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01-103951 J • City of Federal Way Community Development Services Electrical Permit #:01 - 103951 - 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: SORENSON Project Address: 210 SW 295TH Pl Parcel Number: 119600 3740 Project Description: ELE-Alteration for(2)circuits for lights and outlets for carport addition Owner Applicant Contractor NEIL SORENSON NEIL SORENSON NEIL SORENSON 210 SW 295TH PL 210 SW 295TH PL 210 SW 295TH PL FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 (253)229-7477 Electrical Fixtures Description (Quantity Description ' (Quantity Description (Quantity Circuits-Residential 2 PERMIT EXPIRES April 8,2002,IF NO WORK IS STARTED. Permit issued on October 10,2001 • I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and e use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federa ay. Owner or agent: Date: /0 1'O 7 rte - 22— 4 t4 .q - ?J- -D Cov'v-eGsr-z OA 5« ?al. .:4- so L--e 00.41ac.t. Two ? Lt 3C W AAN.. t po(c "Zap A tc•re-c%1 ,e' ato(Z ;ti.5kl1 P4N4...\ VJ FIE �� __ Ct T '' CONSTRUCTION PERMIT APPLICATION uV f � OCT 1 0 2001 APPLICATION NUMBER: ©g - 3f, -a,7.'Z APPLICATION NUMBER: - - CI I Y OF l— lbAL WAY APPLICATION NUMBER: _ - BUILDING 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. ' PROPERTY INFORMATION / .T` SITE ADDRESS: 2/0 SU) 27 S"71 i b V ASSESSOR'S TAX/PARCEL#: / ( ` O 0 - 3 7 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): . • '• PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ,ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detail d description): /, Xf-.S 0V -1 1) jir(/kGc'� 1L Q ' /-22& J I/Q/]- b M- -4. .. ,D/770A/ PROJECT NAME: A4erolt/ i 4 PEOPLE INFORMATION PROPERTY OWNER: NAME: / ` DAYTI. PHONE:N�( i (26 )94/6. - yG MAILING ADDRESS(SIRE QTYi : ti 0 50 / 21 '7'' re. f 2 -> CONTRACTOR: NAME: DAYTIME PHONE: UREa. _ MAILING ADO (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: _ ryL - ( CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( t 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 El 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) r y **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PRO3ECT 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 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(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,inducting the undersigned,and filed against the City of Federal Way,b only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the informat n sup ied to the city as a part of this application. NAME/TITLE:I DATE: /0/1 ,l/P,/ yPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: =0 NEW-e't., -0 ADDITION ❑'ALTERATION x ❑AEPAIR - ° 0 TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION„,,, r_. ' BUILDING SHELL ONLY? ;.❑ YES ❑ NO COMPPPLAN DESIGNATION BASIC PLAN? ❑'YES _ ❑`NO :SECTION -TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0 N PLATTED LOT? '- CI 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