01-101194 c.
City of Federal Way Electrical Permit #:01 - 101194 - 00 - EL
Cattmmnity 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: DHAMI
Project Address: 35820 15TH SRV A 4Z 5`,^) Parcel Number: 713780 0110
Project Description: ELE-Replace electrical panel in exisiting single family residence
Owner Applicant Contractor
MAJOR DHAMI MAJOR DHAMI OWNER IS CONTRACTOR
3924 SW 332ND PL 3924 SW 332ND PL
FEDERAL WAY WA FEDERAL WAY WA 9'
98023
Electrical Fixtures
Description Description Quantity Description Quantity
Service: -Residential 1
PERMIT EXPIRES September 24,2001,IF NO WORK IS STARTED.
Permit issued on March 28,2001
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.
Owner or agent: 'D jj Date:rfj
y 12F1ci �
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O CONSTRUCTION PERMIT APPLICATION
\)\> FEY APPLICATION NUMBER: ( ( ((L' U(.�4 j
Z00 APPLICATION NUMBER: -
Olik a la'')`p j et'c APPLICATION NUMBER:
**The followin isyr it pleiMlormation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 3582-V 15 TIA ) ve_ 0 c.,..) ASSESSOR'S TAX/PARCEL #: 7
LEGAL DESCRIPTION OF SUBJECT PROPE•TY(ATTACH SEPAR, II ESCRIPTION IF LENGTHY):
No AL 0 n 1 MN"
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
CSZ ELECTRICAL ❑ ENGINEERING❑ FI PREV '(�M
PROJECT DESCRIPTION(Provide detailed description): C. % `ki , I Q , . Q
i i
PROJECT ; . iP a itil 4
UK
IMMIIIIL
■ EOPLE 1 FORMP TON
PROPERTY i NER: 'E: DAYTIME PHONE:
INN 02 11 J (zc 63C - O(7
MAILING ADDRE , •EET ADD' S;C ZIP): (fi. — — 17
p 41 2 i Z IND .?(-. s>= - L-Sr.). G Et 2-S3.36-o7/7)
CONTRACTOR: NAME: DAYTIME PHONE:
�� V w 3-; w ( ) -
MAILING ADDRESS(STREET AO S;CrrY,STA ): EVENING PHONE:
( ) ICITYOFFEDELWA SINNBER: (9_ _
C
REGISi EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
<- ,/e--)re -- ( )
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: CI PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: • _'14,1211.2...9—
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ \\ig.' 0-60 --
PROPOSED USE: p�� cJL�IN��`� PROPOSED VALUATION FOR IMPROVEMENTS: $ N(TN-q_1
SPRINKLERED BUILDING? ❑ YES Ef NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ,i LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ 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 C 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 only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: j(/✓ CL� .t DATE: 01/43) Z 1 b
❑ PROPERTY OWNER CI APPLICANT ❑ CONTRACTOR 111
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