03-104527 410116.11%.-
City of Federal Way
Community Development Services Electrical Permit #:03 - 104527 - 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: FAHLIN
Project Address: 3135 SW 339TH 0 Parcel Number: 873216 0020
Project Description: Add(2)circuits for residential addition.
Owner Applicant Contractor
Magnus Fahlin &Francine F Fahlin Magnus Fahlin Magnus Fahlin
3135 SW 339TH ST 3135 SW 339TH ST 3135 SW 339TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7795 98023-7795 (253)874-1984
Electrical Fixtures
Description Quantity Description Quantity Description 'Quantity
Circuits-Residential 2
PERMIT EXPIRES March 31,2004.
Permit igsued on October 3,2003
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: /0/3/zcr o 3
10 - t Ac-0 3 V,o v � :;/� t'ov Da2.11--
_ Li LeSu.1 ° 02-44 1.4-4-\1
Clta,k1 - 2 3- o..+
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raja.. RECENED �--
CONSTRUC I ION PERMIT APPLICATION
CITY OF 1111" ..**..�/ APPLICATION NUMBER:Q 3 - L0 (.5,71-7-
Federal Way o 'E toOtt) APPLICATION NUMBER: - -
CITY OF FEDERAL WAY (APPLICATION NUMBER: - -
"The folIMI slr€q ormation—Please print(in ink)or type"
Please note: Electrical, FirtFirrytypitrEtteRmAMEngineering permits may require a separate application.
■ PROPERTY INFORMATION .:.
SITE ADDRESS: 3) 35 bW 33Q.:11 Sr� ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION _ _
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
$LECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Add c;retAy CAN0-1, VS% V1 rcrvw► G dtdi 44 a
PROJECT NAME: t kWL.i^)
PEOPLE INFORMATION.
PROPERTY OWNER: NAME: DAYTIME PHONE
Pi6N0S VAI+{—IN (2o40 ) 910 - 2 91(0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3135 S%A) 3 Ct S4ee,4- Pedey0,1 VU:xt WA . 9 9-023
CONTRACTOR: [ NAME: DAYTIME PHONE:
I 0 w 1r1CY ( )
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): i. EVENING PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: F )
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: ! DAYTIME PHONE
M n4»401k TAH- 4 k) (yob )S)0 2!o I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ' EVENING PHONE:
3135 Sw %let 619% gA. 'cede-4\ \Ajc.. Wh 91fU 23 (253 ) R74 -1 q S'4
; RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT o TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: XPROPERTY OWNER o APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
411111111111111
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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 Value of Mechanical Work: $
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: mAt GNI oS 'fft 4Ll/V DATE: /6/3/ 20753
(PROPERTY OWNER o APPLICANT 0 CONTRACTOR
. FOR.OFFICE.USE ONLY:t I
;b NEW , n ADDITION s [7.ALTERATION E l REP,AIRV4$❑>TENANT-IMPROVEMENT. a-, a
CENSUS:CODE. . 7>s a .:, }LOT.SIZE;W' ,.,M W ., 4M.:
ZONING'TDESIGNATION'" { 3 ria �"
,,. �- a ..��;�,; ,-�au=..�._ BUILDING.SHELL ONLY?` ❑1fES .❑'NO ;' , .
COMP PLAN:DESIGNATION ':g ,. t�;;,, 1BASIC LA
PN? :.❑.YES ' .(] NOx'
SECTION '.' NS
. TOWHIP #RANGE : M .NEW ADDRESS REQUIRED?, ,, t. ❑'YES ❑ANO
If PLATTED LOT?.?.❑YES ❑"NO fr ' , CHANGE OF USE? s:,,` .o'YES"c NO
)41141141/4. .
COMMUNTIY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 FAX:253-661-4129
www,dtvoffeJeralway.tom