07-100008 City of Federal Way Electrical Permit #: 07-100008-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EWBANK
Project Address: 30030 6TH AVE SW Parcel Number: 039600 0130
Project Description: Panel change out
Owner Applicant Contractor
LEIGH EWBANK RAINIER VALLEY RAINIER VALLEY
30030 6TH AVE SW PO BOX 550 RAINIVC991PD(10/04/07)
FEDERAL WAY WA 98023-3520 RAINIER WA 98576 PO BOX 550
RAINIER WA 98576
Additional Permit Information
Electrical Fixtures
Alt. Se eder: 0 to 200 amps- 1
7
1, 2007 it « r
; IT EXPIRES'-Sunday, July , 200
ermit d o Tu d ,A q t ary 2, 2007
I hereby q p,h above i rmatr�is correct and' hat the cons uction an pth above ib ! ,,• to
the occupancy`t dt'use wife in a �� °•- cewith the laves,Wiles and regulations of the ate of Washington
a..
--. - ity of Federal Way.
Owner or agent / , ,,//,�_'; Date: //2.7c�
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if -, THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100008-00-EL
Owner: LEIGH EWBANK
Address: 30030 6TH AVE SW
FEDERAL WAY, WA 98023-3520
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) .❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) EA Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
PP PP
By Date By OA Date ' D By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020 ria, Final-Electrical(4055)
Approved Approved 4 Approved
By Date By Date B �1�, Date `� V e�
. �
❑ Under-slab groundwork(4295)
Approved
By Date
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PERMIT
COMMUNITY DEVELOPMENTSERfla SF MF CO ME LPL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063.9718 `6 O �j zo APPLICATION TO
253-835-2607•FAX 253.835-2609 3 AN / /
I www.c lgo ederululau.com
pERA►-WAY
The following is real tai metal-an incomplete application will not be accepted. Please print legibly(in ink)or. type.
uuJ►�, S PROPERTY INFORMATION
SITE ADDRESS 9 00 3 o 6i-t, 4 J C 5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal deeaip&.n.)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION CTRICAL ❑ ENGINEERING ❑,FIRE PREVENTION SYSTEM
PROJECT DESC PTION guide detailed description of work included on this permit onlu)
! PROJECT NAME(Name of Business or Owner Last Name) tW
M PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER �� ( z53 )3Y� -250J
MAILING ADD SS CITY, ATE,ZIP E-MAIL
EMAIL ADDRESS
,C0 3'9 &'A4-J{ 5LJ 9gz&3
CONTRACTOR COM NAM,$ APPL•ICA �8i OFFICE PHONE
l4.iwIPA v d pD (3vd ) q ‘ - 2511
MAILING ADD E'SSSS(`, 5)'` CITY ATEZ ZIP LJ�(/�/ t/`� CELL�PHONE WA CITY FEDERAL L Wqy BUSINESS LICENSE NUMBER O pIRAT10N DATE � F(2c(9.
X NUMBER
)y ( 2 7�(
( ) -
COPY of card requited REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with mob application
APPLICANT COMFY NAME "\-C7 ` � APP !CANT NAME OFFICE PHONE
MAIL! G ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP ' PHONE
( ) -
MI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ • VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑.PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED .. .,., TOTAL.m , ..
SQ.FT. SQ.FT. SQ.FT.
BASEMENT .
FIRST
SECOND
THIRD
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ADDITIONAL FLOORS(DESCRIBE) . II It
DECK(0 COVERED OR 0 UNCOVERED?) V
GARAGE 0 CARPORT ❑ •
=STING PROPOSED TOTAL TOTAL S7®TIN0 al TOTAL PROPOSED Sr TOTAL IT
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Da not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerda)
COMPRESSORS FURNACES RANGES 1
GAS LOG SETS REFRIG.SYSTEMS
PLUMBING .
BATHTUBS(or Tub/Shover Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS .
DRINKING FOUNTAINS SHOWERS WATER CLOSETS iroset)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 flied 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 1
this application. L/_
NAME/TITLE ',l /'�I , �I' Q T�`L.(Wi DATE 11210?--
"'(Signature) I (Title) V
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 9ontractor ❑ Architect ❑ Other
h.,r,1�,„,,4 z., "i x°�3 w Y, g,,t•
o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT. • V
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? . V o YES . a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
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. Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application .
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