00-105873City on FederalWay
Applicant
Electrical Permit #: 00 -105873 - 00 - EL
CommunitytyDevelopment Services
Rafael Contreras
Rafael Contreras
33530 1st Way S
Federal Way, WA 98003-6210
350 S 312TH ST
Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129
(3:30pm cut-off for next day inspections)
Project Name:
Project Address:
CONTRERAS
350 S 312TH
Project Description: EL - Replace existing 200 -amp panel with new 200 -amp panel.
Parcel Number: 082104 9132
Owner
Applicant
Contractor
Rafael Contreras
Rafael Contreras
Rafael Contreras
350 S 312TH ST
350 S 312TH ST
FEDERAL WAY WA
FEDERAL WAY WA
350 S 312TH ST
98003-4031
98003-4031
FEDERAL WAY WA
<Description Quanti
Alt. Serv./Feeder: 0 to 200 amps- Res. 1
Electrical Fixtures
Y, 2001 IS
s on Dec r 4, 20
IM
I hereby certify that the abo nfo s co ' t and that the construction on the above described property and
the occupancy and the use will accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: U Date:
Z
I
I
a ff0f G REQF.IVED CONSTRUCTION PERMIT AP_PLiCAUC
VNI�Y�>L DEC p 4 CATION NUMBER:
LICATION NUMBER: rt- _
or { tilY_hML WAY rpLIGATION NUMBER: _ -
BUILDING DEPT.
**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.
-� s 3/lith ':7 /1
SITE ADDRESS: �Lr a ( w i/ wiT ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
0: PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
. ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 7 9 � 022
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
G l"i! 9L
Nnrie:
MAILING ADDRESS (SIFT EET ADDRESS: CRY. STATF
DAYTIME PHONE:
APPLICANT: NAME: _
MAILING ADDRESS (STREET ADDRESS, CRY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECFAX NUMBER
T:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( J -
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILEWBUILDING INFORMATZON
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 0 HIGHLINE 0 PRIVATE (SEPTIC)
DAYTIME PHONE:
NAME:
MAILING ADDRESS: U1 Y, STATE, TLP):
EVENING PHONE:
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER:FAX
_ -
— — — — — — — —
NUMBER.
U-01 )) y/
CONTRACTORS REGISTRATION NUMBER: — — -
EXPIRATION DATE:
DAYTIME PHONE:
APPLICANT: NAME: _
MAILING ADDRESS (STREET ADDRESS, CRY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECFAX NUMBER
T:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( J -
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILEWBUILDING INFORMATZON
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 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIOENIIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ,
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOGS)
REFRIG. SYSTEMS;
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
Misr—
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S).
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL'
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
i"i ATMFR /STGNATIIRF RLC
I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, an4
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 tfu
Investigation and defense of such claim), 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, induding its officers and employees, upon the accurac,
of the information supplied to the city as a part of this application.
X42 DATE: J
q►' PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEYELOPM W SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOGS)
REFRIG. SYSTEMS;
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
Misr—
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S).
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC.
INTERCEPTOR(S)
SUMP(S)
i"i ATMFR /STGNATIIRF RLC
I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, an4
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 tfu
Investigation and defense of such claim), 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, induding its officers and employees, upon the accurac,
of the information supplied to the city as a part of this application.
X42 DATE: J
q►' PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEYELOPM W SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129