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08-105702 Electrical City of Federal Way � Community Development Services P.O.Box 9718 Permit #.• 08-1057021-00-EL Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 CC Fr "LI" Project Name: PETRICH Project Address: 30217 33RD AVE SW Parcel Number: 012103 9060 Project Description: Replace vandalized feeder to service Owner Applicant Contr ctor GERALD PETRICK C M ELECTRIC C M ELECTRIC 30217 33RD AVE SW PO BOX 127 CMELEEL944KP(5/17/10) FEDERAL WAY WA 98023-2322 MILTON WA 98498 PO BOX 127 MILTON WA 98498 g A ga° o$ " ''�. k� ly K. x '34 4 • . ,� rya•:..«.,. .f✓, a .. � .._- ,.. ,.... a r . � 7.fld ay a s Alt. Serv./Feeder: 0 to 200 amps(F 1 PERMIT EXPIRES Tuesday, December 1, 2009 Permit Issued on Monday, December 1, 2008 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 nd the City of Federal Way. Owner or agent: �/�%/ Date: • \loop. r-' iTHIS CARD IS TO WAIN ON-SITE • CITY OF ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-105702-00-EL Owner: GERALD PETRICK • Address: 30217 33RD AVE SW • . FEDERAL WAY, WA 98023-2322 This card is part of your required inspection documents. Scheduled inspections maybe 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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date . ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date . . ❑ Final-Electrical(4055) Approved By Dated. '°f..0t • • • jj • . For inspector reference only ❑ Rough Electrical ❑ • FINAL-Electrical Approved Approved By Date By Date -- RECE PERMIT - 10 5 70 ,p , FederalWay SF MF CO ME PL DE E covAlULrnYDBVBLOPMBNT SBRV(C8S © EN FP 3335 81YY,WA9• -9718 DEC o1 APPLICATION PBDSRAL WAY,WA 98063.9718 O ) / wmu�.atvuAEd �o / OF ` / FEDERAL ►/ The following is required iq on-an Mete application will not be accepted. Please print legib'y(in ink)or type. ■ PROPERTY INFORMATION SITE ADDRESS 3 O 2\-1 3 3 a-0 !`t v G- S w SUITE/UNIT#_ ASSESSOR'S TAX/PARCEL# _- ___ __ LOT SIZE(s,() LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (mtadi sePamte M1N•lenadAY 19 descriP6IN a PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) ?Q() (k�. o r Dekc,,s, c L✓` -r— Se,2.,,, IA-f kla."-` PROJECT NAME(Name of Business or Owner Last Name) P'o—+'"L L MI PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER TCJL P-c 4,r2 c..t, (23 ) 12-7 - 38-73 MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 3121'7 — 33Rd Ave---CI-) PeA. t_ W. CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE C.M 6 le-(AA rc Lt- c.- e-1-“JL(4.- plc.,, ( u3) 87 1 - It MAILING ADDRESS CITY,STATE,ZIP / CELL PHONE Po is 0,L. I 2_.-7 (" L4,.J ,-.)cn 7 83.5," (•ZS3)i0 - (15/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 06 - ( oc -7fLf oo --,8'— ( 2-7)- a 6- (74-3)838 -76 7 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS w\ E„ (EL- L i I1 yk p c rh c b.,vhi.c.-LC&_ComeAS1 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING 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 POW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) f I • PROJECT FLOOR AREAS , AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST . SECOND • , • I THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) i GARAGE ❑ CARPORT ❑ • NUMBER OF FLOORS I e I PROPOS= I TOTAL SOTAL "Del TOTAL PROPOSED sr TOTAL SP 1 '*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ I 1 • FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain. 1 1 ValueofNIAPPLICATION Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH j� AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS Ico®merd.q COMPRESSORS FURNACES RANGES i• DUCTS • GAS LOG SETS REFRIG.SYSTEMS I PLUMBING BATHTUBS(orrub/Saewar combo) LAVS(B.taraom shim) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues • ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS • SIGNATURE I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws. 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, 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 p p�ication. SIGNATURE: C/ /s-- _, DATE /Z-- /- ©<9 Property Owner and/or Authorized Agent i i • a NEW o ADDITION a ALTERATION o REPAIR a.TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? u.YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO I Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application