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02-100341 City of Federal Way Electrical Permit #:02 — 100341 — 00 — EL Community Development Services 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: NICHOLS Project Address: 420 SW 368TH Parcel Number: 302104 9106 Project Description: ELE-200 amp overhead upgrade main breaker and one 15 amp outlet outside Owner Applicant Contractor Darcy A Jenkins AUBURN ELECTRIC CO INC AUBURN ELECTRIC CO INC 420 SW 368TH ST PO BOX 624 PO BOX 624 FEDERAL WAY WA AUBURN WA 98071 AUBURN WA 98071 98023-7357 (253)939-9696 Electrical Fixtures Description ,Quantity Description 1Quantity Description Quantity Temp.Service 101 amps-200 amps- 1 PERMIT EXPIRES July 24,2002,IF NO WORK IS STARTED. Permit issued on January 25,2002 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: (' 25— cD2. —Z j ,� 2 e c0lir QC 04)5 j3Jot of A- 1- D K — 6 Coc-f7) 0 T .( /0 — f� ar•f G CONSTRUCTION PERMIT APPLICATION v..) ED-. APPLICATION NUMBER: 2-- 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. z -= ■ PROPERTY INFORMATION = - /� SITE ADDRESS: '7 20 6 60'. 3' , S7 ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • <t - _. • PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION ›SetECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM^ PROJECT DESCRIPTION(Provide detailed description): ,200 0 a/Pv',4� 9'� (t/e- ma;r�- lorQJer good aad inotwa/� 71"Q/la s r� J 30 741- o► - oud-side Ggh,7`, / 6- 'c ou{ eJ /5-"f PROJECT NAME: MIICE)AEL— /V/C-HOf_' ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: /14/ -/-1AEL AI/cNoL (02s3)135— -73eo MAILING ADDRESS(SWEET ADDRESS; STATE,ZIP): lizO 5W. 36d' ' S/ �edercd alae-Oci 9Y0,2 3 CONTRACTOR: NAME: , DAYTIME PHONE: A-& urK2 E/e 7c .7C- . (0253)939 -96 MNGADDRFSe, ET ADDRESS;CITY,STATE,ZIP): EVENINGPHONE: Ai9267/D 53 ) 79 I CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: ( ) i COyoNuA uJS TRION NUMBER: f EXPIRATION DATE: (copy of card required) jo? .I- APPLICANT: NAME: DAYTIME PHONE: ( ) 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: ❑ 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) **NEW RESIDENTIAL CONSTRUCTION ONLY** 1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • - ■ PROTECT 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 UNITS) 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) MP(S) IN 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 only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: DATE: // —2 - ©2-- ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR -FOR OFFICE USE ONLY: I _❑ NEW ==_ '-,❑-ADDITION ❑ ALTERATION - _-_I .REPAIR•-- - ❑TENANT°IMPROVEMENT 'CENSUS:CODE: = LOTSIZE: -_ - - - XONING DESIGNATION: BUILDING SHELLONLY? ❑YES 0 NO =COMP=PL 1N"DESIGNATION = ' _ BASTG PLANS _❑ YES ❑NO SECTION Y ,- - TOWNSHIP RANGE NEW ADDRESS,REQUIRED? - ❑ YES ❑ NO -PLATTED. .OT? ❑ YES 0 NO CHANGE OF USE? ❑YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com