03-101024 I..
City of Federal Way
Community Development Services Electrical Permit #:03 - 101024 - 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: WH CONSTRUCTION
Project Address: 4281 SW 335TH s- . Parcel Number: 142103 9100
Project Description: NEW 200amp service
Owner Applicant Contractor
SHARED HOUSING SERVICES RT GENERAL ELECTRICAL CONSTRUCTIO RT GENERAL ELECTRICAL CONSTRUCTIO
909 S 11TH ST#A RT GENERAL ELECTRICAL CONSTRUCTIO RT GENERAL ELECTRICAL CONSTRUCTIO
TACOMA WA 5433 S M ST 5433 S M ST
98405-4516 TACOMA WA 98408 (253)475-7720
Electrical Fixtures
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-
Service: -Residential 3371
PERMIT EXPIRES September 14,2003.
Permit issued on March 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 Way.
g Date: --I B
Owner ora agent:
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03/11/2003 14:53 FAX 2536614129 CITY FEDERALWAY la 002
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......._ .A, 1 CONSTRUCTION PERMIT APPLICATION
L CITY OF
Federal Way • •PLICATION NUMBER: % - ,ar I - fie,
• -PLICATION NUMBER: - -
_
•PPLICA7IQN 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: EI " .3"�1
1oI0.-T-1-41_Sri ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
• PROJECT INFORMATION -
TYPE OF PROSECT(This application): o BUILDING o PLUMBING o MECHANICAL to DEMOLITION
'ELECTRICAL D ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description); — j ) - ��E4�A j
•
PROJECT NAME: •10 1 ! CCP 51-gU —T(0
A PEOPLE INFORMATION
PROPERTY OWNER: ' NAM?:
DAYTIM!PHONE:
IC ) i
MAILING,ADDRESS(STREET ADMM ;Circ.STATE.ZIP):
L
CONTRACTOR: NAME bATRMEPHOM
• _i /; DA/ E (2.53) I - 7CoQP-;
ADDRESS(STREET ADDRESS:CITY,STATE. IV
� f BdNG PHONE. I
� .II
.4 : a . :lLA e. . — : v ' U _ , (253) .Sal CI '
• • PEDERAL WAY DUS. -,LICENSE NUMBER:
PM HUMBER: i
CONTRACTOR'S Reat 7RATnoN N55'R: ( )oN DATE: .--..1
ATE: " 11�
ExPIILAT;
(copy a card;ydrad) — / /
APPLICANT:
GME: DAYTIME DHONC:
13 471---• �M�JL CAL, . fidc
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MAILING AOUR155(STREET ADDRIISS:CM,STA
I NG PHONE:
5 (-33 r. .-�kc[ I IA- ; ( ) - 1
RELATIONS'.10 TO Ramon PAX C] NUMBER:Vs'o ARCHITECT TENANT )(OTHER(DESCRIBE) (go) 440
E-MAIL ADDR �(�
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT a CONTRACTOR I
■ DETAILED BUILDING INFORMATION
EXISTING USE: , EXISTING BUILDING ASSESSED/APPRAISED VALUATION * __
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES C] NO
WATER SERVICE PROVIDER: o LAKEHAVEN CI HIGHLINE o TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE Lu PRIVATE(SEPTIC)
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03/11/2003 14:54 FAX 2536614129 CITY FEDERALVAY X003
.2.
*!ANEW RESIDENTIAL CONSTRUCTION O LY** 1d
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE' $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST - -
1 , 1c1o ' 1, Iq[v
SECOND •—
THIRD i t 1
U8 r , 5 C
FOURTH
OTHER FLOORS(DESCRIBE)w
DECK
GARAGE — — // ""
HOW MANY FLOORS? L lJ/
TOTAL* ; 371 ,DLA
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) PAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) MENACE INSERT(S) RANGE(S) MISC,( )
COMPRESSOR(S) FURNACE($)
DUCT(S) ' GAS PIPE OUTLETS) HEAT SOURCE:D ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) b ELECTRIC ❑GAS
DRINKING FOUNTAINS) 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 tnre 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 qty of Federal Way as to any daim(Induding costs,expenses„and attorneys'feet Incurred in the
Investigation and defense emelt daim),which may be made by any person,Including the undersigned,and filed against the City of
Federal Way,but only where sud'daim arises out of the reliance or the city,including Its officers and employee',upon the accuracy
of the inforrna•.n supplied to the dty as a part of this application.
NAME/TITLE: _1 , srAAC. L
DVV/�- /fir
" 14� DATE
o PROPERTY OWNER PPUCANT • CONTRACTOR A��
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COMMUNf'Y DEVELOWENT SERVICES•33530 RBST WAY SOUTH•PO BOX 9719.MERAL WAY,WA 96063-971O.253441-4000•FAX:233461-4119
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