01-103968 •
City of Federal Way
Development
Community Development Services Electrical Permit #:01 - 103968 - 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: WAHLGREN
Project Address: 2741 SW 330TH Sr Parcel Number: 894520 0890
Project Description: EL-Replace electrical panel(125-amp to 200 amp).
Owner Applicant Contractor
Richard&Julia Wahlgren Richard&Julia Wahlgren Richard&Julia Wahlgren
2741 SW 330TH ST 2741 SW 330TH ST 2741 SW 330TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2830 98023-2830
Electrical Fixtures
r �
p escrlption�� �i � Q1Quanti Description Quant Description (Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. I
4
I
PERMIT EXPIRES April 9,2002,IF NO WORK IS STARTED.
Permit issued on October 11,2001
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: 12C.;.( Date: (0( i l f 0 (
c/ '�I'J"t �d�/ f S7 Z 3"3' E?23 72,e7,
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'"11141141111L-
-.0'1.11"'. RECEIVED
a^� �_ CONSTRUCTION PERMIT APPLICATION
�� may — OCT 1 1 7001
APPLICATION NUMBER: O L - L O,,6,�-
APPLICATION NUMBER: _ - _ -
(;11-Y OF FEL/EC-1AL 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.
SITE ADDRESS: 27 41 S(, ) 3ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
l l (3O .s-ecmoo- ravul(d ev v I t to fc t'k
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
VI 1 S ev('i c Ce Lc-j- -cC( pc, ) 4-flee
c 2-Cc)
PROJECT NAME:
PROPERTY OWNER: NAME: �� " � DAYTIME PHONE:w0.Iry 9re_r1 (zs-3 )931 - oit1
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
( Sc,) ?3 U (cc..e-v=ccoon Wry Q E 0 z 3-
CONTRACTOR: NAME: DAYTIME PHONE:
W fie� // ( )
MAKING ADDRESS(STREET ;CITY, ATE,ZIP): / EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE
(ropy of card required)
APPLICANT: NAME: DAYTIME PHONE:
C7�.� ✓t e i� ( )
MAILING ADDRFSS(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 ❑ 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 ❑ 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) D ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),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,induding its officers and employees,upon the accuracy
of the information supplied to the cityy assa part of this application.
NAME/TITLE: �=CGr���Q ��. jC DATE: I `- t
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USEONLY::
'-_❑
NEW: _ ADDITION ❑ALTERATION ❑;REPAIR
" ❑TENANTTMPROVEMENT•: '.
CENSUS'.CODE:; • LOT"SIZE ., - °! "
ZONING DESIGNATION BUILDING SHELL,ONLY? ❑ YES ❑ NO
COMP P.L'AN DESIGNATION BASIC PLAN? F T" ❑YES ❑;NO"
SECTION_ TOWNSHIP RANGE - NEW ADDRESS'REQUIRED? ❑'YES ❑:NO
PLATTED'LOT? ❑,YES ❑NO CHANGE OF:USE? ❑YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129