98-102359 9 --""Ita3s9
CITY OF FEDERAL WAYPERMIT NO: ELE
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._„. I"''�!h _ H. 98-0658
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33530 F=i rs t Way South �„,:. !: IC„.� �� IL ���"'K�„;:.i, ' x . , �� .. ii ISSUED: 06 26 98
Federal Way, WA 98003 Electrical Inspection Requests 253--661-4140 BY: FC2
253-661-4000 EXPIRES: 06/20/99
ADDRESS: 535 SW 294TH ST
NO. : 119600-3005
PROJECT DESCRIPTION:RES ALT - REPLACING 2 CIRCUITS IN REC ROOM.
p= OWNER =--_. ---- ---T- CONTRACTOR - T LENDER -- ----->
I DON POWELL OWNER IS CONTRACTOR T
535 SW 29TH
FEDERAL WAY WA 98023 ,
1
i
N/A 1
L . -- -- I 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
... T
* STRUCTURE INFORMATION * * NEW RESIDENTIAL * * MOBILE HOMES * * RESIDENTIAL ALTERATIONS * * MUILTI FAMILY NEW *
I i SEV FEED
CONST. TYPE.: V-N NEW SINGLE FAM.: SERVICE OR FEEDER ONLY: 0 0-200 AMPS • 0 0-200 AMPS...: 0 ... 0
OCC. GROUP..: OUT BUILDINGS..: 0 SERVICE AND FEEDER • 0 201-600 AMPS • 0 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0 SERVICE OR FEEDER (PK): 0 OVER 600 AMPS • 0 401-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 MAST/METER REPAIR.: 0 601-800 AMPS.: 0 ... 0
NUMBER OF CIRCUITS: 2 801 AND OVER.: 0 ... 0
¢ f
1 ---
* COMM. ALTERATIONS * * TEMP SERVICE * * MISCELLANEOUS * * COMM/IND NEW * I * INSPECTION RECORD *
0-100 AMPS • 0 ... 0 SERVICE DATE
0-200 AMPS • 0 0-100 AMPS • 0 THERMOSTATS • 0 101-200 AMPS...: 0 ... 0
I201-600 AMPS • 0 101-200 AMPS..: 0 LOW VOLTAGE • 0 201-300 AMPS...: 0 ... 0 COVER.. DATE
601-1000 AMPS...: 0 201-400 AMPS..: 0 SWIMMING POOL..: 0 301-600 AMPS...: 0 ... 0
1 OVER 1000 AMPS..: 0 I 401-600 AMPS..: 0 I SIGNS • 0 i 601-800 AMPS...: 0 ... 0 FINAL.. DATE
INUM. OF CIRCIUTS: 0 , OVER 600 AMPS.: 0 TEMP.YARD MEOOLESTER LOOP• 0 801-10000 OVER 000AAMPS.: 0 ... 0 COMMENTS:
1 TOTAL PERMIT FEL _:.':0 OVER 600 VOLTS.: 0 }
I1 ; MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INF''a TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT t e,,,,,,,_ DATE AVqf---
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CD0193(Rev 4/97)
,— z- r `i 7
BUILDING DIVISION
anor' r-, 33530 Fust Way South
FI >) ir-<FrL Federal Way,WA 98003
uV FlY (253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # g 1 09 8 o yOS�
'-> Address �
7 a s
L-'
Tenant(if known) Lot# Assessor's Tax#
Building Owner's Nameoi.0 no ..d Address 35- 50 y pi_ / f
City FQ_.ar-y lr-(2 k)P-1 r� State fl Zip 645
-Z-'3 r Phone 7S.3--S.25j^J-T 3O
Nature of Work A �i2���t�" /k X 2-i re.:11-1'1- �^.Z��Y tC ,�/ TLXCC.t'
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igmmommmmmimivi-
Name (F,M,L)
Address
53C sc-,-) K 714 ST -
City Fell)e5 -A-- c,,...) State ,.-: Zip cif L'�-3
Contact Person j� L 4. Z lJ4 z;` Day Phone Sri �r--�,_07.3, Other Phone -,--, Fa.2 j 3�yi_ (r
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Buttulivti t)NTRACTCR ME<>>>imii
Company Name
ti < A
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
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ARCHITECT.... <<`>« <> <><< >.`:;>€> <
............................................................................................
Name /
~t`�
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
Existing Use
Proposed Use
g
Permit includes: ❑ Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: Nt.Residential El New [.Remodel ❑ Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability El Sewer Availability I On-Site Septic System Availability El Project Valuation $ '< I<' C
Zoning I Lot Size Existing Bldg Valuation $
...........................................................................................
Name Address
City State Zip
MECHANICAVZONTRACTOrtommom
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
Y... 00.41i- 64044161illinilliiiiiiiiiill
Contractor Name Address
Cisy State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes El No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
_....................................Lavatories Washing Washing Machine Drains Total Firth re Ctrunt
ONLY L $
EVALUATION ON U O
MECHANICAL
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Totattlilft Count
DIS CLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense of such claim),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 information supplied to the city as a part of this application
AC. }`"' Date: /zz,/?,e-
Owner/Agent:
Butt.DING.APP
REV6ED 8/28/91