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01-104697 City of Federal Way Electrical Permit #:01 - 104697 - 00 - EL Conununity 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: DR MOORE Project Address: 1646 SW DASH POINT Rd Parcel Number: 122103 9074 Project Description: ELE-Tenant improvement of outlets,switches,lights; (20)circuits. Owner Applicant Contractor DR STEVEN MOORE WATTS ELECTRIC SERVICES INC CONSTRUCTION ENTERPRISES,INC. 4130 AUGUSTA DR P.O.BOX 46410 25835 116TH AVE SE TACOMA WA 98422 SEATTLE WA 98106 KENT WA 98031 (253)859-4668 (709 `l'S O1 (t 4- 277 Tw . ( ooh -sr�4� Qt to + 27t, `+ a 41 S-9-)0 _ l moi • j $ ke' 75�`' —8` - 6 - Ele Ai 11u` ctrical Fixtures -Description:-, DescriPtion- TQuant tY DescriPt ona'x nf, �Quantit Service/Feeder:101-200 amps-Come 1 PERMIT EXPIRES June 8,2002,IF NO WORK IS STARTED. Permit issued on December 10,2001 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 Fede Way. / Owner or agent: Ur Y Date: / — d/ k/-7/&_, I 1\c7 Si c 1s 22 —D2 f%,rnL —0 - Er c e—D L; kv-T ((c---le 2 o CONSTRUCTION PERMIT APPLICATION �� __ APPLICATION NUMBER: 01 1 "d3'6 FIY APPLICATION NUMBER: 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. L/_- • & ' • 'PROPERTY INFORMATION = SITE ADDRESS: /6'7 V ,74DA itAY/4/7 ASSESSOR'S TAX/PARCEL#: J 2 ZJ 0 3- y © 7 y LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): $ -PRO]ECTINFORMATION - TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION ItELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): It A/A.A/T / tge.)V Nit ETA/1— d A T L 7''S,sc v fiS PROJECT NAME: D tr* - Q fle-1 ■_:PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: 6 STE`L1 E3 foc E w-3 ) -q)2( MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 11136 ii-uWa57-6 De. ) / ,corgi ti-M- 1g y 72 CONTRACTOR: NAME: DAYTIME PHONE: '.JJ � �� ( ) - NG ADORES$(STREET ADORES$•CITY,STATE,ZIP): ,,// EVENING PHONE: 4b-113 r //I. a Awe_ 5 -E . Yc�."� (�_ A. 9103, ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME DAYTIME PHONE: 6J4-'75e Sc�v��� (Zorn ) 767 -S/// MAILING ADDRESS( ET CITY,STATE,ZIP): EVENING PHONE: Pdn v4,00 se? . WA- 9i/O6 ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 1:1ARCHITECT CITENANT ❑ OTHER(DESCRIBE): (g6 ) 76 7 - 33J-q 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 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • ■ PROTECT 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) 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 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 dty,induding its officers and employees,upon the accuracy of the informati (supplied to the city as a art of this application. NAME/TITLE: \ `841 . 1.41,,1.. I //,*q f• DATE: / 2—'/U— 0/ CIPROPERTY OWNER -APPLICA ElCONTRACONTRACTOR yFOROFFICE=USE ONLY:V '0 NEW. U ADDITION f; ❑ ALTERATION ❑,,REPAIR? .:: TENANT IMPROVEMENT 4040701TP1 .44000011140logigfiearmomaiiiiiiiBUILDING SHELL ONLY?._�YES ❑ NO ;COMP PLAN DESIGNATION BASIC PLAN? .- ❑;YES ❑'NO= SECTION- .„_- TOWNSHIP RANGE - NEW ADDRESS REQUIRED? ❑'YES ❑ NO PLATTED LOT?:_ ❑YES, .[I NO CHANGE OF;USE?_ . . ❑YES ONO ; , COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129