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ��
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ , �� -„-"
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
•
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
— ■ 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:
■ FIXTURES
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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 o •• ••f •• , above premises to perform the work for which the permit application Is made. I
further agree to hold harmless the 'ity • -•;e I ay as to any daim(induding costs,expenses,and attorneys'fees Incurred In the
Investigatio •nd defense of such •tai , •a be made by any person,induding the undersigned,and filed against the City of
Federal Wa ,bu •my where such $aim •• •. out • the reliance of the dty,induding its officers and employees,upon the accuracy
of the Info •ation upplied to the d • •_),• •• rt of • •plication.
��� ( (
NAME/TITLE: 41 Pc DATE:
❑ PROPERTY OW ra •PPLICANT ONTRACTOR
.FOR OFFIC ONLY::I
.13..NEW ADDITION ❑ALTERATION 710;0.REPAIR S -❑„TENANTIMPROVEMENT-kr..'A..,
CENSUS CODE:A s; .! . , akM*'-,=LOT SIZE: :'-.- -- - -•',. f.- ;;3.
;ZONING'rDESIGNATIONs• T Ii%, - BUILDING SHELL ONLY?;,.❑YES --0 NO
=COMP PLAN DESIGNATION *r =BASIC PLAN?- E❑YES is'74D:NO 3"
SECTION •. TOWNSHIP tk , ERANGE NEW ADDRESS REQUIRED? , -. ❑YES .0 NO 4
•
PLATTED LOT?5-;';'ib YES'.7,-,..70-NO % '77-'-nmak''CHANGE OF USE? ,-;0 YES. =a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.com