02-100639 ► #
City or Federal Way
Community Development Services Electrical Permit #:02 - 100639 - 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: MILLER
Project Address: 1820 S 336TH Parcel Number: 797820 0096
Project Description: ELE-Replace 200-amp panel and meter and ad(1) 15-amp circuit.
Owner Applicant Contractor
Barbara Fox Miller LANDER ELECTRIC CO INC LANDER ELECTRIC CO INC
1820 S 336TH ST 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA 98003-8979 BELLEVUE WA 98005 BELLEVUE WA 98005
(800)794-4321
Electrical Fixtures
Description- ,°: Quantity -Description ,;,#•, jQuantity - Description 1Quantity
Service: -Residential 1
PERMIT EXPIRES August 10,2002,IF NO WORK IS STARTED.
Permit issued on February 11,2002
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 Way.
Owner or agent: ,��� //`, Date: 02/`/ Z
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G RECEIVED BY C, NSTRUCTION PERMIT APPLICATION
�� FEY — CoIUIUl1NITv P VFI OPr,APNT�FpA�A�PPLICATION NUMBER: 427- - L O_Q�o 9-6ljj—g+1—.
FEB 0 7 2002 APPLICATION NUMBER: -
APPLICATION NUMBER: - -
**The following is required 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: 1 'gip D. 3�V ASSESSOR'S TAX/PARCEL #: 7178'2.0 - d V L 4_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL �❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed� description):ti �kO p rCx_Q - O L /aI)'(_i/� lZ j// t i2 t rn,��
art& u.LC.a. T/ /aef yr✓� C �`U c,c �`" 'i
PROJECT NAME: A)! 1 -
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■ PEOPLE INFORMATION . ,
PROPERTY OWNER: NAME. DAYTIME PHONE:
13 1QBA-e A tt -71 60-7(.2C3) '835#
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
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I .Z D co. 3 3[o•-''`' S'+ -�rai t(.,,,,ii bac). 9100
CONTRACTOR: NAME: DAYTIME PHONE:
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MAILIfyG ADDRESS(STREET AD�S�CITY,STATE,ZIP��/ EVENING PHONE: /J��/
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CITY OF3EDERALWAY BUSINESS LICENSE NUMBER: ( / qn5 ( 5(���`^��/""`
fAX NUMBER:
o - O a / a/ 7 84-/-66 /3t- ( ) -
CONTRACTOR'S REGISTRATION NUMBER: h Al D -C:. C_5 9 9 1 8 EXPIRATION/AT 03 / D3
(copy of card required) /T
APPLICANT: ��y / �D /� DAYTIME P�HON�E.
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MAILING ADDRESS',I (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
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RELATIONSHIP TO PROJECT: ��--��JJ FAX NUMBER:
Cl ARCHITECT CI TENANT OTHER(DESCRIBE):K/eC J ( ) -
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: El LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
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**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:
■!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)
BOILER(S) FIREPLACE INSERT(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) 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 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: DOetti_ DATE:
01 -6-ate
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑ NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? ❑ YES ❑ NO
CC MMI INT FY nFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P O.BOX 9718•FEDERAL WAY•WA 98063-9718-253-661-4000•FAX: 253-661-4129