01-102063 City of Federal Way
Community Development Services Electrical Permit #:01 - 102063 - 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: NYCE
Project Address: 917 S 294TH P1 Parcel Number: 515240 0120
Project Description: ELE-Rewire residence. Replace 200 amp 1 phase service panel with main breaker panel
Owner Applicant Contractor
John Nyce NONE J M CORP&SON
215 SHORELINE DR 12301 76TH AVE E
BERWYN PA PUYALLUP WA 98373
19312-2512 NONE (253)845-6745
Electrical Fixtures
' Description , Quant .Description ' IQuantityj ,Description , ,' r =[Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES November 20,2001,IF NO WORK IS STARTED.
Permit issued on May 24,2001
I hereby certify that the abov- '1 • . ',• is correct and that the construction on the above described property and
the occupancy and the use 1 be in accorda e with the laws,rules and regulations of the State of Washington and
the City of Federal
ii
Owner or agent: ) I1I I Date: t6r -- F /g7
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aTYOF EC F IV F D • CONSTRUCTION PERMIT APPLICATION
� Fit_ APPLICATION NUMBER: D L - L 01,1 5 - E
MAY 2 4 ?(ii I APPLICATION NUMBER: - -
Gil Y Urr o:ti_ vliHY
APPLICATION NUMBER: - -
**The folio �ill§isNequD ed information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
/�/✓� c / ■ PROPERTY INFORMATION
SITE ADDRESS: . [ ( .. 1 r Z 1 "/ gat.' ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
I ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide dettaailed descript�iioon): 4 011!1 - 'te?1 z ?"/.4"-e - %
PROJECT NAME: P - / -
z ! JP, I IN. 1RMA7 :ON
PROPERTY OWNER. 'ME. DAYTIME PHONE:
( )
MAILIN (DRESS •EET • 1.
CONTRACTOR: DAYTIME PHONE:
/� 6 I ,�,v ("75-7)/W- 7s/S-
AILING ADDRESS(STREET '• •CITY = E,ZIP) EVENING PHONE:
\ 761/z // tvt E• NA 3 (2) 44/ -/.Sift �
• FEDERAL W BUSINE FAX NUMBER:
0 L 7 l� eQ (7 ) rye-5 ?
CONTRA 'BR'S REGI,t•••TION NUMBER: EXPIRATION DATE:
(copy of card required) P4 IA S*-/4_0/117 e7 / 20* / 1z
APPLICANT: NAME: DAYTIME PHONE:
( )
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 I '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 0 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) WOODST_,, S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAfi
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 ch c ,which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only wh:r= such claim a • es out of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio- •.. -= o the ity as a p. • of this application.
NAME/TITLE: DATE: 4612--1/4"
❑ PROPERTY 0 ER ❑ APPLICANT ❑ 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? ❑ YES 0 NO _ CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129