01-101106 1
City'of Federal Way
Comnituiity Development Services electrical Permit #:01 - 101106 - 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: QWEST
Project Address: of 0 A'cjicke45 Parcel Number: 142103 9010
Project Description: ELE-Replace existing 100 amp service pedestal and make connections to new DSL cabinet. South and
west of the intersection of Hoyt Rd SW and SW 325th St.
Owner Applicant Contractor
Phillip&Suzanne Murray QWEST KEN BOBKO ELEC CO INC
32604 45TH CT SW 1005 17TH ST ROOM 1570 PO 7009
FEDERAL WAY WA DENVER CO 80202 TACOMA WA 98407
98023-1902 (253)756-0944
Electrical Fixtures
Description Quantity Description Quantity Description 'Quantity
Alt.Serv./Feeder up to 200 amps-Co' I
PERMIT EXPIRES September 18,2001,IF NO WORK IS STARTED.
P- 't issued on March 22,2001
I hereby certify that the above information is .rrect and d at the construction on the above described property and
the occupancy and the use will be in ace.. dance w' e laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: Date:
c9-t �1�-�?
a..., ED ErZFIi—
CONSTRUCTION PERMIT APPLICATION
VV FAY MAR 2 2 2111,v APPLICATION
NUMBER: Q ] - L C7 I L Q - EL
APPLICATION NUMBER: - -
i;l 11 Cr EE E( AL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
G ■ PROPERTY INFORMATION •
SITE ADDRESS: 32 511 HO'T g.1) ✓kik-) ASSESSOR'S TAX/PARCEL #: J Z Z / dJ - q I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
XELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
AiN) VAN:c Co ,'J 0.\..i -� T T_C ., ...\.).) '.S L
( T A) T i
PROJECT NAME: 6,.
■ , ' PLE- ''FORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
J`
1 MAILING ADP-' SS( ET AD - , '11 STA -.ZIP):
1 v 1 ` - 'M \S 1 IF. \-) Se...0* O 20
CONTRACTOR: NA - DAYTIME PHONE:
kE -, G.\ 6 • g57)1 S -6.944
G ADDR .(STREET ADD --.;CITY,STATE, EVENING PHONE:
-r' o -TA,f k' ,0 '
ciS � '- Cr)irl ( )
CITY 0 D L WAY BUSINESS LICENSE NU FAX NUMBER:
- - ('r-53 ) 7r -S4ZeD
CONTRACT •REGISTRATION NUMBER. 1_�/' ���,/ .,Q EXPIRATION DATE: 7
(copy of card red) — •• -:6_v C�t1J �/ C) 1 /�>1 /7-00'Z
1
APPLICANT: NAME: (/ij 3 � c � DAYTIME PHONE: -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS: V
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:❑ 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: $
• . ■ 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: -
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
further,that I am authorized by the owner o th ••ove pr es to perform the work for which the permit application is made. I
further agree to hold harmless the City o •• al Wa . any claim (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claay,., hich m- /e made by any person,including the undersigned,and filed against the City of
Federal Way,bu only where suc Im aris- '��the reliance of the city,including its officers and employees,upon the accuracy
of the information s •- •-d t`ityt'of this application. 2 —D
NAME/TITLE: /i/I/��` DATE: L
❑ PROPERTY • NER ��•• • `T CONT• - •R
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 ❑ 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