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03-105554 City or Federal Way Community Development Services Electrical Permit #:03 - 105554 - 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: BIELESKI Project Address: 5301 SW 326TH 9' Parcel Number: 189830 0230 Project Description: Sub-panel and circuits to serve a one-story,wood-frame garage and attached accessory dwelling unit addition to existing SF residence. Owner Applicant Contractor Edmund C Bieleski Jr. &Sara J Bieleski Jr. MCKEAN HINTZE Edmund C Bieleski Jr. 5301 SW 326TH ST 15619 72ND AVE NE 5301 SW 326TH ST FEDERAL WAY WA KENMORE WA 98028 FEDERAL WAY WA 98023-1934 Electrical Fixtures Fa! ... <zwg Fluty bescr ption :.., IQla nt ty , ,_u.©esdnpt of x._..._._ ..,Qu clti0 Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES June 26,2004. Permit issued on December 29,2003 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 ' accordance with the laws,rules and regulations of the State of Washington and the City of Federal Waaay. l Owner or agent: M'14 /Date: `Z/ - 0–; /7— 30-- 3 i., -,A'ltu".0 � r 0 L z / 77 CONSTRUCTION PERMIT APPLICATION C)15t CITY OF RECEIVED APPLICATION NUMBER: C73- 4 Q.C53-11- DCS Federal WayDEC 282003 APPLICATION NUMBER: _ _ - _ _ - _ _ _ FF (APPLICATION NUMBER: - - **The folreai 0Flii j7VkIation-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS: 53o S> 3_t +L St PIA?. ASSESSOR'S TAX/PARCEL #: L •p E y3 , ,z3.101 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROSECT INFORMATION TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): / - S -) ? cam) pet-Ps-a-/ 7' C'1rcK 175 -Op- AaL1.. PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: ; DAYTIME PHONE Ec, ti - 81 e7l..CS.k, I C7;0)g7/ -26-27 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 5,301 Sw 2,,16-tA SIL fr lt,�f fet:) CONTRACTOR: NAME: [ i DAYTIME PHONE: ( ) __ MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): i. EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: 1 I EXPIRATION DATE: (copy of card required) APPLICANT: NAME: �� DAYTIME PHONE: S' F� r Q`�e0F ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ' RELATIONSHIP TO PROJECT: j FAX NUMBER: ❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) I 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 VNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES O WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE L 4<COMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: IAKEHAVEN 0 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 1 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: ❑ 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(including costs,expenses,and attorneys'fees incurred in the investigation an4.4 Jense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only wh• e such aim arises out of the r• iance of the city,induding its officers and employees,upon the accuracy of the Information su.= i•f to J ity as a part of this a. ication. /01, 2- G3 NAME/TITLE: __ DATE: o PROPERTY OWNER (3 APP CANT ❑CONTRACTOR -FOR.OFFICE USE.ONLY: C1+-� --�-'�ti'��^x ... . :' � f. .:� ,�:..'•moi. k vi x ... � -: ...-.:. ... -: >.. :".: .tea: ik EW ,,,,y❑ADDITION ,. ❑ALTERATION s* O REPAIR , O;TENANT-IMPROVEMENTg RT. , 'CENSUS`CODE b t,�', -" LOT :ZONING DESIGNATION: : BUILDING SHELL ONLY? .OYES ":.❑ NO COMP PLAN DESIGNATION .. . .BASIC PLAN?-..:.: ❑YES ':==❑'NO SECTION; ,,, . •, TOWNSHIP-: RANGE NEW ADDRESS REQUIRED?',;,•. ❑YES°' ❑NO PLATTED LOT?; ''❑YES::.:;:D'NO ' . =' CHANGE OF'USE? o YES` `=o 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