09-101265r ..
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 rs�>
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: SAVAGE
Project Address: 29908 2ND PL SW
Project Description: Altering 0 -200 amp
0 Electrical
Permit #: 09- 101265 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 720530 0090
caner
Applicant
Contractor
CAROLYN I SAVAGE
PACIFIC SUN SERVICES LLC
PACIFIC SUN SERVICES LLC
29908 2ND PL SW
4408 S 282ND ST
PACIFSS945RC (12/31/09)
FEDERAL WAY WA 98023 -3571
AUBURN WA 98001
4408 S 282ND ST
AUBURN WA 98001
Is Use Educational or Institutional ? .......................No
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, April 6, 2010<
Permit Issued on Monday, April 6, 2009
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: 4X Date:
FINALED
THIS CARD IS TO MAIN ON -SITE '
CITY OF Community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101265 -00 -EL
Owner: CAROLYN 1 SAVAGE
Address: 29908 2ND PL SW
FEDERAL WAY, WA 98023 -3571
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not .
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections
are logged on the back of this card.
❑
UFER Ground (4295)
Approved
By
Date
❑
Temporary Power (4275)
❑
Pool Bonding (4195)
By
Approved
By
Date
Approved
❑
Feeders /Sub - panels (4045)
Date
Approved
By
Date
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
By
Date
❑
Ditch cover (4030)
Approved
By
Date
❑
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
Slab /Concrete Floor (4255)
Approved to place concrete
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
For inspector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
��„��.
���c PERMIT -- - - - - -- co
C0MW�umffD" OPW;m,sa>r C2S SF MF CO ME DE EN FP
33325 8- AVEME SOLIM • PO BOX 9718
&?-< - 2607 -, WA 980G? 9 R ® 0 2oog APPLICATION
253�B35.2607• AU 253 -835
wuww.c tuoAb*rv*mu.c0m
The foliae�d is IlquiM�i aPl �iotl � ncompiste application will not be acceptsd. Pieaae print legibly (in irt1 or type•
PROPERTY IN INFORMATION
SITE ADnR$ss Aq 9 8 ., c V /� 2 sUM/unrr
ASSESSOR'S TAX /PARCEL # 7 Z S J a - LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(#-h1„w•>b•k9d►
PROJECT •- •
TYPE OF PERMIT
PROPERTY
OWNER
CONTRACTOR
PROJECT
CONTACT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION EZ ELECTRICAL ❑ ZffGnn=MG ❑ Ir= PREVENTION SYSTEM
roviie detailed descnptio of work inc" on this .gCMIk on
ilul
E PEOPLE INFOMIATION
NAME C 2oL N SAjActf
-639 -Set y
MAHMG ADDRESS
08 �j pc, �
CITY. STATE, ZIP
e � &)A 4�902-3
E-MAIL ADDRESS
VMPANY NAME .
APPLICANT NAME
OFFICE PHONE
�pe S,o�r vices [.,c..c
i u,ott i -7'tfo.-,As
(2s3) (o53 - �6
MAILING ADDRESS 11
an, STATE„ ZIP
tatP/1 GJ l Wo/
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
0 '5
/ 3 - d
(26-3 Ww - 73 c7
C0 R'S RMGMVAMON NUMMM
ZXPUMTWN DAT3
E- MAILAWDDpRE33 �"
P
945 Re-
iZ Z Od
poC- (- ia�SUr, <' -1ec1Tt
�yGa-6
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
As A73,oC!E
PHONE
( 1 -
( 1 -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAII. ADDRESS
NAME
Per RCW 19.27 095:
Lender h fomutdon is required {f P+R/ect name w=eeds X5,000
MAILING ADDRESS
CITY, STATE, TIP
PHONE
( 1 -
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUES VALUE OF PROPOSED WORK $
SPRINT LERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LA ERAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAIC.HAVEN ❑ BlGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
Z33STDFG
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
FIRST
a YES a NO
BASIC PLAIT?
SECOND
a NO
ZONIfQ DESIGNATION
THIRD
CHANGE; OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES o NO
UP /SEPA/SU?
DECK (❑ COVERED OR ❑ UNCOVERED?)
a NO
PLATTED LOT?
a YES a NO
GARAGE ❑ CARPORT ❑
DMO PlT REQUII=?
a YES
a NO
NUMBER OF FLOORS
sm °O
re°O°°
ndr" t'
'°�"aa'm°a'
�mnc+sarossosr
rnrncsr
**NEWHOMBSONLy- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
indioaGe number of eadt type offbaure to be installed or reloaded as port of this Project, Do not ma ude e;=ttn9_ fixhvies to remauL
Value of Me+dianical work $ (A OOPY OF ED OR ES77A TE MUST BE nvCLUDED WrFHAPPLICA77019
AIR HANDIINO UNITS EVAPORATIVE COOLERS GAS PIPE OIUILETs WoGDSTOVEs
BBQS FANS GAS WATER HEATERS M[SC �
BOILERS FIREPLACE INSERTS HOODS
COMI?RE.9SORS FURNACES RANGES
DUCTS GAS LOG SETS REMO. SYSTEMS
BATHTUBS *Tub/lu Cone* LAVS pwbrwmsot+► URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS tre.q
&LBCTSIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
Z O°t(r9 air P01afJ of Ps YWV that r am the properly owns or authortzed agent of the
ProP►j cantle. I
knowterL,� the in fwn�tott �eh�d in support of this permit application is lean meld co.recc r cad& that r adt! eonep� a+lt�it a�u � of my
�y 4r fflWeral Way rega�ons pertaining to the work authorised by the issuance of a p__& r understand that the issuance ap ilcu ie
this permit
does not nnntooe the owner's rwponalMHtg jot compliance tottlt focal, state, er feddrat Ames regulating construction or en iroumadW Wnos.
Z further agree to hold harmless the City of dadsral Way as to any claim (ineluding costs, eupensss, and attornegse fees incurred in the
gation and duijernse of such claim), which may be made by any person, bu* d W the undersigned, and flied against the city, but only
when such claim arises out of the reliance of the cogs inah"Ung its *JP-- and employees, upon the y of the information supplied to
the aft as a part qr this application.
SIGNATURE:
Authorized
yea 7
a NEW a ADDITION
o ALTERATION
a REPAIR a TENANT IMPRpVENFNT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAIT?
a YES
a NO
ZONIfQ DESIGNATION
CHANGE; OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA/SU?
a YSS
a NO
PLATTED LOT?
a YES a NO
DMO PlT REQUII=?
a YES
a NO
Bulletin #100 — January 1, 2009 Page 2 of 4 MandoutsTennit Application