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01-103320 City of Federal Way Community Development Services Electrical Permit #:01 - 103320 - 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: HILL Project Address: 512 SW 303RD P L Parcel Number: 039580 0100 Project Description: ELE-Change out 125 amp panel. Replace with same. Owner Applicant Contractor Phyllis G Hill NONE L&D ELECTRIC 512 SW 303RD PL 14811 16TH AVE CT S FEDERAL WAY WA SPANAWAY WA 98387 98023-3936 NONE (253)208-6582 Electrical Fixtures Description Quantity Description Quantity Description !Quantity Alt.Serv./Feeder:0 to 200 amps-Res. 1 0 PERMIT EXPIRES February 18,2002,IF NO WORK IS STARTED. Permit issued on August 22,2001 I hereby certify that the abo e inf9rmation'. correct .nd that the construction on the above described property and the occupancy and the-use w 11,. e in acco/ance w r the laws,rules and regulations of the State of Washington and the City of Federaly. Owner or agent?--- te, Date: 2 2 -0 c"f • CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: © I - APPLICATION NUMBER: - - APPLICATION NUMBER: -**The folldblip i2r, u)4,Information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. L WAY Z PROPERTY INFORMATION SITE ADDRESS: 5 / ' St , jO3 / ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): = ■ PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECH )fCAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERINGU FIRE P• ENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): zI ,4i 4- ,4 $P PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: ODAYTIME PHONE: MAILING ESS(STREET 5;CITY,STATE,ZIP): lGf512 S", 0 CONTRACTOR' NAME: DAYTIME PHONE: MAIIUNNGG ADDRESS(STREET ADDRESS'CITY,STATE,ZIP):-�y�� EVENING PHONE: ( j )5 -00c6 CITY OF FEDERAL WAY BUSNESS LICENSE NUMBER: et3- LO� S - �L (ASC . .s3-j CONTRACTOR'S REGISTRATION NUMBER: �,v�/j� � (� EXPIRATION DATE: (copy of card required) V " —v . `r M E 2l e3 / Z 3 APPLICANT: NAME: ^ DAYTIME PHONE: \c) ,) PA-- J MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZI EVEN PJllpt ,ta(_, RELATIONSHIP TO PROJECT: �,�,,"" FAX MBER: ❑ ARCHITECT 0 TENANT OTHER(DESCRIBE): ANA(/ ( ) - E-MAIL ADDRESS: V CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR Z Qt(-170 e rrw ■ 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 0 HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT 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 pa f this application. NAME/TITLE: — DATE: Ne/...2--//r/ ❑ PROPERTY OWNER El APPLICANT ❑ ONTRACTOR 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? 0 YES 0 NO