01-102303 City of Federal Way
Community Development Services Electrical Permit #:01 - 102303 - 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: PERSSON
Project Address: 2311 SW 342ND 5t Parcel Number: 330630 0560
Project Description: ELE-Installation of new 200 amp service,installation of 40 amp 220 v stove outlet
Owner Applicant Contractor
Gregory N&Lisa A Persson NONE COHO ELECTRICAL CONTR INC
2311 SW 342ND ST 19302 115TH CT E
FEDERAL WAY WA SUMNER WA 98390
98023-7741 NONE (253)891-5407
Electrical Fixtures
Description . Quantity ,, i Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES December 5,2001,IF NO WORK IS STARTED.
Permit issued on June 8,2001
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. �
a� /_ ,: -4„//,(;;---- /?../
Owner or agent: / �/--<:_._ Date:
4(//7/ ‘. /2 -e 7 /iZ),si-9<---- ...•, e<
L/x 7SU '7 3-0/
‘/.1. -2A f. ..,_ -e,c,lc/6C /7,,-JAt-c_ ---X4e)
Y
CONSTRUCTION PERMIT APPLICATION
$j -' -Fry RESUBMITTED APPLICATION NUMBER: , -,f_Q 9�.�O 3 - l_
APPLICATION NUMBER: - -
JUN 0 8 2001 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
SITE ADDRESS: 2443s/ '4) 3 "?"p ,S/ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,6siier.,;74, 461,16-
v
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): El BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
❑ .ELECTRICAL l ENGINEERING FIRE PREVENTION SYSTEM
4
PROJECT DESCRIPTION(Provide detailed description):
/7 f.i r i 1c' i.C/�.o..cJ 7't "O/ '� ,UJ CIE'
d
PROJECT NAME:
k 'PEOPLE INFORM;TION
PROPtIRTY OWNER: NAME: DAME PHONE:� S(S
MAILING ADDRESS(STREET ADDRESS;CITY, ,P):
ic? ) i gl-,32
3// s4) X1,2 � r�, ���� �/(/, i.y- ,8 23
CONTRACTOR: NOE: 5. ` DAYTIME PHONE:
."-‘)//7 7-----26-c?vz/c.r, a,
)2. / -5-"k&'9
'M/M))AILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): /�� EVENING PHONE.
'CifYO7FED 2r, AY/1/_ -"C-7.----
/�Cr 5 �` .�/,s en i.,6 WC (AX NUMBER: 1776
e)BV,C. SI
er"
ONT REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) - / /
APPLICANT: NAME: s DAYTIME PHONE:
cV
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: t PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
1 SEWER SERVICE PROVIDER: ❑ 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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) El 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
'frther,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 supplie• o he city as a part of this application.
NAME/TITLE: /-41111111111111111111% if/r.- DATE:Ow—
PROPERTY OWNER ❑ APPLICANT kkeilTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? El YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
C(MMI inirry nFVFi OPMFNT SFRV1CFS•31930 F1R6T WAY Col ITN.P n BOX 9718•FFDFRAI_WAY.WA 98063-9718-293-661-4000•FAX•?c3-F.F,1-4179