01-103913 City of Federal Way
Community Development Services Electrical Permit #:01 - 103913 - 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: IONESCU
Project Address: 30846 21sTsxv A-Ue- "V Parcel Number: 941269 0070
Project Description: EL-Add(3)circuits for lighting and outlets.
Owner Applicant Contractor
LUCIAN/PETRNELA IONESCU LUCIAN/PETRNELA IONESCU LUCIAN/PETRNELA IONESCU
30842 21ST AVE SW 30842 21ST AVE SW 30842 21ST AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)838-1701
Electrical Fixtures
Description Quantity ,;. Description (Quantity Description (Quantity
Circuits-Residential 3
PERMIT EXPIRES April 6,2002,IF NO WORK IS STARTED.
Permit issued on October 8,2001
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: Uu f.% �'�-mac � � Date: /0. 0 G'�
•
'RECEIVED CONSTRUCTION PERMIT APPLICATION
N>N> 1= y1-- • APPLICATION NUMBER: O1 �'D3 / - Ee___
OCT 0 8 2001 APPLICATION NUMBER: - _ - ;
APPLICATION NUMBER': _
l.T 1 Y OF FEULT-IAL WAY — — — — — — - — —
BIIILD)NG DEPT
**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.
L- 1 PROPERTY INFORMATION
SITE ADDRESS: 30 � 2-17l 61"_ AYF ASSESSOR'S TAX/PARCEL#:
/=cb . 14A.9.y , i /A 9902,3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
R . PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ ,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 I A size.) t/€d "64Y4 $--Fra Na!
v e,ti/7`S z.://,751 u F Ze/ci Gwi I 6z e y Liz -
eR
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
E- (IC/4./),
9i ' (20G ) .37ple -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
SII APPLICANT:• NAME: DAYTIME PHONE:
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEVENING 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 ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED.§ELLING 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:
■ 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 OUTLETS) HEAT SOURCE: ❑ ELECTRIC 0 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
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 supplied to the city as a part of this application.
NAME/TITLE: L Cl<//9i'r to yCSCU DATE: /0, 49' O f
VI PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
NEW': 0 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 0N
;PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129