01-104356 City of Federal Way Electrical Permit #:01 - 104356 - 00 - EL
Ph:25 Community Development Services
411 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: HERING
Project Address: 1439 SW 296TH Si' Parcel Number: 062104 9003
Project Description: ELE-Provide electrical service for residential addition. New 125 amp subpanel.
Owner Applicant Contractor
Henry G&Janice L Hering Henry G&Janice L Hering Henry G&Janice L Hering
1439 SW 296TH ST 1439 SW 296TH ST 1439 SW 296TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3411 98023-3411 (253)839-7349
Electrical Fixtures
r .q "D,e�c
' 6 'ptio��a �,,-.w _Quantity Descriiiiib iPilI �� ����Q"iantity . .;; �� Description Quantity
r� �
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES May 12,2002,IF NO WORK IS STARTED.
Permit issued on November 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.
Owner or agent: Date:
Z— \Z.—bZ F.'n.AK.\ D << �S
COPY
u,,,., e.,- -Z--cZ ,L
City of Federal Way
Community Development Services Electrical Permit #:01 - 104356 - 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: HERING
Project Address: 1439 SW 296TH Parcel Number: 062104 9003
Project Description: ELE-Provide electrical service for residential addition. New 125 amp subpanel.
Owner Applicant Contractor
Henry G&Janice L Hering Henry G&Janice L Hering Henry G&Janice L Hering
1439 SW 296TH ST 1439 SW 296TH ST 1439 SW 296TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3411 98023-3411 (253)839-7349
Electrical Fixtures
Description ue _ ; Quantity Description -'7 Quantity
Alt.Serv./Feeder:0 to 200 amps-Res 1
PERMIT EXPIRES May 12,2002,IF NO WORK IS STARTED.
Permit issued on November 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.
Owner or agent: oil h A. _d4 IF ,J1 . p Date: /04/0
O/' -
t:
�� F � ', CONSTRUCTION PERMIT APPLICATION _
�� FD
- ' APPLICATION NUMBER: t' L' - _ 0135-6 - C.,
NOV 13 APPLICATION NUMBER: -
_ - _
APPLICATION NUMBER:
**The QF FEi.ic,...- : — —
�ietinformation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
`■ PROPERTY INFORMATION
SITE ADDRESS: /V3 / SW ..?9•04. ' ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- • PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
XELECTRICAL ❑ ENGINEERING❑ FIRE P LEVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Awl✓e Ebe R ` 4 Sc' vice fvR
XT'p/fl)7"v ,i 'e a .w P.U1 - vi- 7 ..-40 s S, , /0JO/ e.PP
Vete
/ So6®.4ive.4 C/?.'Amp) TO \ - 4'& _' %2c,dMl A474eckw,
tt
ili
TV R-00,14' C14—.4"✓99 7-#'vet., ,e. _ . P ( 'P2 ,c--o,? (jA/4 II
,amp Q.ee4u•Ar e2e. /=v.e 1..T o o'7' 7 ic, ,• - �r fpr,d' v
rc ir,C4,rj- �.>—€7
PROJECT NAME: ISNL P c'F i c Q' C >+ T
1 PEOP i INF 1MA ION
PROPERTY OWNER: M- • ONE:
s. �e _• �e (.' 3 39 3y
NG ADD• , (SWEET A•,''' %;CITY, _ ZIP):
CONTRACTOR: N• YTI, ' HONE:
-44e .9s A6ev c ;Y _
MAKIN, I DRESS(STREET ADDRESS;CITY,STATE, = EVENING PHONE:
.. ( )
CITY OF FE 0 WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
_ _ _ 4'_ _ _ _ _ ( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
/He Kos 4 6oTl Z ( )
t
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) _
t RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
1
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ 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
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 D 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the ttdtty assaa part of this appplicya+tion.
NAME/TITLE: .121)!10 .2). �JJ1J /1?�/.23li /1/13/0DATE: � 3/O I
PROPERTY OWNER 0 APPLICANT/ ❑ CONTRACTOR
FOR OFFICE USE ONLY::
0'ALTERATION 0',REPAIR❑ADDITION ❑ TENANT IMPROVEMENT
CENSUS.CODE: . 'LOTSIZE
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•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129