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01-104626 1 % City of Federal Way Electrical Permit #:01 - 104626 - 00 - EL Community Development Services 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: HOME DEPOT Project Address: 1715 S 352ND St Parcel Number: 282104 9008 Project Description: ELE-alterations of up to(6)circuits to power lighting and plugs. Owner Applicant Contractor HOME DEPOT U S A INC LANTZ ELECTRIC LANTZ ELECTRIC 1700 MARKET ST#1510 23004 BOTHELUEVERETT HWY 23004 BOTHELIJEVERETT HWY PHILADELPHIA PA BOTHELL WA 98021 BOTHELL WA 98021 19103-3915 (425)482-6278 Electrical Fixtures Description L ,, `rvµ,. c;=!Quantity rr;" ',' ,„' `Description, ]Quantity Description Quantity Circuits- Commercial 6 PERMIT EXPIRES June 2,2002,IF NO WORK IS STARTED. Permit issued on December 4,2001 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 FederalWa Owner or agent: .12- Date: /"L 4716 /'X ZO - O ( �. „,,,, _,,-3 ee,r v-t e-k z,v S j- . /2:- I— a ( F,-1141 ( 6 RECEIVE() CONSTRUCTION PERMIT APPLICATION � t=r BEG ®4 2®®1 APPLICATION NUMBER: ez 41 e,7i4,- g i tZ APPLICATION NUMBER: _ _ _ CITY OF FEDERAL WqyAPPLICATION NUMBER: BUILDING DEPT. - - `_f_ — - **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 - SITE ADDRESS: 17/Lj So i'l 3,574) hll --- -/-...--- ., ASSESSOR'S TAX/PARCEL#: ` '2-1/Q - g.1262:1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .PROJECT INFORMATION . TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION Ii'rECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): A 1-1- � o 6. I'.I .) (GI r 4.-1.); --)-s +a ,/€4_ kip '/d c re� ..... '- L % 4 n c.7 4- f)11 r-, a /d �o i 1 _ PROJECT NAME: _ r•> ■ -PEC-,-.1. INFORMATION - . : PROPERTY OWNER: NAMEDAYTIME PHONE:" �.� otf- C,1,v `t /I % eD53 'z6 I -CavaMAILING ADDRESS(SIRE ADDRESS;Zm6.....v ,STATE,ZIP): )7 r S So u-41., 3c "—`( $+ Fzi.�., / !tel l�ol� 4i8o 0 3 CONTRACTOR: NAME: DAYTIME PHONE: 1.--/4,17-2.- E/c' rI..(--- ta u kc,.,,, 4 Z_ (t9 -)i? -6 7? MAILING ADDRFSS( AOD41/ QTY,STATE,ZIP): • EVENING PHONE: 0.1 o6 I-1 16.0 - E,„4-., j �,1i/tuA .).J F4/d e)yg3 - ??o ' -7 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - - ( ` - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy ofc reqs) G .- N eT Z El(_Ili 213017 ID. /3/ /30.0;)N. APPLICANT: NAME: DAYTIME PHONE:MAILING ADDREESS(SSIREET ADDRESS;QTY,STATE,ZIP): (D1 7 v�! L-e,.... 4 Z_ ( 6. --)PHONE:Ig 6 2-77 EVENING cg,*a6 et Ob tCe/('-' L-'` v Ai 4),- / r�hA-' at_ ) 3 -90 27 t RELATIONSHIP PROJECT: _ FAX NUMBER: ❑ ARCHITECT CI TENANT [ OTHER(DESCRIBE): (/,rq ricer Y --r}0 G1_.( ) - � E-MAIL ADDRESS: CI � CO CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT I�" NTRACTOR - : _11:.-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 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ 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: ■ 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) DISHWASHERS) 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(including costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,including 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 information suppli•• 'o e city as a part of this application. ), NAME/TITLE• as� j Y\ ' lu�` DATE: El PROPERTY OWNER ❑i APPLICANT ONTRACTOR FOR:OFFICE USE-ONLY: ADDITION ❑'ALTERATION ▪❑;;REPAIR TENANT IMPROVEMENT- . • CENSUS CODE.; LOT SIZE .., ZONING ESIGNATION ,=r BUILDING SHELL,ONLY? ❑YES ❑ NO =COMP PLAN DESIGNATION BASIC PLAN? .:"❑YES ❑ NO SECTION 4.y _ TOWNSHIP : RANGE - NEW▪ ADDRESS REQUIRED? ❑ YES ❑=NO ; PLATTED LOTS:`_ ❑YES. ❑ YES.NO CHANGE OF USE? :. i ❑ ❑ NO COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH-PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129