The URL can be used to link to this page

00-105261City of Federal Way Electrical Permit M 00 -105261 - 00 - EL Community Development Services 33530 1 st Way S Inspection request line: 253.661.4140 Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: VETTLESON Project Address: 29744 4TH S Parcel Number: 720535 0110 Project Description: ELECTRICAL - Install new 200 -amp service for single family residence "i lie- L v©&S J(i4 T -MIB, 0,' Owner Applicant Contractor Robert L Vettleson CERTIF ECTRIC ERV ICE CERTIFIED ELECTRICAL SERVICE 29744 4TH AVE S CE ED ECT L ERVI FEDERAL WAY WA 29 1S SW 1962T2I41SD ICTRICIER2 98003-3621 B A 980 CITY OF •� EO • BUILDING DIVISION 33530 1 ST WAY SOUTH FEDERAL WAY, WA 98003 66 1 -4000 CORRECTION NOTICE ADDRESS:Z y 74500"_ y f PERMIT #: ZL AND/OR STATE LAWS ARE LISTED BELOW: VIOLATIONS OF Ila C a - 2 � J /U H l c ' f / � 1✓✓ y'l, - /,/ .u�%�> h S' J J 4 ! C _- i ,. f v.� r f- ✓ � b ie 4-D'.. a/ YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -41 40 FOR REINSPECTION. dl - DATE INSPECTOR FOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE a � f► MY OF � G �J`�� \W--N.FiY c� CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: V _ - YOZel APP CATION NUMBER: - - aRRol' JAPPLICATION NUMBER: *V64K4 g is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY•. • SITE ADDRESS: 0 / f�/�_ f ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION IIELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description)0 z-/1.f-f a lI /19w .2O 0 AFS 42 &0d c /'eDY/9:w11Ce-V ® --Z-27,�/ fiT T+vQ c:r-L 4 f o ® �/►,l zt i f e-, P n - T e -a n PROJECT NAME: PROPERTY OWNER: CONTRACTOR: 4- e uro NAME: DAYTIME PHONE: ve 7- -te fo nys3) Tky/ - CPO% 7 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 2 9 ? `-iY C NAME:DAYTIME PHONE: (.2S3 ) 9YS - OOS„ r G/`T'7- C c Cal ✓r c MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: P' 0 -40'- 3 o0 0 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: C C /=? ?/ -2 Oat APPLICANT' NAME: DAYTIME PHONE: • fce- Co n 7ra c to /(- ( ) - 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: ElPROPERTY OWNER ElAPPLICANT NSI CONTRACTOR DETAILED BUILDING 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 0 HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( ) 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) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) BLOCK0 DISCLAIMER/SIGNATURE I certify under penalty of perjury that the 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 City 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 to the city as a part of this application. NAME/TITLE: A aAM rl f j, t -M f) DATE: /0 00 0 ❑ PROPERTY OWNER ❑ APPLICANT OrCONTRACTOR FOR OFFICEUSE ONLY: COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129