01-103597 • 2
City of Federal Way
Community Development Services Electrical Permit #:01 - 103597 - 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
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Project Name: BLOWERS
Project Address: 30406 2ND g /Wag' Parcel Number: 339190 0090
Project Description: ELE-Uprade electrical service to 200 amps
Owner Applicant Contractor
Laurence A&Aileen L Blowers RONCO ELECTRIC RONCO ELECTRIC
30406 2ND AVE S 18914 71ST AVE SE 18914 71ST AVE SE
FEDERAL WAY WA SNOHOMISH WA 98290 SNOHOMISH WA 98290
98003-4001 (206)498-2163
Electrical Fixtures
Description ,(Quantity Description (Quantity' ,.ag_.Description (Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES March 12,2002,IF NO WORK IS STARTED.
Permit issued on September 13,2001
I hereby certify that - ..• e information is correct and that the construction on the above described property and
the occupancy and use 11 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal ay
Owner or agent: / &VV. 1/4Ae_5�6/./{// Date: / 3 -0(
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ar.� G IVVFQ CONSTRUCTION PERMIT APPLICATION
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E� APPLICATION NUMBER: 0 1 - 1 q i -e L
uvF-IY
SFP 13 ?P! " APPLICATION NUMBER: - _ - _
Gi I Y i r r ,_;,Y; 1_vvAY APPLICATION NUMBER: — — — — — — — — - — —
**The following?Urequiredinfoiination-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
J- ■ PROPERTY INFORMATION
SITE ADDRESS:30 9% - S e ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.. ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
.ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): > _�a.,d2r7te....4_9.(2A.,us_cLe
a 0 �9 -� s
PROJECT NAME:
- ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME://t/�J��l/L /qf ) DAYTIME PHONE:
MAILIIiG ADD ( RE55; ATE,ZIP ��
CONTRACTOR: NAME: DAYTIME PHONE:
Z6wqg MMAIIUNGGADIçVLL
(u (ST/RREEET ADDRESS;
�CITY,STATE,ZIP): �y7 EVENING PHONE:
o,k c:T C i/t.€fr et.cri n bei A
CITY OF FEDERAL WAY BOSSIN DESS CENSE NUMBER: C/ 9 FAX NUMBER:
g's---,S7
5 S70L
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CONTRACTORS REGISTRATION NUMBER: J,�CoyC� �j� ,'] / ,, EXPIRATION DATE: /��7
(ropy of card required) 1 2O 4l C0 ` LQ `� 6. - - - / 0 /,zo / C C�-
APPLICANT: NAME: ? s DAYTIME PHONE:
o V cam? 4 ) Y9' -z 16's
" MAILING ADDRESS. • ADORES; ATE,ZIP): _, (A)4,(
'J /EVENING PHONE: _
1. RELATII •S IP O PROJE : F• NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Cl 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:❑ 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: $
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■ PROJECT 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 UNITS) 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: El ELECTRIC El 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)
• " -1111 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 daim(induding costs,expenses,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 where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy •
of the information supplied to the city as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
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11FOR OFFICE"USE:ONLY::E,°'i.
El NEW 1 .,_. ;❑ADDITION. .' ❑=ALTERATION =REPAIR'' .."❑ TENANT IMPROVEMENT
CENSUS'.CODE: LOT SIZE -
ZONING DESIGNATION :111ButtibitlosifEcooNtyvg.ilayts •
fl 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 .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129