01-103120 City of Federal Way
Community Development Services Electrical Permit #:01 - 103120 - 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: MERGEL
Project Address: 206 SW 366TH S ' Parcel Number: 113960 0280
Project Description: ELE-Residential remodel-expand kitchen and family room. Two circuits.
Owner Applicant Contractor
Gerald D&Sheryl L Mergel ALL COUNTY ELECTRIC SERVICE ALL COUNTY ELECTRIC SERVICE
206 SW 366TH ST 1260 LAFROMBOISE ST 1260 LAFROMBOISE ST
FEDERAL WAY WA ENUMCLAW WA 98022 ENUMCLAW WA 98022
98023-7374 (360)802-2951
Electrical Fixtures
Description !Quantity Description Quantity Description ,Quantity
Circuits-Residential 2
PERMIT EXPIRES February 5,2002,IF NO WORK IS STARTED.
Permit issued on August 9,2001
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 I•ederal Way.
Owner or agent: Date: 0 p
9 0
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C.."f k- s CONSTRUC1 ION PERMIT APPLICATION
FI- .1"Kf l__ a -- APPLICATION NUMBER: U 1 - L 2 L 2Q - L
AUG O1" 200' APPLICATION NUMBER: - -
�� , ,� APPLICATION NUMBER: - -
**The followin4i ll[Ogya l�f�lotion-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: - ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:y.:..-- .■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE/PREVENTION SYSTEM
PROJECT DESCRIPTION (Provid etailed description): g.,S. a,_-€.1,A,fac, U ILr_2/"'(,Ca l9.-+ E7'/2Qti c
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PROJECT NAME: 5 Id's e , P - GC.-
- - ■ PEOPLE INFORMATION
PR RTY OWNER: NAME SDAYTIME PHONE:
L �L (ZS-3 kKk -G317-
MAILING ADDRESS( EET ADUE ;1` ,ZIP)-
2OLL S. . 3(_��e. E-k-C( Gda
CONTRACTOR: NAME:
�$ C C I DAYTIME PHONE:
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MAILING ADDRE (STRE DDRESS; ATE,ZIP): EVENING PHONE:
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s-v� , E----1404^(7 c,Csiw r,'4 `�l o —( ) 5.79
CITY OF FEDERAL WAY BU INESS LIC E NUMBER: I FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUMBER: /� d cb J �7 EXPIRATION DATE: /
(copy of card required)
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APPLICANT: NAME: a DAYUME PHOXIO
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MAILING A D (STRE ADDRESS;Clp,STATE,ZIP): r C� EVENING PHONE: +
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RELATIONSHIP TO PROJECT: �ff I,,_, FAX NUMBER:
❑ ARCHITECT ❑ TENANT (OTHER(DESCRIBE): /t AL-We(Ai ( ) -(e
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT tiQCONTRACTOR
- - ■ DETAILED BUILDING INFORMATION ---
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR07ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
-.III'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) r`
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ t
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, my where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information upplied to e city as a part of this hplication.
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NAME/TITLE: Qt' 6 (SS 0/01- Cilopdr ei- DATE: e(9/0/
❑ PROPERTY OWNER ❑ APPLICANTC NTRACTOR
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 0 NO