00-106041City Federal Way
Applicant
Electrical Permit #:00 106041 00 EL
Commununity Development Services
NONE
- - -
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)
98023-2657
Project Name: MCFARLAND
Project Address: 4035 SW 328TH Parcel Number: 873203 0460
Project Description: EL - Add (2) 20 -amp breakers to garage panel box to accomodate lighting & receptacles.
Owner
Applicant
Contractor
Robert W McFarland
NONE
OWNER IS CONTRACTOR
4035 SW 328TH ST
FEDERAL WAY WA
98023-2657
NONE
PERMIT EXPIRES June 13, 2001, IF NO WORK IS STARTED.
Permit issued on December 15, 200
I hereby certify that the above information is co ct and t nstru e a ve s d p a
the occupancy and the use will be in accordance 'th the r�s and regul ons o he at W t n
the City of Federal Way. p
,,-,o,
Owner or agent:-%0lii�ct- �M. �Y1 Date: 12-11 SLOO
CONSTRUCTION PERMIT APPLICATIC
PLICATION NUMBER: D = 1 Q Q ,y
CATION NUMBER:
LICATION 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.
1 PROPERTY•- •
4035 SW 3281" S�rQe� ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
CTRI / L ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
ON nrovidedetailed description): I oAdc.1 (Z� 2.0amo 6r'eakcrS �v DanGl 6X-eallA
Z_ G n r se tt (7f r
PROJECT NAME:
CONTRACTOR:
APPLICANT:
1(yilfi
-PEOPLE•• •
NAME, DAYTIME PHONE:
PC) (2.S3 )661 - 31SZ
MAILING ADDRESS (STREET ADDRESS: QTY, STATE. ZIP): - -
DAYTIME PHONE:
NAME:
MAILING ADDRESS (STREET ADDRESS;,EVENING PHONE:
FAX NUMSM
aEinTi ECT ❑ TENANT ❑ OTHER( DESCRIBE): ( J -
CONTACT PERSON FOR THIS PROJECT- ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 1
DETAILED.WiLIDING 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: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
DAYTIME PHONE:
NAME.
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- - - - - - -
-
EXPIRATION DATE:
CONTRACTORS REGISTRATION NUMBER:
DAYTIME PHONE:
NAME:
MAILING ADDRESS (STREET ADDRESS;,EVENING PHONE:
FAX NUMSM
aEinTi ECT ❑ TENANT ❑ OTHER( DESCRIBE): ( J -
CONTACT PERSON FOR THIS PROJECT- ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 1
DETAILED.WiLIDING 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: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
o*NEW RESIDENTIAL OONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PRO]ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING
BBQ(S)
BOILERS)
COMPRESSO10
DUCT(S) -•
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
.fdipte number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(5
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)
IISCI_a?MER /SiC,N�Tl1RE BCC
WATER HEATERS;
❑ ELECTRIC ❑ GAS
MISC.
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 claim (including costs, expenses, and attorneys' fees incurred in th
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City a
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.
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
aortr4x4mr DeML OPMENT SERVICES • 33530 FWSr WAY SOUTH • P.O. BOX 9718 • FERAL WAY, WA 98063.9718.253-"1-4000 • FAX: 253-661-4129