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01-103543 City of Federal Way Community Development Services Electrical Permit #:01 - 103543 - 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: RAY Project Address: 821 S 310TH P1 Parcel Number: 081850 0070 Project Description: ELE-Relocate 125-amp panel for bath and laundry rewiring. Add/relocate up to(4)circuits. Owner Applicant Contractor June L Ray AT HOME REPAIR AND REWIRE AT HOME REPAIR AND REWIRE 819 S 310TH PL 12813 SE 202ND PL 12813 SE 202ND PL FEDERAL WAY WA KENT WA 98031 KENT WA 98031 98003-9008 (253)332-6161 Electrical Fixtures Description , mPuantity Description Quantity °'1Description (Quantity Alt.Serv./Feeder:0 to 200 amps-Mul 1 PERMIT EXPIRES March 10,2002,IF NO WORK IS STARTED. Permit issued on September 11,2001 I hereby certify that'the abov- information is •• - t and that the construction on the above described property and the occupancy and the use will'.e .ccor i ance wit the laws,rules and regulations of the State of Washington and the City of Fed al W. •. Owner or age t: Al 1 Date: / `"/ i —0 - /7- '/ © 1( v,,,-/.-. / -#- ( ,1 ----- -. A . CONSTRUCTION PERMIT APPLICATION F� APPLICATION NUMBER: 0 L -1 vv 4P 1 1 ,.r1 - - F� APPLICATION NUMBER: _ - Glt gUILDIIdG DEPT. APPLICATION NUMBER: **The 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 c T SITE ADDRESS: Qz So ` 0 (\ Pc ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PRO3ECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION tLECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM tt PROJECT DESCRIPTION(Provide detailed description): '&11 /Li (sVbaf., itil r_ rimae (-2,s-iv -()AJL. PROJECT NAME: • PEOPLE'INFORMATION PROPERTY OWNER: NAME: J YI ,r 1E DAYTIME PHONE: MAILING ADQ ESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: N E: DAYTIM PHONE: `) (Z )332 - /rte/(..( MAILING ADDRESS STREET ADORES •CITY, TE, IP): EVENING PHONE: -�� � -z ( z.� (2(3 ) VSZ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: tryl MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ 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 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 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 0 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 authoriz-. by the owner of the above premises to perform the work for which the permit application is made• I further agree to hold - •rmless .-e City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the Investigation and .-fense of such aim),whi - - be made by any person,induding the undersigned,and filed against the City of Federal Way,but •my -re such •aim • • ou ef the reliance of the city,induding its officers and employees,upon the accuracy of the informati'n supp . to the part •f this application. NAME/TITLE: PM Ai d _ DATE: •�/f— °'/ ❑ PROPERTY WNER ❑ CANT CO RACTOR %bo FOROFFICE:USE•:ONLY 1 '0 NEW 0 ADDITION ❑ ALTERATION i ❑;REPAIR' TENANT IMPROVEMENT CENSUS CODE::' LOT SUE: ZONING DESIGNATION _ ! BUILDING'SHELL ONLY? a_❑ YES ❑ NO COMP PLAN DIGNATIO , ❑YES LiNO' xSECTION ;ES ,TOWNSHN IP RANGE NEW ADDRESS R_EQUIRED? ❑'YES ❑_NO ;PLATTED LOP= ❑YES ❑ NO CHANGE OF.USE?. ❑ YES 0 NO . COMMUNITY DEVELOPMENT SERVICES•33530 FIRSt WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129