02-103184 City on Federal way
Community Development ServicesElectrical Permit #:02 - 103184 - 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: LETTENMAIER
Project Address: 3108 SW 300TH Parcel Number: 416710 0315
Project Description: ELE-Remove 2 light fixtures and add 4 outlets. 120V existing circuit.
Owner Applicant Contractor
PATRICK S LETTENMAIER PATRICK S LETTENMAIER PATRICK S LETTENMAIER
3108 SW 300TH PL 3108 SW 300TH PL 3108 SW 300TH PL
FEDERAL WA WA 98023 FEDERAL WA WA 98023 FEDERAL WA WA 98023
(253)838-9642
Electrical Fixtures
Description 11 t "t.Descnptiorl= _._ - . IQUant LDescriptiorf.° >-:' . . Quaritityj
Circuits-Residential 1
PERMIT EXPIRES January 22,2003,IF NO WORK IS STARTED.
Permit issued on July 26,2002
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 y.
Owner or agent: _ 4 p - Date: -7/26/ Q 2
G RECEIVED CONSTRUCTION PERMIT APPLICATION
EIDIEJFKFIuV L APPLICATION NUMBER: DZ - 4 L - E
JUL 2 6 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
**The fol(b TINfPeTCi information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
. ■ PROPERTY INFORMATION
SITE ADDRESS: 3i 0 a S. W 300T rt- ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_.. ' ■ PROJECT INFORMATION - • -
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
1 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): R5.N0k'cF L1 o41-- 'FosT 01/E S , APP
G}- c. Lers / ZO V I'c N3 . CLgC u ►T
•
PROJECT NAME: L G 6 Ini(i,I Gv
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Phi 'R I c•r, Le_1T -1 A1 (7-53) e3$ -qC4-L
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
o S .w. '300714 PL F ev)Izi,k v-,Ay, LOA ?To 23
CONTRACTOR: NAME: DAYTIME PHONE:
a )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
tri)14"A f'rs ?$c r'aft-Ty o )
MAILING ADDRESS(STREET ADDRESS;CM,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: F NUM)
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: 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:
,._.<.. ...,_ .... ..—._,..._ ..�� .,,...+.. :an- .•.t.FIXTURES :�. .. ...->_. �._.. ,. , <..,.._ .�_ -,r, x.__..-,y<. .. ,•,f.
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)
BOILER(S) FIREPLACE INSERT(S) . RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)-
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- :- •■ 'DISCLAIMER/SIGNATURE 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(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but o ere such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informati sup led to the city as . •art of this application.
Air,/ 1
NAME/TITLE: a..., /l ' ��� DATE: 7/2—C/0 2,
5 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
M r
F=
t .- O,RQFCE_USE ONLY
EW DD Oma' =_ tR `� i � K_. �`_=
�� �� I,TI N��- ,❑-ALTERATION" EP,AIR NANT MP U�%ENIENT-
_G?SHELI�+ONI.Y?_s^�' S ,:•E=NO
P y, _ _ STAG:. w" Ft ' s
��. . �c• ��ESIGN�TIOI�"�`= .�,. ,=��� ���
<X'-.u'�F.e:a-*.-�.��i�Ruie.=-" i'.: ;^ "Y+"."".-
E Qry 'c�=r `=TOWNSHIP r ritANGE, _ _ WNEW?/1DDRESSjitEQUIRED? `M,a0 YES;•
LI1TT>_[)-LOT? - s :C1iANGE:QFIISE?. :� :__ :�YESNO y. `:.-
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-9614129
r rww.dtvoffederalway.com