02-104575 ofF
City un ty Development Services DeWay
CommunityElectrical Permit #:02 - 104575 - 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: SWAN
Project Address: 30155 3RD SW Parcel Number: 259970 0090
Project Description: ELE-Replacing 125amp panel
Owner - Applicant Contractor
David L&Lisa A Swan ELECTRO SERVE LLC ELECTRO SERVE LLC
30155 3RD PL SW 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-3907 (425)451-3358
,.i� p,,t1 Electrical Fixtures
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Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES April 14,2003,IF NO WORK IS STARTED.
Permit issued on October 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 Way. c
Owner or agent: See Application Date:
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Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: 4 fr/, g—/S---c'2---
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Date
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Date
«.Ta G RECEIVD BY ' CONSTRUCTION PERMIT APPLICATION
C
8.138.13l�uf(INITY nVELOPMENT DEPARTMENT nn
uV f=IY APPLICATION NUMBER: O•- ( Q 5�5 - BQ OC• • T 1 6 2002 APPLICATION NUMBER:• - -
`��� • APPLICATION.N(JMBER:_. - _._
' 'rAPI littltring is required information—Please print(in ink)or type** •
Please note: Electrical,Fire Prevention S stems and Engineering permits may require a separate application.
• • : - n PROPERTY INFORMATION
414 LOCLir
SITE ADDRESS: ;7Jl -F) )f� P. ASSESSOR'S TAX/PARCEL#: g G 9_ 9 - b 0 4 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
"PRO]ECTINFORMATION'=.= :+: . - ;
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 11,,k&. ' • CLI A.E ► '
PROJECT NAME: SiAJan
: :"0 PEOPLE INFORMATION
PROPERTY OWNER: NAME: ^►\ �e``llryry1AA DAYTIME PHONE: ry'I�yt A
MAIUNG ADDRESS(STREET/1pDt CITY,ST P): (4A) R o ` a `tI
CONT3c�iss 3 ma Pi � l9�xx lJ�`�a. ca3
CONTRACTOR: NAME: DAYTIME PHONE:
ELECTRO SERVE (425 )562 - 8709
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
13547 SE 27TH PL #3-D BELLEVUE, WA 98007 (425 )562 - 8709
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER:
FAX NUMBER:
- - _ _ - - _ (425 )562 - 4948
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE
(copy olGird required) ELECTSL042M2 07 / 22 / 04 -
APPLICANT: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 4PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION '" `
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES Cl NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) 4 (s)b-, 0
Sent By: ELECTRO SERVE LLC; 425 562 4948; Oct-16-02 3:21PM; Page 2/2
r 1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
C NUMBER OF BEDROOMS:
�_ ESTIMATED SELLING{'RICE: $
. • • - --. . ■ PROSECT 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 ❑ 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.( )
INTERCEPTORS) 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 daini),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 inform.tion supplied to the city a tb
. rt of this application.
NAME/TITLE:
1 r (��
.....k. , ....... _ _ -& 1.411. DATE: `�l\ `-� V
❑ PROPERTY OWNER. 0 APPLICANT ❑ CONTRACTOR
•
..,FOROFFIC>•+USE ONLY:_
10.3!1E11�NtiEelliAUDITION ❑,ALTERATIONA,+Fnan❑iRiEPAIR ^i ',❑nTEN.AN:i;-, 'ikil1EMENT��
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CENSUS,CObE: ., :. - ,:;' -: 'Lot sI2E: - - -- O_(%..
,,,,, ,_ =�"BUTL'DIN.G�SHELL'U,NLY? ❑:�(ES-• , 1:1,NO
;COMPTt3� •.: ,OLSIG1YAfiION ,t i r:BASIC1,40?,L r AYES ❑NO " -
E u, XP '', s '' JOWOi.SHIP ,RANGE;o. •- •,:;I E1•.4, 4'OR _'._I UIRED.? _,.. .-y.0 YES,e,--D NO.,
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_ - CCN-II�G�At=-!ISE_• t:ii'ES'' :0 1446
COMMUNITY OEVEIOPMENI SERVICES•33530 FIRST WAY SOUTH•PO BOX 9/18-FEOFRAL WAY,WA 98043-9718-253-601-1000-FAX: 253-661-4119
www,cdvoffede ra Iw a v.Cori