02-102020lJ
1`ti Pty Federal way
Cormnununity Develolmient Services Electrical Permit #: - 102020 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: JOHANNSEN
Project Address: 30203 8TH S
Project Description: ELE - 200 amp panel chage & add 2 circuits
Parcel Number: 515200 0300
Owner
Applicant
Contractor
Robert C Johannsen
GRIFFIN ELECTIC INC
GRIFFIN ELECTIC INC
30203 8TH AVE S
1427 SW 306TH ST
1427 SW 306TH ST
FEDERAL WAY WA
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
98003-3725
(253) 529-2923
Electrical Fixtures
SCo tjf1Ct.
Alt. Serv./Feeder: 0 to 200 amps- Res. 1
PERMIT EXPIRES November 12, 2002, IF NO WORK IS STARTED.
Permit issued on May 16, 2002
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 Wa . �/
Owner or agent: Date: 6
a Of 4-/3/0) z -
G RECEIVED CONSTRUCTION PERMIT APPLICATION
uV �iL PPLICATION NUMBER: Q g - L 02 - _ _
MAY 1 6 2002 PPLICATION NUMBER:
CITY OF FEDERAL WAY PPLICATION NUMBER:_
**The following is•reilMI PInk9ation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
QQ PROPERTY INFORMATION
SITE ADDRESS: Afc- 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
A ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): c d [rte 42 � `jae 4—
tt
PROJECT
■ PEOPLE INFORMATION
i PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
d (Zs )
MAILING ADDRESS (STREET CITY STATE, ZIP) -
36'a 0,3
P):3oa03 S ��(° G�1� WA 5ROZ3
NAME: % /� % /.
1 / �L L
/D.A�YTIME PHONE:
t' )
7
MAILING
LAPDRESS (STREET ADDRESS, CIIY S/T�A/TE IIP
EVENING PHONE:
WlP
( )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER-
BER ^ 6 - O O -
FAX �NUMBER:
.5'2-�
-Z�
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
_
(OPV of —1 ) 4 l?1 _ �� o �c/ f
/ 15
124060
NAME:
) 5z-,? -Z
MAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: B, FAX NUMBER:
❑ ARCHITECT ❑ TENANT IOTHER ( DESCRIBE): rig_ (2S3)3z!017 -
E -MAUL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION 7
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑, NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** r
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SO. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S) M
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING ti
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. ( )
INTERCEPTORS) SUMP(S)
•BLOCK
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 daim (including costs, expenses, and attorneys' fees incurred in the
Investigation and defense of such daim), 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 s pplied to a city as a part this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ONTRACTOR
aDMmww DEVejUPMEur SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718.253-661-4000 • FAX: 253%61-4129
www.ctvofftdeolway.com