03-102829 City of Federal Way
Community Development Services Electrical Permit #:03 - 102829 - 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: TAYLOR
Project Address: 3105 SW 319TH PI Parcel Number:
Project Description: Install new ceiling fan and switch on existing circuit
Owner Applicant Contractor
MYRNA TAYLOR AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
3105 SW 319TH PL 25316 45TH AVE S 25316 45TH AVE S
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
(206)718-3100
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES January 6,2004.
Permit issued on July 10,2003
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 Wa
Owner or agent{ (?_ l. L', ./ •!, , . Date: —7 ( 4.57�
! h E ( G+�%"�-�
� 0 3 � �P� SJ.S
C�
�� CONSTRUCTION PERMIT APPLICATION
- —cITY of ��/ APPLICATION NUMBER: 03,- 1 Da 52,1- e Q
Federal Way REGE °3 APPLICATION NUMBER: -
tAPPLICATION NUMBER: - -
**The follow 1'g is required information—Please print(in ink)or type**
Please note: Electrical, Firtrirrocrt iL3y..#i_ ' rld Engineering permits may require a separate application.
U PROPERTY INFORMATION
SITE ADDRESS: 7/U 5 5-1-,...., -3)?4 // ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): n❑ BBUILDING 0 PLUMBING o MECHANICAL 0 DEMOLITION
cS tLECTRICAL ❑ ENGINEERING 0 FIRE PIrREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): - ; L , `C- `, , gi _ '- r--- Ai_
PROJECT NAME: f (.j/L),t-4 (le'LLI.Ler-1:- Ct 1-.Q-'k_
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE,
/11L 1.6..e,--(._ ; P66) - L - 7976
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
X4/11 t"
CONTRACTOR: ( NAME DAYTIME PHONE:
,teLL1t 1 , , (0L ) 7 e - 37-c =
'
ra Wit � � l. t �-� � < �
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP: . EVENING PHONE:
Z
I CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
U ? - ( G r C S 7 - C% C' i ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
( „ofcard required, � c e'''r. 2 r G 3 i IG I o
APPLICANT: NAME: DAYTIME PHONE:
,-,_.)C1 1-t---1.4...Z.e VI/ • (-1,--e-t_.&-1-le- (•2c) ) 7G` -3 v
MAILING ADDRESS(STREET/ LADDRESS;CITY,TSTATE.ZIP): EVENING PHONE:
'5--4-11-,---1'5--4-11-,---1'5--4-11-,---1A-1 6_ S .L' /71-4 C !. Z /�L. 6cY/ I ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: Ie
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
1
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
! '
**NEW RESIDENTIAL CONSTRUCTION ONLY**
- • NUMBER OF lafDRQOMS;_ . ESTIMATED SELLING PRICE: $ r _ _
■ 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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC 0 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: ,, 4C,V • ��Q,tit-L DATE: `7 U G7
o PROPERTY OWNER ❑APPLICANT CONTRACTOR
t
FOR.OFFICE.USEONLY: I
• 5NEW . I ADDITION s rii ALTERATION-V ,■REPAIR -d TENANT:IMPROVEMENT Z
� ._:. li LOT SIZE ' �'0 f 4. ' ,: ,
:'CENSUS;`CODE1�� ,,
`ZONING DESIGNATION , ` „ ,; BUILDING SHED ONLY? +'❑YES Oi NO
COMP PLAN DESIGNATION ,h :, ;,BASIC PLAN? [i AYES" ❑;NQ °` . n k
SECTIONS_ TOWNSHIP GRANGE _NEW ADDRESS REQUIRED?, ,, -o'YES •b'NO
P....LATTED LOT? -❑4E-s1 r-o`NOk . 'CHANGE OF USE?;:40,, ,'-:f]YES'F*""' 'NO `
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 !
www.cityoffecleralway.com