01-103715 City of Federal Way Electrical Permit #:01 - 103715 - 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: SWEEM
Project Address: 1061 S 317TH St Parcel Number: 358400 0360
Project Description: ELE-Rewire approx 60% of house to repair fire damage.Includes two temporary outlets off existing
service.Existing 100 amp service.
Owner Applicant Contractor
Ralph Adkisson BOLEY ELECTRIC INC BOLEY ELECTRIC INC
1061 S 317TH ST 20002 BIRCHWAY 20002 BIRCHWAY
FEDERAL WAY WA LYNNWOOD WA 98036 LYNNWOOD WA 98036
98003-5360 (206)920-2072
Electrical Fixtures
!,W1 Description QuantityDescription Quantity �' Description Quantity
Circuits-Residential 10
PERMIT EXPIRES March 23,2002,IF NO WORK IS STARTED.
Permit issued on September 24,2001
• 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 Federal Way.
Ow9'�2
ner or agent: / � �/ / Date: G r
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/ fo�cy C
•
G�0 'eV `'c/74— 6-
CONSTRUCTION PERMIT APPLICATION
VV FlY " - APPLICATION NUMBER: 0 I la' " 55-- tC,
APPLICATION NUMBER: _ 7.. _
SFr 2 L, ';')P1APPLICATION NUMBER: _ _ :_==� . -' - -
**The following is required information—Please print(in ink)or type**
L.i Y t + r tivriY
Please note: Electrical,Fire ItereWt isi Bfcittms and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: OC/ ,7/ 31/ 4.4 5-1" ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
C1RICAL •❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ocr !O # e L✓1 y , dike QLD 1`I t✓'.e:
�OV ztivit p .044cb
PROJECT NAME: .51t/erew/PW L/
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
L'"1 -,'L" , *(/Ve 2 ( )
MAD,ING ADDRESS(STREET ADDRESS;CITY STATE,ZIP): /
1C / S J/7'`1 of e d erar ,/ p yid
CONTRACTOR: NAME: DAYTIMEPHONE:
Fe,4 l cG ��.�G . (306 ),
r I/• ADDRESS;CTIY,STATE, EVENING zo -zo7z
MAILING AADDRESS y'/� 7 Y J /J
all, FEDERAL BUSINESS TIC NUMBER: r he G�3 W . Yy'11 ( f "
FAX NUMBER:
CONTRACRS REGISTRATION NUMBER: EXPIRATION DATE:
(copy ofcard off. � 6 /O / GZ ZeOZ-
APPLICANT: NAME: DAYTIME PHONE:
kI h 'CD T KG/ D/e (ZdG) 92.0 -z7z
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
RELATIONSHIP TO PROD FAX NUMBER:,�.1'AA
CI ARCHITECT CI 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:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
r
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER......
F BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR _ EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL -
BASEMENT.
FIRST
SECOND
THIRD
-FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
I FIXTURES -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FANS) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.(_� )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINALS) WATER HEATERS)
DISHWASHERS) RAIN WATER SYS. _ VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) - SINK(S) _ WATER CLOSETS) MISC.( )
INTERCEPTORS) SUMPS)
I 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
flurti�er,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 daim(induding costs,expensac,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only wheresuch daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
Par the information supplied to the a part of this application. �j— f
NAME/TITLE: ,-
�.. ,pl'e't L,47 DATE: _ / L6 vD/
❑ PROPERTY OWNER ❑ APPLICA /�CONTRACTOR
FOROFFICE USE ONLY
NE11V � ❑ADDITION ;i ❑ ALTERATION REPAIR --u TENANT IMPROVEMENT
CENSUS CODEC;_ ¢- _ : 'LOTSIZE : « ..._ .. h .fl. ..._.,. _...
ZONING DESIGNATION BUILDING SHELL ONLY? ❑YES 0 NO
OMP L"AN,DESIGNATiON F BASIC PLAN? ( S Q NO ,_
FSECTION 4 TOWNSHIP _.-RANGE _: NEW ADDRESS REQUIRED �'YES, F❑ NO, ;
PLATTED LOT? _ ❑YES L7 NO CHANGE OF,USE? ❑YES L� NO
QOMMUNIIY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063 9718•253-661 4000••FAX:253-6614129