01-101356 City of Federal Way
Community Development Services Electrical Permit #:01 - 101356 - 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: LEAHY
Project Address: 30430 12TH SW AVQ,gW Parcel Number: 515320 0445
Project Description: ELE-Upgrade 100-amp service to 200-amp service;install new circuit breaker box for existing single
familyl residence.
Owner Applicant Contractor
James Leahy James Leahy James Leahy
30430 12TH AVE SW 30430 12TH AVE SW 30430 12TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3424 98023-3424 (206)682-3400
Electrical Fixtures
Descri006'"p '''ry., ,!;''k C. I intiO Description~;',' ;.,,Quant ty ,W , r:!':;":,: Description 'Quantity
Service: -Residential 1
PERMIT EXPIRES October 2,2001,IF NO WORK IS STARTED.
Permit issued on April 5,2001
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: )a..41/. . R Date: s 'O J
712
en;OF _ RE ��VE� CONSTRUCTION PERMIT APPLICATION
uV R 0 5 2001 APPLICATION NUMBER: 0( - ( 7 ;3.S j - C -
APPLICATION NUMBER: -
CITYOF LD D ERAL DEPT.AY APPLICATION NUMBER: - -
**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.
P
• PROPERTY INFORMATION
/ ' - ' - - --. 3 d x{30 Ian S U/ ASSESSOR'S TAX/PARCEL# <V 32.0 - G/ /. .4.r----
LEGAL
4.r----LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTI I • IF LEN
.41,Vik
• PROJECT INI IRMATION
TYPE OF PROJECT(This application): El BUILDI eV PLU '. NG ❑ MECHANICA, DEMO ON
NGI RING❑ FIRE PREVE�NTI k SY
a
,u STA4 e ) . ;' J3 M15-0)( II
f
\ .
. AIL
1 PEOPLE L FORMATION
.' E: IFF ME PHONE:
MAILING AD- SS(SIRE,. DRESS;CITY STATIP):
a . _S`tei . i' t i qgD a3
CONT•i O' NAME: DAYTIME PHONE:
660 /fj. ( )
MAILING ADDRESS(STR ADDRESS;CITY,STATE, . : EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
— — — — — —
CONTRACTOR'S REGISTRATION BER: EXPIRATION DATE:
(copy of card requ / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STR DD ,CITY, E,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT:APROPERTY 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 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
i
FIRST
SECOND -
{
THIRD I
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
tI certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
her,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
stigationanddefenseofsuchclaim),whichmaybtemadebyanyperson,includingtheundersigned,andfiled againsttheCityoferalWay,butonlywheresuchclaimarisesoutoftherelianceofthecity,includingitsofficersandemployees,upontheaccuracy
he information supplied to the city as a part of this application.
*ME/TITLE: 9a..rveA IR — "% A DATE: 9 $ 0
0 PROPERTY OWNER CIr APPLICANT ❑ ONTRACTOR
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