01-102913 City of Federal Way
Community Development Services ' Electrical Permit #:01 - 102913 - 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: MAHLER
Project Address: 33353 20TH S ,41e- 5 Parcel Number: 797820 0102
Project Description: ELE-Changeout 125 amp panel from FPE to sq "d" in existing single family residence.
Owner Applicant Contractor
George D Mahler L&D ELECTRIC L&D ELECTRIC
33353 20TH AVE S 14811 16TH AVE CT S 14811 16TH AVE CT S
AUBURN WA SPANAWAY WA 98387 SPANAWAY WA 98387
98003-6838 (253)208-6582
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES January 21,2002,IF NO WORK IS STARTED.
Permit issued on July 25,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - wil se in a •. ,a,ce with the laws,rules and regulations of the State of Washington and
the City of Federal
Owner or agent: �'� 1' J� Date: / 2 S
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�•°r CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: DI - /O Z gi/ 3 -00-.62._
JUL 2M ,�L ItBAPPLICATION NUMBER: - -
pyy APPLICATION NUMBER: - -
**The following is rd information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION
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SITE ADDRESS: 33353 Z-40 `" Ade 5 . ASSESSOR'S TAX/PARCEL #:7 �Q(,(/ - Q ae
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
." ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBIN • MECHAN , ❑ DEMOLITION
X ELECTRICAL ❑ E NEE r ■ FIRE PREVE 4 ION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): a moi,/ / /41-, : -#471/4,e.- A-i1441
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PROJECT NAME: ✓ - - :Y
NII PE(. `LE INFk. 1MATION
PROPERTY OW NAME: �'N- 1L TIME PHONE
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MAILIN DDRESSr' ( ADS rfY, a- P): 4/� ^^////
CONT' . - N DAYTIME PHONE:
-i AILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ' ''a t;. EVENING PHONE:
5• //Cid ,.-.i.
"'s) 3J/ O Loo
IiY OF FEDERAL WAY BUSINESS UCENS ,' BE' ' — 'i — - — — — — FAX NUMBER: �- ��i'474s; - (2553) 3
CO OR'S REGISTRATION N R: x ,� .... EXPIRATION DATE:
(copy of card required) L '1C� i. „ * )5 iil E. V/J 2. /0, / O 3
APPLICANT: NAME: .c.'R "l: DAYTIME PHONE:
40-3.1.. 7,4-11/ 5 ( ) .sftm 4-
MAILING ADDRESS(STREET
ETT ADDRESS;CITY,STATE,ZIP): j/ D EVENING P"\/HONE:
RELATIONSHIP TO PROJECT: "" FAX NUMBER:
5
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): A b 61.1 /44.J ( ) 5444, t,,,.
E-MAILADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER XAPPLICANT ❑ CONTRACTOR ,Z5/11z.,-z...0 ( 4c t-J
■ DETAILED BUILDING INFORMATION
EXISTING USE: 147'V 10-)TI 4-L, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 5 Ia-144 PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ 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
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 ❑ 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. ( )
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 claim(including costs,expenses,and attorneys'fees incurred in the
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 art of this application. y� �y (
NAME/TITLE: DATE: //y/
❑ PROPERTY OWNER ❑ APPLICANT 9CCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
crwry INrTY nFvFi C1PMFr7T SFRVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX 253-661-4129