00-106054City of Federal Way
Conmmnity Development Services
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address
MILLER
2713 SW 327TH
Electrical Permit #:00 -106054 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 894520 0050
Project Description: ELECTRICAL - Upgrade service panel with new 200 -amp service in existing single family residence.
Owner
Applicant
Contractor
Christopher & Michelle Miller
Christopher & Michelle Miller
OWNER IS CONTRACTOR
2713 SW 327TH ST
2713 SW 327TH ST
FEDERAL WAY WA
FEDERAL WAY WA
98023-2536
98023-2536
Description Quan#i#
Service: -Residential
I-000"
Electrical Fixtures
I hereby certify that nformatiof is cot
the occupancy and the use will be in accordance
the City of Federal Way,nA
Owner or agent:
�1, NO'�4
Dec ber.18, 2000
that the construction on the above described property and
laws, rules and regulations of the State of Washington and
111111E.
RECEIVED CONSTRUCTION PERMIT APPLICATIC
DEC 18
APPLICATION NUMBER:
PPLICATION NUMBER:
LI BUILDING OEPT.i~T PPLICATION 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.• •
SITE ADDRESS: 1 +�+ , ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
'. N PR07ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
X ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT
:'PEOPLE INFORMATION '
PROPERTY OWNER:
CONTRACTOR:
unr iric rnvryc:
NAME:
MAILING ADDRESS (STRE ADDRESS; CITY, STATE, ZIP):
i3 5 �✓- -w, s r T:ecOPrcI L
DAYTIME PHONE:
APPLICANT: NAME: -
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: XPROPERTYOWNER ❑ APPLICANT ❑ CONTRACTOR
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 ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
DAYTIME PHONE:
NAME:
S��E �'S GL✓rc�
( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP)
EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
DAYTIME PHONE:
APPLICANT: NAME: -
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: XPROPERTYOWNER ❑ APPLICANT ❑ CONTRACTOR
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 ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**t4EW PXMDENTIALCONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT 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 UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(;
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACES)
GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
I]TSCt_ATMFR/STGNATHRE 13LC
WATER HEATER(5
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, ai
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 attomeys' fees incurred in tl
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City
Federal Way, but only re such claim arises out of Ot6 reliance of the city, including its officers and employees, upon the accura
of the information ppl' t� the city a5 a hofIplication.
DATE: /9/Dp,; r)n
PROPERTY OWN6B-U APPLICANT ❑ CONTRACTOR
COMMUNITY DUELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 980639718 • 2S3-661-4000 • FAX: 253-661-4129