00-105488City of Federal Way
Applicant
Electrical Permit #: 00 -105488 - 00 - EL
Community Development Services
NONE
CONTSTRUCTION ETC
335301st Way S
P �l Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Feder
Ph: 253.661.4000 Fax: 253.661.4129
(3.30pm cut-off for next day inspections)
Project Name: KARR
Project Address: 2026 S 310TH Parcel Number: 053700 0600
Project Description: ELE - Moving meter and mast
Owner
Applicant
Contractor
John W Karr
NONE
CONTSTRUCTION ETC
2026 S 310TH ST
FEDERAL WAY WA
98003-4913
NONE
Electrical Fixtures
w Ctescriptionuanki ' ascription
Alt. Serv./Feeder: 0 to 200 amps- Res. 1
PERMIT EXPIRES May 6, 2001, IF NO WORK IS STARTED.
Permit issued on November 7, 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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: %2// Date:
f�lit; lb k'!�. UL
Rough -in inspection:
Service inspection:
FINAL inspection:
Date
Date
Date
ar CONSTRUCTION PERMIT APPLICATION
PLICATION NUMBER: trp- S _ ? - _
PLICATION NUMBER:
TWO PPLICATION NUMBER:
**The following is required information — Please print (in ink) or type**
V, ,�bidp T.
gUiL9�Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY..
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: _ _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ZELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): li%® L14 " r% i' Te At-
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
so
■ PEOPLE INFORMATION
Cif Y, STATE, ZIP):
/d3-�'
NAME:
,eqc r�� Tc .
DAYTIME PHONE:
V5 ) �9�G - /�s�
MAIMG ADDRESSf(STREET,APDRESS; CITY/, STATE, ZIP)
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESSLICENSE NUMBER:
FAX NUMBER:
- - - - - - - -
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT NTRACTOR
EXISTING USE:
PROPOSED USE'
■ DETAILED BUILDING INFORMATION
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 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING . FT.
PROPOSED . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE -
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCTS)
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
BATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S)
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S)
INTERCEPTOR(S) S'UMP(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury tl<iat th� 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 (Sty of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied the city as a part of this application.
NAME/TITLE:
DATE: A /
❑ PROPERTY OWNER ❑ APPLICANT Ekt-NTRACTOR
O *g4(MTTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129