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03-101563 • City of Federal Way Community Development Services Electrical Permit #:03 - 101563 - 00 - EL 33530 1st Way S G ��cc� Federal Way,WA 98003-6210 �F�/iVW �( Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: NOROOZ Project Address: 29439 10TH 9i4z Kie-5101 Parcel Number: 119600 2260 Project Description: Install(slow voltage thermostat for residence. Owner Applicant Contractor Mostafa Norooz ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC 2022 S 370TH ST 1515 S CENTER ST 1515 S CENTER ST FEDERAL WAY WA TACOMA WA 98409 TACOMA WA 98409 98003-7740 (253)383-7718 =lectrical Fixtures ®tion r g gar a nt. 7 cri er _ Chus�l :F�tl? ' BEY- �'�� 3�T'k �'� ...�,_._ .. �, �6'A;. Thermostat I PERMIT EXPIRES October 19,2003: Permit issued on April 22,2003 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. Owner or agent: See Application Date: ¢--LZ-0 3 b- Ili-, c9 3 • arm' A= RECEIVED CONSTRUCTION PERMIT APPLICATION vviF�Y APPLICATI©111V JMBER j 3'" EL • APR 2 2 Zuu3 APPLI AfroN NUMBER _ gailw �.�y n� C,EGECrr-�/rk! �aPT bI?r **The hllib�lyli 6 n ArInation—Please print(in ink)or type** A Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separrateRappli �o�n03 ■ PROPERTY INFORMATION qt� 1�� SITE ADDRESS: ori / 13 7 �d i", A I/e S w/ ASSESSOR'S TAX/PARCEL#: 1 t_f_0 _ -120 420 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM • PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat Wire PROJECT NAME; :1L Trt : ;; I V ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: C/14 7E4 tf COAD CT. ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: ALL-WAYS AIR CONTROL INC. (253 ) 383 - 7718 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 1515 S. center St. Tacoma, WA. 98409 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 19 - 9 2 1 0 2 8 0 6 -0 0 BL (253 ) 383 - 7736 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) ALLWAA0004JQ 4 / 18 / 04 APPLICANT: NAME: DAYTIME PHONE: Bernie Chapman ( ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: Same ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT af CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ 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.( ) COMPRESSORS) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) o 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 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(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 1 G/ NAME/TITLE: ,/ it.-Wa fief ( 1 DATE: ❑ PROPERTY OWNER ❑APPLICANT )(CONTRACTOR FOR.OFFICE USE ONLY s;€ o NEW aADDITION.. : ;: o AL' ERATIt N a7 REPAIR : ....:,. [�.:`I' tWI[IMRROWMEN :.; :• ::>:: r::: ..: :;.. ;..;. ....:..•;:: ::::::>::: .. : ..:.:. .. ZONING DESIGNATION',` :.BUILDING SHELL.ONLY`i' o :..cI.NQ ;COMP.PIAN 4ESIGhiA�ION ,;; ;: . ;ISECTION TQ�f�NSHIP R�AIG�E ::;:: fillEgli►..ADDRESS REQUIRED3�' a YES Gr:: i.....;:::::i PLATTED LOE?::. .).YES Q.N0 CHANGEOF:1JSl? .::.:... d.... +S .:..4:.N0:.::.. .:... .....:.. COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX;253-661-4129 www.cityofederalway.com