00-106073City Federal Way
Community Development Services 1 Permit #: 00 -106073 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: GARNATZ
Project Address: 5134 SW 311TH Parcel Number: 321020 0165
Project Description: ELE p eramioff or ' al se ce. Fire damage repairs
Owner Applicant Contractor
David K Ga N1NE TAYLO CTRIC
513 311 L
RAL WAY ! 3451 2ND AV
8023-2029 NONE L AU WA 9800
oir4.. CiSN# Sftort QUati L
Temp. Service up to 100 amps - Res. 1
Wired to be disconnected from existing
APER
I h by certify t boveX1in
rma is
the cupancy an a wilacco a
theof Federal y.
Owner agent:
Rough -in inspection:
Service inspection: _
FINAL inspection: _
M
CO I
T June 17, 2001, IF NO WORK IS ST TED.
Permit issued on ember 19, 2000
eft and that the co to n the above described property and
vi the law s a regu 'ons of the State of Washington and
Date: f Z l / q1'90
Date
CONSTRUCTION PERMIT APPLICATIC
EErK1=ft- PPUCATION NUMBER: _ _0 Lou
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PPLICATION NUMBER: - _
PPLICATION NUMBER: -
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**The following is required information - Please print (in ink) or type**
V14PAote: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- Vw,—
SITE ADDRESS: ` t,i Sw �i� P� ASSESSOR'S TAX/PARCEL #: — _ _ _ _ _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECT
•• A71ONM
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PA�"•e k
PROJECT NAME:
.-PEOPLE INFORMATI•
PROPERTYOWNER: NP,r1E:DAYTIME PHONE: -
CONTRACTOR:
APPLICANT:
MAILING ADDRESS (STREET ADDRESS; CITY,
ST'''ATE, ZIP):
fA k) ,it�l.,X
NAME:
DAYTIME PHONE:
MAILING ADD
(STREET ADDRESS QTY, STATE, IIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE UMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EEVENING PHONE:
l � -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): J -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILEDBUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING . FT.
PROPOSED . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. (
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
'JTSCI_ATMER/ST[;NATURF BEC
WATER HEATERS;
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, an
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 th
investigation and defense of such daim), which may be made by any person, including the undersigned, and filed against the City o
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accurac
of the information supplied to the city as a part of this application. J
NAME/TITLE: •- �'p� �A`�I IO�s I DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOK 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129