01-100989 City of Federal Way . Electrical Permit #:01 - 100989 - 00 - EL
Conm�unity 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: TUGBY
Project Address: 31343 13TH Z Ayes Parcel Number: 787520 0285
Project Description: EL-Replace existing service panel with a 200-amp panel.
Owner Applicant Contractor
Nigel S Tugby Nigel S Tugby Nigel S Tugby
18415 44TH AVE S 18415 44TH AVE S 18415 44TH AVE S
SEATTLE WA SEATTLE WA SEATTLE WA
98188-4535 98188-4535
Electrical Fixtures
Descriptipn. _Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
/r.
f
PERMIT EXPIRES September 9,2001,IF NO WORK IS STARTED.
Permit issued on March 13,2001
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. I
Owner or agent: / ' eDate: 3 — /3— a 1
7-23- -j cr-7/0'7/ V 11 /a/6P"3y -7.---
�.o G CONSTRUCTION PERMIT APPLICATION
VV FAY - Pf' ' APPLICATION NUMBER: )L - tooqF EL
iI BUIt.DiNU�DEPT.iAY APPLICATION NUMBER: -
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.-
■ PROPERTY INFORMATION
16-6i%L1y WA-`1
SITE ADDRESS: 3/3 if3 ,d_ LVA- ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFOP'. :17—NN
TYPE OF PROJECT(This application): ❑ BUILDING PLU G ❑ ECHANICAL ❑ DEMOLITION
i ELECTR L ■ NGIN• •ING❑ RE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des i. : aGC • 77^✓c Si VacF ntiv6L
W 1 'ri 1 A )--Oo �
PROJECT NAME: (L. ` /} 1111
■ PEOPLE INFORMAT JN
PROPERTY • NER: NAM' DAYTIME PHONE:
Ai/GS-L. . TVG-6Y (244 ) 1.4Fy,--Y44429
NG ADDRESS(STR 'DRESS;CITY,STATE,ZIP):
ew5 �•5�v /�L S A c 1 'A - et
CONTRACTOR: E: DAYTIME PHONE:
714/444 )
MAILING ADDRESS(STREET ADDRESS;CITY ,ZIP): EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LI E NUMB . FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
Sfl ( ) -
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 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 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 ❑ 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: DATE: 3/5/0/
;el-PROPERTY OWNER ❑ APPLICANT( LJ CONTRACTOR
FOR OFFICE USE ONLY:
El 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
cowl!INITY fFVFI OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX-253-661-4129