01-103069 City of Federal Way
Community Development Services Electrical Permit #:01 - 103069 - 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: SMITH
Project Address: 32120 26TH S/Pi PtVe.- $W' Parcel Number: 873180 0520
Project Description: ELE-Install circuit for new air conditioning unit.
Owner Applicant Contractor
Ronald James Smith ALL SEASONS INC-ELECTRICAL ALL SEASONS INC-ELECTRICAL
32120 26TH AVE SW ALL SEASONS INC ALL SEASONS INC
FEDERAL WAY WA PO BOX 1935 PO BOX 1935
98023-2510 YELM WA 98597 (253)879-9144
Electrical Fixtures
Description Quantity j Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES February 2,2002,IF NO WORK IS STARTED.
Permit issued on August 6,2001
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 Way. QQ
Owner or agent: 1( 1
Date: 02 -o6 O
-/V- C7,
n
—a , _ E=RECEIVED
CONSTRUCT I ION PERMIT APPLICATIC
� — APPLICATION NUMBER: Q L - / c2 •..- .06 E -kJ
VV FUY AUS 0 6 2001
E APPLICATION NUMBER: C2 L - /. Q ,�":0 6 n, - --
11Gl rY OF FEDERAL WAY APPLICATION NUMBER: _ _ - _ .. -
tJILDING DEPT.
**The foltoZuLng 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: 3 2 120 21.0+h AV E :,w ASSESSOR'S TAX/PARCEL#: 8 3 \ a Qc3 S 2 O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
l
}.:::: r., : ... a: PROTECT INFORMATION - •. . .- —-
TYPE OF PROJECT(This application): I ❑� BUILDING ❑ PLUMBING LR MECHANICAL ❑ DEMOLITION
• 12 ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I fST?q 3 "TOO 12 5��T2.- 4-I tZ Co k)o IT)w6
MALL n I d- y �urna c e, W J I CO k ell( @TAS Fc-Le,A1 Ace, ;
PROJECT NAME: iewOl-{\ Skkk I ri'I
a 9 ,, rat; 4 rtry 4 ^-F-.Al:`PEOPLE INFORMATION • . '• _ -- _ -.7.-f::.::.., ::,
PROPERTY OWNER: NAME: DAYTIME PHONE:
_ ko Pei t-i) S I TZ-f (253) 9 2'1- -b'- 1
MAILING ADDRESS(STREET ADDRESS;CITY.STATE,ZIP):
_ 3 a 1 a0 D-1 o;" A-tY6 6 W alb wily q60a3
-
CONTRACTOR: NAME: DAYTIME PHONE:
A L Rsen_JS /Ai L. (2ss )g--9 -914-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(ti3 O. f-1-I6NLAA)A ST TPtc, J w>4 g8469 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( 3)8-4-9 -9T1
CONTRACTORS REGISTRATION NUMBER: •
EXPIRATION DATE:
I A- L L a C z * Q 3_ Q 5 `.Z p- / I-3-- /O 1
APPLICANT: NAME: DAYTIME PHONE:
A-u- s&As 6&Us /.k (ZSb) 8 9 -9i--t
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1 5\143 0 I1 I t-{-L-P rU 0 ST Tni-(L c- at 94C +- ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
Cl ARCHITECT Cl TENANT OTHER(DESCRIBE): C 71211--L Q{ (453 ) 3 -C1/4;
E-MAIL ADDRESS:
I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT LCONTRACTOR
. -- I DETAILED BUILDING INFORMATION : : �,r� •
EXISTING USE: 12' s EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ \�C()O• CO
PROPOSED USE: le E_.S PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW ILESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. ■ PROSECT FLOOR AREAS - • . :.
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
-THIRD
FOURTH
•
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
•
-:. }e i as' 'a'_ E.."c ES -�n-
.•'i :.a a�='....r ^S'!S.+r .a -:.X., ��..+_e.e.,,�;`. a. 'FIXTURES .e �`a _"'"' tf h .r•,'.�lz.-�•:•:'� _. .Y.
Indicate number of each type of fixture
MECHANICAL
t AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.(
I COMPRESSOR(S)PIC' I FURNACE(S) looms gad ,�
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: [EE1LECTRIC 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 11
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,as
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 tt
Investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accura<
of the Information supp •. to the
(city
�as a part of this application.
lh
NAME/TITLE: / • �S w ti`--//^) G'-� ( ° DATE: 02-c
D PROPERTY OWNER ❑ • PLICANT [W'CONTRACTOR
FORX3FFIC-E JSE ONLYT — — , .
r EW TWATATi 7TUN -� IAILTERAIION REPAIR : fEt`iANI' h1PRUVEMEN7 a
ONING ESIGNATXOPiy '� UI DING NELL'Oi ILi AIEs X 10
-COMP'LAN DESIGNATIONr� - 3; �_� 'iBASZC-PLAN? SLI-YES
ECTiON = OWNSHIP RANGE= YEWADORE$S .EQUIRED? _a (ES
PL Ai 'ED OT?� AYES NQ' __ IANGE OF JSE? (ES, = O ;
COMMUNITY DEVT3_OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•REDERAL WAY,WA 980639718•253-661-4000•FAX:253-661-4129