00-105976City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MOTZ
Project Address: 818 SW 295TH
Electrical Permit #:00 - 105976 - 00 - EL
Project Description: ELE - Relocating electrical meter and breaker box
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 119600 2775
Owner
Applicant
Contractor
WALTER MOTZ
WALTER MOTZ
WALTER MOTZ
818 SW 295TH ST
818 SW 295TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
818 SW 295TH ST
FEDERAL WAY WA 98023
Electrical Fixtures
[reser. tl Quant'
Alt. Serv./Feeder: 0 to 200 amps- Res. 1
PERMIT EXPIRES June 10, 2001, IF NO WORK IS STARTED.
Permit issued on December 12, 2000
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 accordan v i& tie laws, rules and regulations of the State of Washington and
the City of Federal Way. II l
Owner or agent:' Date: 2 — 2,! C'00
Rough -in inspection:
Service inspection: _;; �
FINAL inspection:
7"' 04, -
Date
/z Z 7 ----
Date
Date
0� G CONSTRUCTION PERMIT APPLICATION
LOPE RNag APPLICATION NUMBER: -
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.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION (Provide detailed description): I ' L- OCAl-%e LEL ECIP, 101- OX
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
�1- rnDT
-z-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
��B S1�1 2�s? ST ��v�n�� l�►��v �'�a2 3- 8�� z
NAME:
DAYTIME PHONE:
5A ME
( )
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
PROPERTY
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SITE ADDRESS: RIOSW
I
22,57-11
ST
I!' -
ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
�n\J
PROJECT DESCRIPTION (Provide detailed description): I ' L- OCAl-%e LEL ECIP, 101- OX
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
�1- rnDT
-z-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
��B S1�1 2�s? ST ��v�n�� l�►��v �'�a2 3- 8�� z
NAME:
DAYTIME PHONE:
5A ME
( )
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
NAME: VAT IML PHUNt:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT'X PROPERTY OWNER 11 APPLICANT ❑ CONTRACTOR
/ \ DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
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: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
E)QSTING SQ. FT.
PROPOSED SQ. 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)
SINKS)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 (including 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 daim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to a city as a part of this application.
NAME/TITLE: DATE: / / Z Z 04 b
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063.9718 •253-661-4000 • FAX: 253-661-4129