03-101482 City of Federal Way
Community Development Services Electrical Permit #:03 - 101482 - 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: ROSEWOOD LANE LOT 3
Project Address: 617 SW 361ST $-1' Parcel Number: 743680 0030
Project Description: 200-amp service for new,single-family residence
Owner Applicant Contractor
NORRIS HOMES INC REED ELECTRIC INC REED ELECTRIC INC
10516 172ND CT SE REED ELECTRIC INC REED ELECTRIC INC
RENTON WA 98059 17404 MERIDIAN E UNIT F-146 17404 MERIDIAN E UNIT F-146
PUYALLUP WA 98375 (253)846-3166
Electrical Fixtures
quantitY Quantityl escrip '. a:34 Quant
Service: -Residential 1
PERMIT EXPIRES October 15,2003.
Permit issued on April 18,2003
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 WaySee Application SeeApplication
Owner or agent: Date:
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` CONSTRUCTION PERMIT APPLICATION
CITY OF /7 - ) — / Id r2 - &.-
APP.I,LCALRON NUMBER:L/) ft(�( r J, (1,�.-
Federal Way RFSIAFLI0A110N NUMBER: - -
I 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: 617 SW 361st St ASSESSOR'S TAX/PARCEL #: f-b 0 - 0030
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
o ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Sir81P Family New Residence — 4393 Sq Ft-
PROJECT NAME: Rosewood 4✓ �
■ PEOPLE INFORMATION
PROPERTY OWNER: I NAME: ; DAYTIME PHONE:
Norris Homes l ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: I NAME: j DAYTIME PHONE:
Reed Electric Inc ( 251) H4h 3166
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): EVENING PHONE:
17404 Meridian E #F-146 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19 - 961 050 39 - ( 253) 846 - 3182
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy orcard required) RICHACR022KQ / /
APPLICANT: NAME: DAYTIME PHONE:
Reed Electric Inc (253 ) 846 - 3166
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
17404 Meridian E #F-146 ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): i ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
$278.00
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: . ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS
t
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
AIR HANDLING UNIT(S)
BBQ(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FAN(S)S) FIREPLACEINSERT(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)
URINALS) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC O GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET MISC.( )
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S)
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 of Federal Way as to any claim(Including costs,expenses,and attorneys'fees Incurred In the
investigation and defense of su• : • m),which may be made by ,1 y person,including the undersigned,and filed against the City of
Federal Way,but only where s • •-im • 'ses ou • :T rel' •• .f the dty,induding Its officers and employees,upon the accuracy
of the Information supplied the _ty a p•,, . •' a. • • .n.
N ME/TITLE: A,�/� /�' DATE: &///23
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O PROPERTY OWNER r APPLICANT O CONT• CTOR
..FOR.OFFICE t1SE ONLY: I •;•aw k �,� � w
aupw �r.w yam; r# h:'F`4 t TE N 'IMPROYEMENI' �8
ANEW rti ri p b TION` r ,AL'ERA OR ® REP. I a. NA 't�t i i a P�
LOT SIZE ; mom,.. x �r
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,ZONING DESIGNATION ti 7 {i a IiD c' 7.E' ON �b ',, NO 1"C k e s
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COMP$PLAN3DESIGNATION V=r BBASIC PLAN? ® V •"ES ❑ NO
rSECTION .�p M' TOWNSHIP.:.(' f RANGE �� ANEW ADDRESS R QUIRED? + Y
PLAITED,LOT7 .oafESqNO : � > •CHANGEOFUSE? Et"....... aYES'p.NOr .. ::::.x.
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