01-103003 City of Federal Way
Community Development Services Electrical Permit #:01 - 103003 - 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: VICARS
Project Address: 31712 7TH g Ave 5 Parcel Number: 794160 0380
Project Description: ELE-Adding 6 circuits for new addition
Owner Applicant Contractor
Cynthia&Gregory E Vicars DIAMOND BAY ELECTRIC INC DIAMOND BAY ELECTRIC INC
31712 7TH AVE S PO BOX 448 PO BOX 448
FEDERAL WAY WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
98003-5212 (425)432-2509
Electrical Fixtures
A 1s:Description F fi, Quagtity Description. Quantity :` Description,. Quantity,
Circuits-Residential 6
PERMIT EXPIRES January 27,2002,IF NO WORK IS STARTED.
Permit issued on July 31,2001
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.
Owner or agent: A�c �t . Date: 7- 3(-0(
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: fe_/l, '"(
Date
:°f = 1 ., ' - - CONSTRUCTION PERMIT APPLICATION
uV lap ,rrxt'
w' '��� APPLICATION NUMBER: 0 i L0300.3 OD
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APPLICATION NUMBER: - -
30- 2 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.
•/�/PROPEERTY INFORMATION •
SITE ADDRESS: . / 7/2, 7- /��'(- --5; r ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
3./ i'• e-,...,...,. - O/o tit 0%te
o
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /,e�'l�i�i 14G!'ite.c, '1 /1 d/ 7J,.
�r`2 Gert 3 , D�tij
/
PROJECT NAME: V 4- R-5
■ PEOPLE INFORMATION
PROPERTY OWNER: DAYTIME PHONE:
Vi<-A-(_5 (9F22) 14/( -37z-"z-1
MAILING ADDRESS(STREET ADDRESS; ,STATE,ZIP):
1 3(111-- 7 A-..-c--
CONTRACTOR: NAME: DAYTIME PHONE:
2,`,4 ►r'i> ,5/,
<L < �(. �"• (?a —) Y3)— -01 5
-07
MWNG DD.1/,SlC ADDRESS:
( �'/�/J�� (/`�/�!'^p''%/ W�L ��3 EVENING PHONE: - I
ITY
COF FEDERAL WAY BUSINESS UCENSE NUMBER:J / FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STA ,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: ,, ---7-g--444-11""4-4----- FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): G-" 4€-(--c"%--......( ) -
E-MAIL ADDRESS: •
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT dreNTRACTOR
• 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 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**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:
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) 0 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 J
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information sup lied
'tto^
o the city as a part of this application.
NAME/TITLE:
ice'/'` DATE: 427" 3l d
❑ PROPERTY OWNER 0 APPLICANT (CONTRA OR
FOR OFFICE USE ONLY:
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES El NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? 0 YES ❑ NO
c mmi INITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129