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01-104861 City of Federal Way Community Development Services Electrical Permit #:01 - 104861 - 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: BUYEA Project Address: 33227 32ND SW P/ 5 W Parcel Number: 954280 0120 Project Description: ELE-Install 20-amp circuit for existing residence. Owner Applicant Contractor BRIGET BUYEA ELECTRO SERVE LLC ELECTRO SERVE LLC 33227 32ND PL SW 13456 SE 27TH PL SUITE 240 13456 SE 27TH PL SUITE 240 FEDERAL WAY WA 98023 BELLEVUE WA 98005 BELLEVUE WA 98005 (425)451-3358 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Residential 1 PERMIT EXPIRES June 24,2002,IF NO WORK IS STARTED. Permit issued on December 26,2001 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 y. Owner or agent: _ "— Date: \2_,- 1-0 _-1--0 ( T. a / (red aft /- z--0 7- RECEIVED CONS 1 RUC 1 ION PERMIT APPLICATION VV FEYDEC 2 6 2001 APPLICATION NUMBER: Q JJ - (© _ - a u�i r OF FEDERAL WAY APPLICATION NUMBER: - _ BUILDING DEPT. — — 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: � - 1-2. 21")c) 1�. �� S 2,rQ 0/ Y_ SSESSOR'S TAX/PARCEL #: �_ - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): / PROTECT INFORMATION/ TYPE OF PROJECT(This application): ❑ B ILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Z L lam,, `-2- (LA,sr L‘__, PROJECT NAME: C L� 1:-PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: ( ) , I - 0 C MAILING ADDRESS(S 1 REST ADDRESS;CITY,STATE,ZIP CONTRACTOR: NAME: I_ , _` ` �y� / I MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): .._1 EVENING PHONE: \3J�� s 27 moi-- p) L, S ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required APPLICANT: NA DAYTIME PHONE: ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: "l) ( RELATIONSHIP TO PROJECT: � FAX NUMBER: LI ARCHITECT ❑ TENANT CI OTHER(DESCRIBE):�LSZS� �� ( ) E MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ONTRACTOR 17;DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE LI TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • **NEW RESIDENTIAL CONSTRUCTION ONLY** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ :•:/`.PROSECT FLOOR AREAS FLOOR EXISTING SQ. 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 claim(including 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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: \„- / DATE: 12_- -C f ❑ PROPERTY OWNER it APPLICANT 4214: NTRACTOR FOR OFFICE USE ONLY:- ~❑ NEW. - :. '❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: iZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMPPLAN DESIGNATION BASIC PLAN? ❑ YES Cl NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE'OF:USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129