01-102510 City of Federal Way
Community Development Services - Electrical Permit #:01 - 102510 - 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: PANTHER RIDGE APARTMENTS
Project Address: 43 S 333RD Ln Parcel Number: 132203 0420
Project Description: ELE-Install 100-amp panel in new building.
Owner Applicant Contractor
ERP OPERATING LIMITED PAR PREMIER ELECTRIC PREMIER ELECTRIC
43 S 333RD LN P.O.BOX 3691 P.O.BOX 3691
FEDERAL WAY WA FEDERAL WAY WA 98203-8691 FEDERAL WAY WA 98203-8691
98003-6251 (425)385-3559
Electrical Fixtures
Description . ' Quantity -'",b- aescription !Quantity _ 'Description r, Quantity
Service: up to 200 amps-Multi Famil 1
PERMIT EXPIRES December 19,2001,IF NO WORK IS STARTED.
Permit issued on June 22,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us--will be in a . •. 'ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way/
Owner or agent: ij .. Date: ZZ 7 /
REQ -,: .
�•OF CONSTRUCTION PERMIT APPLICATION
EID L. APPLICATION NUMBER: cP/ - /'® £-SOC' - 00-��
uV Fr / JUS 2 2 2TP(' APPLICATION NUMBER: - -
/,0 S' 37z( r Siirty OF FEu nvm APPLICATION NUMBER: - -
JSUILDINGi DE+11-PT.
a following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
•6L pry • PROPERTY INFORMATION
Lse
SITE ADDRESS: 1��1 -g�i�1 43 5 353 ASSESSOR'S TAX/PARCEL #: C 3 2- 1403- )LT._f,
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF Y):
• ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BLJADING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
LECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4/1 rnp / A / /1/ N&61 h'jtidik
PROJECT ME: ?Iv/7N/,
■ PEOPLE INFORMATION
• RTY OWNER: NAME: /'��`, l, b34446.0/
1__y]� �j DAYTIME PHONE:
1pi R bslGttr / ( zs'3)
MAILING A RESS EEF ADDRESS',CITY,STATE,ZIP):
4675 33'( S ,
CONTRACT NAME: nr�/UI L,IQC_ , DAYTIME
az )PHONE:3
MAILING ADDRESS(STREET ADDRESS;CIT1,p4ATE,ZIP): EVENING PHONE:
PrO, � ( ) I
CITY OF FEDERAL WAY BUSINES LICENSE NUMBER: FAX NUMBER:
q7 �1 - ° d ( 42 ) 3R -95-ry
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 1f I 6' in i 6 -R O c) v P K '1 / !Z / 2O0 L
APPLICANT: NAME: DAYTIME PHONE:
�r/w?/A c, (1(25 ) 385 - 3551
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
8,4 7611
RELATIONSTiI(s TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( 425 ) ,jq-9579
,, E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER APPLICANT ti-e6 TRACTOR
■ 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 ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
f
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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.( )
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 claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but onl •• l ere suc. laim rice out of the reliance of the city,including its officers and employees,upon the accuracy
of the information .• to ?' as a part o this application.
Ø14_ r
DATE: l6(zNAME/TITLE: �❑ PROPERTY O' R P CANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION El ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES El NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? El YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
(own!INTTV fDFVFI OPMENT SERVICES-33530 FIRST WAY SOUTH-P.O.BOX 9718-FEDERAL WAY,WA 98063-9718-253-661-4000•FAX' 753-661-4129