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01-100035 City of Federal Way Community Development Services Electrical Permit #:01 - 100035 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph:253.661.4000 Fax 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: GREYSTONE APARTMENTS Project Address: 31010 18TH g- f1rve 5 Parcel Number: 785360 0075 Project Description: EL-Rewire fire damaged unit. Owner Applicant Contractor SPA FAMILY LIMTED PARTNER NONE SELECTRIC 31010 18TH AVE S 21910 147TH ST E FEDERAL WAY WA SUMNER WA 98003-4949 NONE (253)377-1985 Electrical Fixtures Description Quantity Description 'Quantity Description Quantity Alt.Serv./Feeder:0 to 200 amps-Mul 1 PERMIT EXPIRES July 3,2001,IF NO WORK IS STARTED. Permit issued on 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 lay. Owner or agent: �o� Date: / ©r - /3-7- o/ /74-- C; tib 3 -i _v/ � ' cv RECE WED CONSTRUCTION PERMIT APPLICATION -- 1L APPLICATION NUMBER: Q j- - 1 Q Q O 3s .L,.. FEY JAN Q 4 2001 APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: - BUILDING.DE?T **The following Is require mormation-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. •• / • PROP�E/,R/TY�INFOORMATION SITE ADDRESS: 2/0[0 /2 �UQ_.3 "-,V ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT II" ORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION -1E5-ELECTRICAL a ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): GIl f.Z2 _ f.--11,41---- /0 `-/l S/s/ (k iek.e.k, fp ,eykt 3 shi2e.,, PROJECT NAME: ■ PEOPLE INFORMATION PROPS( OWNER: NAME:B•4_4/, 9M_ (Jo)ONE:3 -� !!.�' a� C v�'` r 1/97 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 4 CONTRACTONAME: /eci-ft DAYTIME PHONE: ' SC 03 )377 - / 0-5 M / 7S o 7c' c $Ar(e7( (-J't-. ')'3 f 0 (360 PHONE: 7 -123_3 CITY OF FEDERAL WAY BUSINESSUCENSE NUMBER: FAX NUMBER: - - - s - ( ) 5eLK=ems CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT El OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ 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: 0 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: ■ 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 only here such •'m arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information u•plied to th as a part of this application. / NAME/TITLE: / (/ k� DATE: / ` —®/ ❑ PROPERTY OWNER ❑ APPLICANT .-CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES El NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129