03-101673 City of Federal Way
Community Development Services Electrical Permit #:03 - 101673 - 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: LEHMAN LOT 1
Project Address: 2660 S 298TH 5i' Parcel Number: 768380 0016
Project Description: Service for a new 2,782 square foot,single-family home
Owner Applicant Contractor
ELENA MALYUTA PARAGON INTERNATIONAL LLC PARAGON INTERNATIONAL LLC
595 HUNT ST 5228 20TH AVE NW 5228 20TH AVE NW
FRIDAY HARBOR WA SEATTLE WA 98107 SEATTLE WA 98107
98250-8052 (206)789-4020
Electrical Fixtures
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Service: -Residential 1
PERMIT EXPIRES October 26,2003:.
Permit issued on April 29,2003
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
n: / "l Date: 71b,/e7-Ow
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y ` CONSTRUCTION PERMIT APPLICATION
CITY OF �......." APPLICATION NUMBER:QS - 10 1_ ()2 - QC
Federal Way APPLICATION NUMBER: -
'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.
- 'U PROPERTY INFORMATION
�
m-
SITE ADDRESS: �YL vl. M3 ri ASSESSOR'S TAX/PARCEL #: 2 k S I 8 O
LEGAL DESCRIPTIOI�TOF SQBJEC�T PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): °Of(Q
■ PROSECT INFORMATION
TYPE OF PROJECT(This application): o BUILDINGo PLUMBING o MECHANICAL ❑ DEMOLITION
g(,ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION/ SYSTEM �7
PROJECT DESCRIPTION� IO ((Provide detailed description): ts""ij j /VAIL/ Jenee-/PfiG_a (�4-
p�l '#L ur/Ge.
PROJECT NAME: V'l C-o CO. — L 4-1 fi r&-k) 1._.<) 1- i
PEOPLE INFORMATION
PROPERTY OWNER: NAMED DAYTIME PHONE
1Z- 0WQ� ( )
.
MAILING ADDRESS CITY,STATE,ZIP:
/moo ‘,. gig w 9 itieVet , Wil j /W
CONTRACTOR: NAME: A DAYTIME PHONE:
�YG��4o� liut�✓!?��o
nt�L. l� ' (400) 7e9' fir'
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): F EVENING PHONE:
5218 torH/F ,vu/` L jay°% r boi 9i10 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: _
CONTRACTOR'S REGISTRATION NUMBER: - �)W�[ /,�/ I EXPIRATION DATE:
(copy of card required) f A Z! 4 / T, Q / / 4t� l /
APPLICANT: NA4& aAJ
I DAYTIME PHONE:
b `r16 CGS jtolatelef -c'000
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: i j FAX NUMBER
/� :
❑ ARCHITECT ❑ TENANT 91OTHER(DESCRIBE): -G* (o�Q ) 199' -
E-MAILAIADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ,CONTRACTOR IliAdiree`i�@p L /(4-
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES $410 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES *NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** `
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. • PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT —
FIRST /49q//"(/�°
q
Q
SECOND /j}1�V
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE (Pt
HOW MANY FLOORS? "�/ �}(�
TOTAL: Xger4 a (Ug
• 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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o 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 on where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information• .pied to the city as a art of is a plication.
NAME/TITLE: : ' / *4' `(/' DATE: 1f./
o PROPERTY I ER o APPLICANT ckCONTRACTOR
aFOR.OFFICE-USE„ONLY l
NEW; n ADDmON _ R AL-TERATTON,. .x%U REPA RWi3#TENANT IMPROVEMENT, s j',
. ;._ s � ,
CENSUSCODE��� � ,��e. „ , ...�LOTSIZE;W-��_- ��-� .i4 - ,. . ,.
_1 ': ... , iBUILDING SHEL ;;ONLY?? O YES , .fl NO '� '�
'ZONIN6�DESIGNATION � ��� =� '� '' �'`,� _ ll:
COMP PUINiDESIGNATION , , ABASIC PLAN? AYES A❑,NO31 ,#
SECTION: .. . TOWNSHIP ' „RANGE.' ,NEW ADDRESS REQUIRED? : . ❑YES 4,..❑NO
PLATTED;LOT? '.o YES; a NO 400 ..CHANGE OF USE? .�� _' ❑YES”MIO'NO ,, z:`7
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cftvoffederalway.com