02-100744 City of Federal Way
Community Development Services Electrical Permit #:02 - 100744 - 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
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Project Name: MCGUIRE HOMES(NSF)
Project Address: 30825 36TH SW Parcel Number: 058755 0390
Project Description: ELE-Single family residence elec.with 200amp service
Owner Applicant Contractor
Donald R Gagnon Jr. MCGUIRE HOMES INC MCGUIRE HOMES INC
33635 5TH PL SW 19011 WEST VALLEY A-10I 33635 5TH PL SW
FEDERAL WAY WA KENT WA 98032 FEDERAL WAY WA 98023 1i
98023-8307 (000)661-9679
Electrical Fixtures
Description Quantity Description (Quantity Description )Quantity
Low Voltage-Other Residential 1
PERMIT EXPIRES August 19,2002,IF NO WORK IS STARTED.
Permit issued on February 20,2002
I hereby certify that the above information is correct and that the construction on the above described property and
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the occupancy and the use will be in accordance wit', -_ .ws,rules and regulations of the State of Washington and
the City of Federal Way. /
Owner or agent: ✓A 1 _✓ 4 Date: Z zt O C..
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CITY« CONSTRUC I ION PERMIT APPLICATION
RYA RECEIVED APPLICATION NUMBER: - -
CB 26, ' APPLICATION NUMBER: 02-- L b.7_q_q- (9J
APPLICATION NUMBER: - -
**(1hTevftiDliow tYdF.ed information-Please print(in ink)or type**
BUILUI G DEPT,
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
;-I•!PROPERTY INFORMATION ..
SITE ADDRESS: 3-"--- -361-4A-CT S "V % ASSESSOR'S TAX/PARCEL #: 05 87.55 - 037 b
LEGAL DESCRIPTION`T SUBJECT PR VP`-') coTc`;"Y`)` SEPARATE ETIONi c Si__.S
:-_`.. .:2-... ■. PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERINGSFIRE PREVENTION SYSTEM�rj
PROJECT DESCRIPTION (Provide detailed description): S-tY' Le i r 1 S I �f V C c EaL;
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zoo trv+ Ruh("A•w -�
PROJECT NAME: M ( U i e (ie-5
- ■ PEOPLE INFORMATION • - •
PROPERTY OWNER: NAME: DAYTIME PHONE:
5T`c.Pt* .- ei-t-`t Il) ePrLm`C(Z (Z53) 835 - 5/c1,5"
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
348 ltS '- 36."- CT- Sur
CONTRACTOR: NAME: �L_tT� .aC: )C./ DAYTIME PHONE:
t/ J`
MAILING ADDRESS STF ADDRESS;C ,STATE,ZIP EVENING PHONE: I
CITY OF FEDERAL AY BUSINESS LICENSE NUMBER: FAX NUMBER:
— — (
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
To GftGN otJ ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1X38 N 1-TrST c -Tt1,t LOA q8 I 03
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT Cl TENANT OTHER(DESCRIBE): eT DSU J 4,1` (
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: Cl PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
. :'-.i `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 11 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: El ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC El 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 claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information su plied t the :ty as part of "s application. �l /�
NAME/TITLE: f/ ��� a" DATE: ""� C
❑ PROPERTY OWNER '�' •P CANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
_......................... _ ..
Q N_EW_ El ADDITION ❑ ALTERATION D REPAIR ❑TENANT IMPROVEMENT
CENSUS(CODE: LOT SIZE:
ZONING DESIGNATION`. BUILDING SHELL ONLY? ❑ YES El NO
., COMP PLAN DESIGNATION BASIC PLAN? ElYES CINO
SECTION ' TOWNSHIP RANGE NEW ADDRESS REQUIRED? CI YES CI NO
PLATTED LOT? ❑ YES El NO CHANGE OF USE? ❑ YES CI NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129
wwwatvoffede ra I way.co m