03-105496 City of Federal Way
Community Development Services Electrical Permit #:03 - 105496 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 2
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.0O
35.3050
Project Name: SAWATZKY •
Project Address: 215 SW 292ND 5+" Parcel Number: 119600 0857
Project Description: Underground existing above-ground electrical service and upgrade from 125-amp to 200-amp.
Owner Applicant Contractor
Steven G Sawatzky &Judith H Sawatzky STEVEN AND JUDITH SAWATZKY Steven G Sawatzky
215 SW 292ND ST 215 SW 292ND ST 215 SW 292ND ST
FEDERAL WAY WA FEDERAL WAY WA 98023 FEDERAL WAY WA
98023-3502
Electrical Fixtures
Description Quantity " Description iQuantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES June 16,2004.
Permit issued on December 19,2003
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: ///t' ✓'L4S(/ Date: &G
6 JET, c k. `;
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RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF IPP"—"I...r". APPLICATION NUMBER: OA- L O 5.-y fp -QQ
Federal Way DEC 192003 APPLICATION NUMBER: _ _ - _ _ _ _ _ - _ _
'APPLICATION NUMBER: - -
�F FEDERAL WAY
**The follggiddtt cormation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■'PROPERTY INFORMATION •
SITE ADDRESS: /5- SW Ialid` �T ham) Ar ASSESSOR'S TAX/PARCEL #: l l �j _0- O g
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
o ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4-11,0-41 -e/-fr i e / _c-ek /GP Pi--#1416214-P _g
0 bf kiWik QVdtuGY if4a(d ' 1O g1-aGee rkr1/444 1} A0? lei �"-D (Pi-`-cQ
PROJECT NAME: Sawa lay
■ PEOPLE INFORMATION
PROPERTY OWNER: I NAME: DAYTIME PHONE:
S1--- Sa.wwz /ay ; ( ?c3) ?so/ -1-is-123
MAIUNG ADDRESS(STREET ADDRESS; ,STA ,ZIP): PC Q`a ( Way 9k)
CONTRACTOR: I NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING HONE:
I � ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
C ( ) - l
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(ropy of card required)
14 APPLICANT: NAME: DAYTIME PHONE:
GI/we V I ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
I ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT o 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? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**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.C. )
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) ❑ ELECTRIC o 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 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 suppli t the city as a p this •pii . .
NAME/TITLE: 1 DATE: )7-Y9-03
❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
_.FOR OFFICE USE ONLY: „
e,,-;+�: ; .fit.::• , .;_: � :. ..
L7wNEV�-.; .0 ADDITION. O ALTERATIONS ,❑;REPAIR .3 0 TENANT IMPROVEMENT ..
CENSUS CODE �, � : :LOT!SIZE 35 4-.,.--s _
;ZONING.DESIGNATION _
SHELL ONLY?::-=D YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? r o YES ' ."o NO
SECTION ,
TOWNSHIP ; RANGE NEW ADDRESS REQUIRED? >_ "O YES ❑ NO
PLATTED LOT?; "o YES-"` ❑'NO `R . ` CHANGE OF USE? o YES ❑ NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com