00-105567City 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:
Project Address
WATTS
34427 10TH SW
Electrical Permit #:00 -105567 - 00 - EL
Project Description: ELE - Adding 2 new circuits to existing panel
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 132171 0140
Owner
Applicant
Contractor
Charles P & Susan A Watts
NONE
EXPRESS ELECTRIC SERVICE LLC
34427 10TH AVE SW
FEDERAL WAY WA
4704 MILL POND DR SE SUITE 212
98023-8413
NONE
AUBURN WA 98092
Electrical Fixtures
Desai tion : Quenti
Circuits - Residential 2
Descriptio Quanti
PERMIT EXPIRES May 13, 2001, IF NO WORK IS STARTED.
Permit issued on November 14, 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: ;��}�AA Date: (" ] g- ()U
r—
ll
V� O�
Rough -in inspection:
Date
Service inspection:
Date
FINAL inspection:
Date
E�
I
0_14�
,f c. �^ ` �,'�.•►- CONSTRUCTION PERMIT APPLICATIC
90 F� PLICATION NUMBER: _
�14 0G{ 10' LIGATION NUMBER: -
VVAY PLICATION NUMBER:
**ThW449j0ng%E�equired information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 25''I,-� arI I Ut aoe ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
151 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed
PROJECT NAME:PEOPLE�-
O-
PROPERTYOWNER:E:DAYTIME PHONE:
NAM , , -) ; o z 1 I _)a w-, x1 2 - `i
CONTRACTOR:
\-(a _� 10,
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS: QTY, STATE, IIP):
`l a�
EVENING PHONE:
c�-t Lt._ pbnn
Cny OF FEDERAL WAY BUSINESS LICENSE NUMBER: �kcA 2
FAX NUMBER:
5 REGISTRATION NUMBER:
�RCESC>c>' �---------
EXPIRATION DATE:
Ia /Z,�-!> /oo
APPLICANT:
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, IIP):
f RELATIONSHIP TO PROJECT:
SdYf"- ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
EVENING PHONE:
FAX NUMBER -
PROPOSED VALUATION FOR IMPROVEMENTS:
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Cti
**NEW RESIDENTIJU. CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: 'i� 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)
DUCTS)
BATHTUB(S).
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOGS) REFRIG. SYSTEMS;
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ 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, ani
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 daim (including roosts, 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 o�
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuraq
of the information suppliedto the city as a part of this application.
( n
NAME/TITLE: ,—, /�`t"y' DATE:
❑ PROPERTY OWNER ❑ APPLICANT r NTRACTOR
OOMM(MY DEVELOPMENT SMVIOES • 33SM FIRST WAY SOUM • P.O. BOX 9718 • FMM& WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129