01-102319 City of Federal Way r
Community Development Services Ele ical Permit #:01 - 102319 - 00 -TL
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: HO
Project Address: 829 SW 347TH Cr- Parcel Number: 132173 0220
Project Description: ELE-Alter circuit for sunroom addition.
Owner Applicant Contractor
Andrew Shiu Kin&Catheri Ho MADSEN ELECTRIC MADSEN ELECTRIC
829 SW 347TH CT 1929 TACOMA AVE.S. 1929 TACOMA AVE.S.
FEDERAL WAY WA TACOMA WA 98402 TACOMA WA 98402
98023-8431 (206)383-4546
Electrical Fixtures
t ,lDefcrptio,'5,1 Qua tity Description Puantity1 :Description 1Quantitit
Circuits-Residential 1
PERMIT EXPIRES December 8,2001,IF NO WORK IS STARTED.
Permit issued on June 11,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use .be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or age _ �� Date:
C--rre<->6� I
7-13 - at �,
•
uo/11/;:uul 1:3:11 til :,:5.30151.41:411 L.I.I I ggIk�tllt:H..LWAk tQ 002
•
4cle'r a' _ CONSTRUCTION PERMIT APPLICATION
t1�} Ry _ ' APPLICATION NUMBER: Q - - 1 O � q - Ea
��I�p — — — — — — .
APPLICATION NUMBER:
/ _ ! '
I? �; ti'f
4 APPLICATION NUMBER: -
"The following is required information-Please print(in ink)or types=
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application_
-- - ta PROPERTY INFORMATION '
X SITE ADDRESS: TA?? 5 t 24 3 LL/ 7--Pk 6.../ ASSESSOR'S TAX/PARCEL#: _ — _ _ _ - _ _ —
LEGALDESCRIPTION O SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S"C,�
Pakeff :4___
• ( W.ui
_Y - ►� PROJECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
j$ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): , i y , L[ '` r ' r /.A
• I - Ate.--e- MEE.: i TT' AL, i•. I •i.t
Li- ,
PROJECT NAME: l i 4,4 L
0.;.; PEOPLE INFORMATION
PROPERTY OWNER: 1nY' AtireQ 00 DAYiIMEPMONL
( ) -
CONTRACTOR: NAHE DAYTIME PHONE:
Pladse, c2ee-4r c cas313g3 - S'y!,
M*IUNG ADD (Si ADORP55:QTY,STATE,Zip x EVENING PHONE:
22395O. C'9rth(ir l ��- �& 19 ( ) -
CITY Or NEDERAI wAT BUSINCSS LICENSE NUMBER MX NUMBER:
G'� -40105)
CONTRACTORS REGI$n;AT16N NUMBER _ — - - — — �3)5C9 y
(mos d Gird.eQW►�d) am Q b V c pia-P F EXPIRATION I ATE /
APPLICANT: NAMe
DAYTIME PHONE:
NATUNG',DORIES(STREET ADDRESS:QTY,STATC,21): EVENING PHONE:
RELATION,SHIr TO PROJECT: FAX NUNBEPR:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): _
_
EMA
IL*Dm) ESS: -
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
- - ■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: • PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLEILED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELLI
SEWER SERVICE PROVIDER: 0 LAKEHAVEll 0 HIGNLINE 0 PRIVATE(SEPTIC)
(10/1.1./suul 10-�1 r.i... 1.000014.L till rtLt LILnAI 11003
• „ .t , .
r•NEW RESIDENTIAL CONSTRUCTION ONLY's
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ .PROTECT FLOOR AREAS
FLOOR EXISTING 5Q.FT. PRO_POSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH "
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FEKTURES-._ =
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(5)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC_( )
COMPRESSOR(S) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) _ WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) - MISC.( )
INTERCEPTORS) SUMP(S)
- - - - :7 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(induding 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 only where such claim arises out of the reliance of the city,including lb officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
t , k! : 1 V - . _ •{f DATE (Q,I
/II/e/
NAME =i. ,, ' x.11. G '
Q PROPE WNER ❑APPLICANT CONTRACTOR
FOR OFFICE USE ONLY: I
0 NEW 0 ADDITION 0 ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? CI YES ❑NO
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