01-104002 City of Federal Way
Community Development Services Electrical Permit #:01 - 104002 - 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: MEJLUMIAN
Project Address: 32902 47TH /}V2 SV✓ Parcel Number: 802950 0570
Project Description: ELE-Completely rewire fire damaged single family residence.
Owner Applicant Contractor
MEJLUMIAN CONSTANTINE;NAZ J R ELECTRIC CONSTRUCTION DESIGN IN/ J R ELECTRIC CONSTRUCTION DESIGN IN'
32902 47TH AVE SW 3716 42ND AVE NE 3716 42ND AVE NE
FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422
98023 (253)952-2081
Electrical Fixtures
Description-.,-,Noloicrt Qiiiantity Description , l;,,,[, uan#it Descri tion
Service: -Residential 3000
PERMIT EXPIRES April 14,2002,IF NO WORK IS STARTED.
Permit issued on October 16,2001
I hereby certify that the above information is co ect and that the construction on the above described property and
the occupancy and 'e will be i accorda ith the laws,rules and regulations of the State of Washington and
the City of Federal .
Owner or agent: I Date: 1/& (6-- 0
/0- Z 7 - t/ •pill.
02_ ( f &/4 Dc< ' EP
RECEIVED
«^� CONSTRUCTION PERMIT APPLICATION
Fns- OCT 1 6 2001 APPLICATION NUMBER: 01 - L 0 Y.UU ZEL
-
APPLICATION NUMBER: -
( 1Y OF FcuthAL WAY — -
BUILDING DEPT. APPLICATION NUMBER: _ _ _ _
**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.
?���y n (� \
• PROPERTY INFORMATION
71
SITE ADDRESS: . 0 fes, (14-YDS-. ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
R . PRO3ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
kr ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4(�c tQ �4\l�� C,% Zoo r4I,a tp 6ecv OC,-Q•_
PROJECT NAME: 6LGOWVCJ
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: c � DAYTIME PHONE:
ZNGADSArV.DRESS(STREET .AtNike,\\ovv\\01/4.1\L
TEYI ( )
P):
CONTRACTOR: = DAYTIME PHONE:
"3-?, r (Z53)973 -67'i7
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
- ria__ 37,440 t/2uclakk--Are. )
OF F DERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
l - - - Tie GU'ard )
tPNTRACTOR'S REGISTRATI N NUMBER: EXPIRATION DATE:
(SPY of card required)
APPLICANT: NA ( U5DAYTIME 1V!I )�MAILING ADD (STREET ADDRESS;QTY,STATE ZIP): , +� VU
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 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO)ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
-
GARAGE
HOW MANY FLOORS?
TOTAL:
IN 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)
- U DISCLAIMER/SIGNATURE BLOCK
i
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 daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but o• • ere such dai ises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informati• . red to .-e d s a part of this application.
NAME/TITLE: /' , ✓ DATE: 10 ^ 16-O
❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR
•FOR OFFICE USEONLY:
NEW _'.. .:�ADDITION
-❑ALTERATION '` ❑REPAIR - : L7:TENANT IMPROVEMENT.
CENSUS CODE: ILOT;SIZE ,
ZONING DESIGNATION BUILDING SNELL,ONLY? - -YES ❑ NO
COMP PtAN DESIGNATION BASIC PLAN? ❑AYES ❑`NO
SECTION ' TOWNSHIP : RANGE. ! NEW ADDRESS REQUIRED? ❑ YES `❑.NO
PLAITED�LOT?.' ❑ YES ❑ NO CHANGE:OF USE? ❑ YES. ❑ NO.', j
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129