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01-100375 City of Federal Way Community Development Services + Electrical Permit #:01 - 100375 - 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: BADALUTA Project Address: 2710 SW 321ST Pi Parcel Number: 873180 0750 Project Description: ELE-Electrical work for the alteration of up to(4)circuits in existing single family residence Owner Applicant Contractor IOAN BADALUTA NONE IOAN BADALUTA 2710 SW 321ST PL 2710 SW 321ST PL FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 NONE Electrical Fixtures Description Quantity . ,Prescription Quantity ' Description Quantity Circuits-Residential 4 PERMIT EXPIRES July 29,2001,IF NO WORK IS STARTED. t Permit issued on January 30,2001 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 b- in ccor 'th the laws,rules and regulations of the State of Washington and the City of Federaeillir /Owner oragent: a¢°�/� i /� Date: 0/40701 CAT•°fCONSTRUCTION PERMIT APPLICATION r" ED EL_ SNI '. • VV FfY APPLICATION NUMBER: e2( -/0. ..5-7 S-- t-jam c y APPLICATION NUMBER: - - Silk % • 4,,, APPLICATION NUMBER: - - **The fo{I9yikva ired information-Please print(in ink)or type** ‘0 L` p\N Please note: Electric,-‘0,%‘..0 , FIW Systems and Engineering permits may require a separate application.- • F:' PROPERTY INFORMATION SITE ADDRESS: 10 \.ilki cel 1 CJI • 71 ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 10. PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ F E PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): AL.,( Ce",,,c CSC C Y— T • koo, PROJECT NAME: IL\ • P. 1PLE INFORMATION PROPERTY 0 R: NAME: DAYTIME PHONE: .J- • FLU 1 Pr (5-3)83I -63591 MAILING ADD' (STRE ;%RESS;CITY,STATE,ZIP): 0�• \I; i Foie i (!I e CLE aCc0Y1. R2 98 LR CONTRACTO AME: DAYTIME PHONE: ©C AJ ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: C RACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) — — / / APPLICANT: NAME: DAYTIME PHONE: --o--P\S QA-( 11I -1- i i o k) 05-3).53 -55-00 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: a-/10 3 \k) c1 S5c5a - 4700 RELATIONSHIP TO PROJECT: FAX NUMBER: I ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: ( lek ft 00, CONTACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER APPLICANT CICONTRACTOR �UCCk rr aCtOf E� Ccry ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ c230 OOO PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3o r 1000 SPRINKLERED BUILDING? ❑ YES A NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) i SEWER SERVICE PROVIDER: LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ Q c7©O ■ PRO]ECT FLOOR AREAS` FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST 2, 3 o 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) L. GAS LOG(S) ✓ REFRIG.SYSTEM(S) BBQ(S) 1/ 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) El ELECTRIC NJOGAS DRINKING FOUNTAIN(S) 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 ma be made by any person,including the undersigned,and filed against the City of Federal Way,but onl - •• g c .im at'"-s out o -e reliance • the city,including its officers and employees,upon the accuracy of the informatio e ity as a part of this .pplicati• i NAME TITLE: aim Gd 0.YKf - �� DATE: .// 0/0/ ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ 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 ❑ NO CHANGE OF USE? El YES ❑ NO C lMMI IN/TV rWVFI f1PMFNT cFRVICFS•33530 FIRST WAY SOUTH•P.0.BOX 9718•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAX-753-661-4129