01-101675 s
City of Federal Way "Electrical Permit#:01 - 101675 - 00 - EL
Co�nunity 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: BECK
Project Address: 31232 12TH o4'A ve S W Parcel Number: 416800 0050
Project Description: ELE-Install electrical for sunroom addition.
Owner Applicant Contractor
Betty Beck D K ELECTRIC D K ELECTRIC
PO BOX 25136 40920 300TH AVE SE 40920 300TH AVE SE
FEDERAL WAY WA 98093-2136 ENUMCLAW WA 98022 ENUMCLAW WA 98022
(360)825-8898
Electrical Fixtures
r perp( Ileo � �
Q +rr�latn _ Quantity on o " to Description =Quantity
Circuits-Residential . ;:;:: miryxz-
i4 •'•{ivtn•til::: r{0,-v->-tjti}{5{v:}L1}v:}ivl:vyii::i ti-.. .. 11:111-}::i:iv�si.?i:?:?{tiN::.-••'..-{•.•?iiLq;iirev
+RJi'e'Fi••?gii::'iCi?a`::`y:aviicYvviik
-vi ilii}r
4ititi:}r:{iii' .S-:ry: .J4 •iJ}':;:':N...F}%ti{'•.v.}}::
O PER : t.y�" ,
@ i f •' ,2001,IF NO WORK IS STARTED.
f{Arco��'�}}-.{ {i`- r'i. .'- ic:`: tt�,�,�.•:';ri:i1-< r->:: S�civ:iiicF:'$_:-':,k7`.'•.
>:: Civ •vv�-.5_.,,,.,�.�,�,..v :nv}•. 4•^;-n-. ..:j.}v _
:1:•}•..............::"••{•�'•,':•'n•}vivv�'•'r'.•'-i:v ..$... r-•.n:{•}?:ri•}:::i::�.}�:\1.11::1 r vv
.............
:::::::::::::
::v....... :::. vv} :....v................v..vvY....r•.^�• .•hiry.ti.. ,_ it {vQv':•. '•:••v?•j
•• 'vv
vi ` `;11:%v:::-�.�};c•;,c..,. : „xw}::t, ;;i%,a}}:r:.:�:Y;:iY?;:r ,.$5•''
I hereby certify that
t ::
i....'`...'...... iv t i >cot }: •...l} con
s ' ...w::....-.....v.�.J}%y:}a:{{ ed.i. i;
>
the occupancy andi#+ bein act dpce I i , u1es , < afti bf Sta " t
the Ci}) ofFeder� fi1' .. . di v :_, ri-7. uXi6:hxvwai n ..vx VOW=....•:} •::.:ti.:..-
:.:. ... ..
{i;}:•::::::::::::........:::::::: '{-}}:tL•%t:--.--1i•vv ...:{O:tt::::::t:.y:hixr:::.lit::}i: -.
Owner or agent:
1
3
RECEIVED
Ca•"f CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 0 L -uV i�� APR 2 � 20011.6 1 2_.c---EL-
APPLICATION NUMBER: -
CITY OF FEDERAL 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.
• ■ PROPERTY INFORMATION -
SITE ADDRESS: [Z 3 2 i 2- tb- /SE R'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ -
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERI F ION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Lr t P k
PROJECT NAME: ES itA,
■ P. 'PLe NFORF.'TION
PROPERTY OWN NAME: ` DAYTIME PHONE:
G K 053 )
MAIL' • DDRES '•EET D, S ;• ` STATE,ZI•
CONTRACT N• : [ ME PHONE:
`bK a/a vir t )g.0.5--` 8'n
•RING ADDRESS(STREET DRESS;CITY,STATE,ZIP): •' 0 . EVE - PHONE:
44,7 0 3 0,, ,4 v,/-- - k • ( )
- CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:— — — — — - — — FAX NUMBER:
)
TRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(co. card required) _ _ _ _ —
—
—
— / /
APPLICANT: NAME: DAYTIME PHONE:
.54 41 ,rs & 4 ri.Ic .r ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STA I 1 EVENING PHONE:
SAcK t, ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
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 CINO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES 1:1NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA CIPRIVATE(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) HEAT SOURCE: ❑ ELECTRIC LI GAS
DUCT(S) GAS PIPE OUTLET(S)
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 informationsupplied to the city as a part of this application. *7
NAME/TITLE:
/t/ e.f."4"l c r DATE: 21/9/ 7( D
(
❑ PROPERTY OWNER Cl APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES El NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES Cl NO CHANGE OF USE? ❑ YES Cl NO
COMMI INrTY DFVFI-OPMENT SERVICES•33530 FIRST WAY SOUTH-P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX'2S3-661-4129