00-105832City of Federal Way
Commw»ty Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph. 253 661.4000 Fax. 253.661.4129
Project Name:
Project Address:
LEROUEIL
29039 15TH S
Electrical Permit #:00 -105832 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Description: ELE - New 325 amp service for new single family
Parcel Number: 516210 0260
Owner
Applicant
Contractor
Pierre & Christine Leroueil
NONE
SHITO ELECTRIC INC
28811 13TH AVE S
FEDERAL WAY WA
20105 CHURCH LAKE DR
98003-3763
NONE
BONNEY LAKE WA 9:
Electrical Fixtures
Description JQuantityI Description Quanti Description Quantit
Service: -Residential 1
PERMIT EXPIRES May 29, 2001, IF NO WORK IS STARTED.
Permit issued on November 30, 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 .
Owner or agent: WayDate:
d -27,6/ C 1 essuc," ec,62
«•�' 4 . ��!-� CONSTRUCTION PERMIT APPLICATION
•
Fro,- �— PPLICATION NUMBER: 0 O -
NOV 3 0 2000 APPLICATION NUMBER: _ _ -
PPLICATIONNUMBER: -______-__
GI FY OF FEDERAL WAY
**The folAAW1§l9bQAF& information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
t
SITE ADDRESS: Z-10ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
� r
PR03ECT INFORMATION
TYPE OF PROJECT (This application): 0,�, tBBUILDING [I PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ISELECTRICAL ❑ ENGIN-EEER:I/N,G�❑ FIRE PREVENTION SYSTEM
�'
PROJECT DESCRIPTION (Provide detailed description):��f--�l�T
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: _ •r,/) � / ,e,i (AYRME PHONE: -
MAILING ADDRESS ��
(STREETADDR ; CITY, STATE, ZIP):
NA ' Y v V
YTIME PHONE:
(AW )%2—
Lel
MAILING ADDRESS ET ADDRESS; CITY, STATE, ZIP
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
cz ( 2s3) 86Z 29V 0
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): (23) gw2 - V2-7(
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ 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 ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
A
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
" :$IAILbtIV6 SHELL ONLY? -Q'YES ❑ NO
_COMPPLAW DESIGNATION
B/1SZGPlAN? ❑YES " 'u NO"
FIRST
/ �}
PLATTED L'OT? ❑ YES -❑ NO
CHANTGE OF USE? -❑ YES ❑ NO,
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( 1
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) misc.( )
SUMP(S)
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree,hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fees incurred in the
Investigation an efense of such claim), which may be made by any person, Including the undersigned, and filed against the City of
Federal Way, but o wher"uch dai4r�o of the reliance of the dty, including its officers and employees, upon the accuracy
of the information plied to the s a aalication.
DATE: 6
❑ PROPERTY OWNER ❑
_IFORA)FFICE USE ONLY:
;NEW , = . -❑ .ADDITION
❑ ALTERATION ' -- ,�'` D -,REPAIR ❑ -T ENANT4IMPROVEMENT " "
CENSUS CODE:
; _ LOThSIZE:
ZO4YIV6TEStGNATTION ;
" :$IAILbtIV6 SHELL ONLY? -Q'YES ❑ NO
_COMPPLAW DESIGNATION
B/1SZGPlAN? ❑YES " 'u NO"
SECTION ," TOWNSHIP
RANGE NEV A613RESS REQUIRED? .❑ YES - ❑ NO ;
PLATTED L'OT? ❑ YES -❑ NO
CHANTGE OF USE? -❑ YES ❑ NO,
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 980639718 •253-661-4000 • FAX: 253-661-4129