01-100906 City of Federal Way
Community Development Services Electrical Permit #:01 - 100906 - 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: HOLLAWAY
Project Address: 33645 26TH SW Parcel Number: 255700 0950
Project Description: EL-Change service and install electrical for addition.
Owner Applicant Contractor
Michael N&Nichole M Hollaway NONE Michael N&Nichole M Hollaway
33645 26TH CT SW 33645 26TH CT SW
FEDERAL.WAY WA FEDERAL WAY WA
98023-7708 NONE
Electrical Fixtures
Description Quantity 'Y V a Description Quantity Description Quantity
Alt.Sery./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES September 3,2001,IF NO WORK IS STARTED.
Permit issued on March 7,2001
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 es and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: : 4:06,/,41,77 Date:�� it/r�l ...2GO/
- /`rf70 c--e_ /3 e i)e., -e.1 / 41/E--..CA)
jr1
lik
aTiVf RECEI
VE 'CONSTRUCTION PERMIT APPLICATION I
` uV i� L-- APPLICATION NUMBER: 0 I - I D d 9'6 - 6L
R ^'P n i APPLICATION NUMBER: -.#11 r Ur- t,;-....-,AL v iAY APPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type**
f Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
/ • I • PROPERTY INFORMATION -7
SITE ADDRESS: 3364/J 6Yh CST csJ ASSESSOR'S TAX/PARCEL #: 0,753- / V O - O4
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
r. • PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,LECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
- eevtce AIL
PROJECT DESCRIPTION(Provide detailed description): ge--60/ f"' (Cf1/J / � auy-/e7', /
/.'Gf/vf Ste/ Ithe5.
PROJECT NAME: O C.c-t'kJ/'q -
1 PEO, '_E I► °OR' ATION
PROPE NER: ill // DAYTIME PHONE:
/` ' ' 1 IIc 'Dh,^. MD /IOWA)/ (Z53)8lJ -6383-
MA G ADDR' ( .- ' ADORES'. ITY, TE,ZIP):
3 - ,y 6 .. sw ,4'/ ) z 4 �'S' 3
CONT OR: NAME: DAYTIME PHONE:
( ) -
MAILING AD SS(SIRE, .'DRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDE' AY BUSINESS U NSE NUM FAX NUMBER:
CONTRACTOR'S REGISTRA NUMBER: EXPIRATION DATE:
/ /
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADD ;C ATE,ZIP): EVENING PHONE:
( )
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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRO3ECT 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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC El 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 clai • -including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made b . •erson,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the r• ..nc• .f the city,including its officers and employees,upon the accuracy
of the information supplied to the citys a part of s -.plic. -*on.
NAME/TITLE: � e.eAf-fr7 DATE: D3 Z - /
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? El YES El 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