01-104323 City of Federal Way
Community Development Services 'Electrical Permit #:01 - 104323 - 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: DASH POINT VILLAGE
Project Address: 1640 SW DASH PT Rd Parcel Number: 122013 9074
Project Description: ELE-Install new T-stats&wiring
Owner Applicant Contractor
DASH POINT VILLAGE SYSTEM HEATING&A/C CO.,INC SYSTEM HEATING&A/C CO.,INC
1640 SW DASH POINT RD 9410 DELRIDGE WAY SW 9410 DELRIDGE WAY SW
FEDERAL WAY WA 98023 SEATTLE WA 98106 SEATTLE WA 98106
(206)762-4249
Electrical Fixtures
Description qua ' Description [Quantity Description IQuantit
Thermostat I 1
PERMIT EXPIRES lay 7,2002,IF NO WORK IS STARTED.
Permit issued on November 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: C^� -y-,7z__ Date: /7 �— ''
I VCV
253- 6 ( -
:°� G L A Q 8 20 CONSTRUC I ION PERMIT APPLICATION
� PPLICATION NUMBER: 0 - JQ 9 - Q��,L-
rrreiLDING Ep l LICATION NUMBER: — — _
PPLICATION NUMBER: -
**The following is required information-Please print(in ink)or type** 09,969
g8 t l aa„
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
r'PROPERTY INFORMATION
SITE ADDRESS: S Lt/ D J1 pol)13/JASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION( F SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
< ): PR07ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ Fl ENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I .57 t//
PROJECT NAME: D a 5 5 *};
v.'_A
', ?PEOPLE Ih 1RMATION
PROPERTY OWNER: E: ME PHONE:
LIN -;:.DRESS(STREET ADD CITY ZIP):
CONTRACTOR: NAM.; PHONE:
S�e.M /{ems t I h 5 - ( ) 76,R - 40.44-9
MAILINGPRESS(STREET ADDRESS;CITY,STATE,ZIP): - EVENING PHONE:
9 / • e/rrd56, ou ' w /o6 ( )
CM'OF FEDE•:";� AY BUSINESS LICENSE N FAX NUMBER:
9cb)763
-
CONTRACTOR'S REGISTRATION NUMBER: i- - - - 1 - - - ( 9fcz
(COPY Of 03n:1 required) S y_5 tett `Y:t : nT. I a I
APPLICANT: C NAME: DAYTIME PHONE:
i1'►'t L c /-e$t' - ( ) Sh'hr'
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
94Lno /rl'dse s6'_S aa7/Q cz7016/6 ( )
HtP TO e , 5V9
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 0 PRIVATE(SEPTIC)
**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:
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 ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) UMP(S)
►1. DISCLAIMER/SIGNATURE BLOCK - - -
I certify under penalty of perjury tha 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 only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informationV l{.,a supplied to the city as a part of this application.
NAME/TITLE: l?/! LS ecc (e 7' r L- �/f/j? j`- DATE: 6 / - g-® I
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE I
ADDITION ❑:ALTERATION ❑zREPAIR - -❑TENANT IMPROVEMENT
CENSUS CODE: OTSIZE•
ZONING RESIGNATION, BUILDING SHELL ONLY? CI YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN?f, ❑YES ' ❑!NO
SECTION -TOWNSHIP RANGE - ii NEW ADDRESS REQUIRED? ❑ YES NO
'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:2S3-661-4129