01-100567 City of Federal Way Electrical Permit #:01 - 100567 - 00 - EL
Corrm�unity Development Services
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: KOIS
Project Address: 532 S MARINE HILLS Parcel Number: 515292 0040
Project Description: ELE-Alteration of(1)circuit for(4)sport court lights for existing single family residence
Owner Applicant Contractor
John C&Karen L Kois NORTERN LIGHTS NORTERN LIGHTS
532 S MARINE HILLS WAY 10605 122ND AVE KPN 10605 122ND AVE KPN
FEDERAL WAY WA GIG HARBOR WA 65329-5027 GIG HARBOR WA 65329-5027
98003-3635 (253)853-1661
Electrical Fixtures
Description ';
Quantity ' ':Description anti ' Aescription� °r' ;Quantity
,�.; ®
Circuits-Residential N 1
A •
PERMIT E IRES Au. st ' ' ,IF NO WORK IS STARTED.
'tsu •n ebruary 8,2001
I hereby certify that the above information is con and tilt the construction on the above described property and
the occupan - an. - use will be in accordance w the laws,rules and regulations of the State of Washington and
the City of'ederal Way.
Owner or agent: ♦ • Date: . 2/O(F1/-05/
2 — y- a/ �/ 2 �.._
�•of = CONSTRUCTION PERMIT APPLICATION
ED EJ"ZRt-
VV Fn. � k �� APPLICATION NUMBER: p - �� _ 7 - al
�vti�` APPLICATION NUMBER:
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**The following a-equired information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.-
- ■ PROPERTY INFORMATION -
SITE ADDRESS: 3.1 3 - /�Q c-r h i /j/ ' '
I SESSORS TAX/PARCEL #:T/SZ!�Z - -e/)K6
!
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANIC• I EMOL ION
X ELECTRICAL ❑ ENGINEERING❑ FIRE PR• 9 `.YST
PROJECT DESCRIPTION (Provide detailed description): 4 f r/ i ', 71 - I �e .-
Ad JQ ��t� 4 i ,t. ; , Tg srr , . " .. kit
_ 111,,, ..
PROJECT NAME: -
L,
■ i:OPLE INFO►.MATION
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PROPERTY OWNER: NAME: A pAYTIME PHONE:
1/
1 AS's czci- Lof
AILING ADDDR SS( 'EET ADDR: CITY,STATE,ZI :,_ )
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CONTRACTOR: NAME: Y` DAYTIME PHONE:
(*ler". P W5 11-6-1G ,-e es (2.5P-3 )6 5'3 - 12c 1
MAILI ADDRESS(STREET ADD y.;CITY STATE,ZIP): EVENING PHONE:
epO( /22 ^°o lye. ( ) -
C OF FEDERAL WAY BUSINESS UCENS - ER: FAX NUMBER:
CON CTOR'S REGISTRATION BER: ' EXPIRATION DATE:
/ /
(copy o rd required)
— 1
APPLICANT: NAME: � /� DAYTIME PHONE:
NAME: ...., � edn cert V I-I b U& . ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ 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: ❑ LAKEHAVEN Cl HIGHLINE ❑ PRIVATE(SEPTIC)
r .
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- • ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
I
Indicate number of each type of fixture I
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) I
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 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 Wa hut my where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the i rmation s lied to the - as a paarttof this application.
NAME/TIT • _ 4—/-a04-1 DATE: ,_/000/
❑ PROPERTY OWNER ❑ APPLICANT 1 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 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