01-102471 City of Federal Ways '
Community Development Services Electrical Permit #:01 - 102471 - 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: WITTMAN
Project Address: 158 S 297TH P 1 Parcel Number: 776420 0060
Project Description: ELE-Replace 125 amp service w/200 amp.
Owner Applicant Contractor
DANIEL WITTMAN NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
30413 2ND AVE SW 10224 29TH ST EAST 10224 29TH ST EAST
FEDERAL WAY WA 98023 EDGEWOOD,WA EDGEWOOD,WA
98372 (253)445-7029
Electrical Fixtures
_ De cription
CIAtitY1 Quantity] r Description :r Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES December 17,2001,IF NO WORK IS STARTED.
Permit issued on June 20,2001
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 W y.
Owner or agent: �Gc�l — c�`u'L Date: 6- 026-0 I
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R IVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 0 L - I / ' - et„
(1 APPLICATION NUMBER: -
APPLICATION NUMBER: - -
L WAY
**The folio i F
ggam rmation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION -
,;, - ` _ -- .... - - : SESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
❑ BU._DING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ENGINEERING❑ FIRE PREVENTION SYSTEM
41pOJECT DESCRIPTION(Provide detailed description): 52✓'v ca CLw,1 c
- h.. ' S 10i
$ ()ACT NAME:
a PEOPLE INFORMATION
/ : 1. ..,
,r, 'OPERTY OWNER:"AME: DAYTIME PHONE:
`' 0...., .
MAILING �L. �v� (2C) 3q.I - 02 3/
�'' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
t �o K! 3 , ..01S v.�
( �
)NTRACTOR' NAME .,- , i,t .*DAYTIMEPHONE:
i\(6/ --LisieSk- 6Le-C- t, f Sav CC. (l (2�3 ) c/�!� )02�
YMAt1.iNG ADDRESS(STREET ADDRESS;CITY,STAIZIP): NING PHONE:
``-�` CITY OF FAL WAY BUSINESS LICENSE NUNlR: V1 ��C ��
- FAX NUMB -
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CONTRACTOR'S REGISTRATION NUMBER: ll �/ e� EXPIRATION DATE:
'` Y (copy of card required) I`( U /� 1L Gr S kZ / Z / FCXS-3
'` LICANT• NAME: DAYTIME PHONE:
( )
;Y
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
' RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
-;.._{;_y E-MAIL ADDRESS: -
uODNTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT la 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: El LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
NO PRO]ECT 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
rther,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
her agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
estigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
eral Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
he information supplied to th ity as a pa is ap ication.
e�a. E/TITLE: /to �^CJd /G — DATE: 1' 'd 1
f*ROPERTY OWNS ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El 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? ❑ YES ❑ NO
CfMMI INTTY nFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX 753-661-4129