08-105518 City of Federal Way Electrical
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Community Development Services Per It #: 08-105518-00-Et_
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: BODECKER
Project Address: 30222 4TH AVE SParcel Number: 064310 0040
Project Description: Electrical work for detached shop/garage building,including lighting and outlets.
Owner Applicant Contractor
ROGER BODEKER TRAVERS SOUND/TELECOM SYS INC TRAVERS SOUND/TELECOM SYS INC
30222 4TH AVE S 122 STURDEVANT RD TRAVEST954D8(3/28/09)
FEDERAL WAY WA CHEHALIS WA 98532 122 STURDEVANT RD
98003-4042 CHEHALIS WA 98532
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Outbuildng i /Garage(Residential) I
PERMIT EXPIRES Saturday, November 14, 2009
Permit Issued on Friday, November 14,2008
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
r and the City of Federal Way.
Owner or a �
agent:997/Lett./ Date: //-/y-O F
44k THIS CARD IS TO AMAIN ON-SITE
CITY OF itommunitY p Inspection Develo m nt Ins Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105518-00-EL
Owner: ROGER BODEKER
Address: 30222 4TH AVE S .
FEDERAL WAY, WA 98003-4042
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.
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
4 s
O 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 0_21L4 Date 1 1_i q_Gids By Date
,
❑ Final-Electrical(4055)
--\ Approved
By (ZellDate/ " -17 �''
••
• .
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
1lif
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
® PROPERTY INFORMATION
SITE ADDRESS 30222-4th Ave.S. -- –_ – – SUITEJUNIT# _----
ASSESSOR'S TAX/PARCEL# — -- _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(ttad:sepmeKe page for inrrtlty&..got descriprosi) — T
® PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ❑MECHANICAL
0 DEMOLITION Xl ELECTRICAL U ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Install lights and outlets in 24x24'shop
PROJECT NAME(Name of I3lrsiness or Owner Last Name) Bodeker
a PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Roger Bodeker ( )
MAILING ADDRESS CI EY,STATE,ZIP :E MAJLADDRESS
30222 4th Ave.S. Federal Way,WA 98003
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
TST,Inc.dba Travers Electric Sam Zucati ( 360 ) 748 - 0059
:.. MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
122 Sturdevant Rd. Chehalis,WA 98532 ( 360 )' 520 - 3847
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAXNUMBER
Application sent 11.-13-2008 (✓� (360 ) 748 7395
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS.
TRAVEST954D8 3-28-2009 Sam@traverselectric.net
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Same as CONTRACTOR ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAXNUMBER
❑Architect 0 Tenant ❑Agent Xl Other Si IDEOntrartolr ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Sam Zucati ( 360- ) 748 - 0059 Sam@traverselectric.net
LENDER NAME Per RCW 19,27.0981
Unknown Lender information is required ll project value exceeds$5.000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
® DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/AP-PRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEuaVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
® PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD:
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE J CARPORT O 576 SF
576 SF
NUMBER OF'FLOORS EXISTING mOPOSsD TOTAL n)TALrxrsrTAO s" TY/raLPHOPisuDSF TOTAL Sr
1
"'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of xture to be installed or relocated as part of this project.. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESS'IMVMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BI3QS FANS GAS WATER IIEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(c.e.,n tar)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
I3ATIITUI3S(01 rub/Shower Combo) LAYS)Sstmmmn Sinks) URINALS MISC(Describe)
DISUWASIIERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS croitet)
ELECTRIC WATER HEATERS SLINKS WASIIING MACHINES
HOSE I3II3BS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized 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 Way regulations pertaining to the work authorized by the issuance of a permit..1 understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,orfederal taws 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:oniy
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 appl tion.
SIGNATURE: DATE 11-13-2008
Property Owner andJor Authorized Agent
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q NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO J BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? 0 YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\HandoutsPermit Application