01-103292 City of Federal Way Electrical Permit #:01 - 103292 - 00 - EL
Community Development Services
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: HOLMQUIST
Project Address: 32229 24TH 3214 Avg 'j W Parcel Number: 873180 0210
Project Description: ELE-Upgrading to 200 amp panel
Owner Applicant Contractor
John R Holmquist WASHINGTON ELECTRIC GROUP WASHINGTON ELECTRIC GROUP
32229 24TH AVE SW 12930 NE 178TH ST 12930 NE 178TH ST
FEDERAL WAY WA WOODINVILLE WA 98072 WOODINVILLE WA 98072
98023-2506 (206)835-1515
Electrical Fixtures
I Description - T4iQuantity °3 Description Quantity' , Description ,Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES February 16,2002,IF NO WORK IS STARTED.
Permit issued on August 20,2001
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 accord ce with the laws,rules and regulations of the State of Washington and
the City of Federal Wa . `
Owner or agent: Date: 8/00/0/
��`/ /
7/2t
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection:
Date
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: Of - L Q 3 a q. 2- - ("V
0 7r1 -97 APPLICATION NUMBER: - -
APPLICATION NUMBER: -
CIiY OF 1"i=L,i1A k
BUILDING DEPT.IUe following is required information–Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION -
SITE ADDRESS: $222 25ft ✓ ASSESSOR'S TAX/PARCEL#:
I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
rt. • PROTECT INFORMATION .
■
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
I ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): f Ctf 6-44149- 2-00 /trio
PROJECT NAME: HO l I Y l7
L('
- Ill ■ PEOPLE INFORMATION
PROPERTY OWNER: A /' DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
222`j 211( s' -
CONTRACTOR: 'ti NAME: DAYTIME PHONE:
W 011Y,-7 Ec1;4 c. r ( ) &35- -/5 --
MAILING AAO S(STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
20e/4 (rl Tte.4) 'Cif-AOC SO Ltib- l aGp/� ( )
CITY OF FEDERAL WAY BUSINESS LI SE NUMBER: FAX NUMBER:
3 CO�o - (2.0 ) 835— - (5-20
CONTRACTOR'S NUMBER: co ,[/ EXPIRATION DATE:
(copy of card required) co 54 04-032,09 7 / 24> /CI
APPLICANT: NAME: - DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT Cl TENANT ❑ 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? ❑ 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: $ 1411101r-
- ' ■ PRO]ECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND I,
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 informatio upplied to the city as a part of this application.
NAME/TITLE: �L7r---- 111n DATE:
a(00/a)
❑ PROPERTY OWNER ❑ APPLICANT Xi CONTRACTOR
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? 0 YES 0 NO CHANGE OF USE? ❑ YES 0 NO