01-101120 City ofFederalWay Electrical Permit #:01 - 101120 — 00 — EL
Cotrnnunity Development Services
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: WELLS
Project Address: 2719 SW 322ND 5t Parcel Number: 873190 0200
Project Description: E E-Alteration cif(1)circuit for remode in existing single family residence nv. ?J'/Zb/O1
i h eaut1f Gl'rrz,ui f-• f f TS•
Owner Applicant Contractor
DARRELL&SUE WELLS DARRELL&SUE WELLS DARRELL&SUE WELLS
2719 SW 322ND ST 2719 SW 322ND ST 2719 SW 322ND ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2211 98023-2211
Electrical Fixtures
Description Quantity Description 'Quantity Description Quantity
Circuits-Residential Y' 9
PERMIT EXPIRES September 19,2001,IF NO WORK IS STARTED.
Permit issued on March 23,2001
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 Wa .
Owner or agent: ��,�?�4 �.1�" Date: 3— c 23
3-- .27- c'/ 4‘4 S fi �+il i r l�nr/frr �r7`�i �.• . z
3-21 ' /
•
RECEIVED
cn• f CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: vC - ( v / / aci - �v -
�ErzRL MAR 3
APPLICATION NUMBER: -
• c;►i'i LA—% DEPT.iNY APPLICATION NUMBER: -
BUtLDINQ
**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.
C � ■ PROPERTY INFORMATION
SITE ADDRESS: 27 ("1 5+U' 39-g S l ASSESSOR'S TAX/PARCEL#: '7 3 I g 0 - 0 .2- O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. . ■ PROJECT INFORM•TIO"
TYPE OF PROJECT(This application): CIBUILDING CIP MBIN i ' I• CHA • ❑ DEMOLITION
0 ELECTRIC• ❑ E NEE• e I IRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des • -t 4 vg4 577,06 42 14" Bg7p/470111
&OW)PL
•
PROJECT E: wa-•
PEC +LE 'NFORMAT ON
PROPERTY NAME: DAYTIME PHONE:
TAW, w ' ' (AO )63K - /34L
MAILING ADDRESS(STREET ADDRESS; ,STA IP):
30D349 023 .6 2Ae4t 0/91/ /449 9%Oz3 Z3b
CONTRACTOR: NAME: DAYTIME PHONE:
GGs, )
MAILING ADDRESS(STRE 'DRESS; ATE,ZIP): EEVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FFAX NUMBER:
— — \ )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
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 Cl 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 ❑ 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: LI 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 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 onl where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio plied
�tooj�the
�,ciiit assajpart of this application.
ii
NAME/TITLE: r A4�t�'/�/ PP(// DATE: 3 .13'f/n
P
ROPERTY OWNER Cl 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 ❑ 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