09-103533 2 2 ?(7. 114Electrical
City of Federal Way ��.//.
Community Development Services Permit #: 09-103533-00-EL
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: FILBERT FILE
Project Address: 30918 37TH PL SW Parcel Number: 058755 0550
Project Description: Altering upto 4 ciricuits
Owner Applicant Contractor
BRIAN FILBERT EVERGREEN STATE ELECTRIC INC EVERGREEN STATE ELECTRIC INC
30918 37TH PL S PO BOX 849 EVERGSE066JA (4/1/10)
FEDERAL WAY WA 98023-2108 SUMNER WA 98390 PO BOX 849
SUMNER WA 98390
Additional Permit,I rmation
Is Use Educational or Institutional? No
Electrical Ftu � s.
Circuits-Residential 4
PERMIT EXPIRES Tuesday, September 14, 2010
Permit Issued on Monday, September 14, 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, 11,°. • in accordance with the laws, rules and regulations of the State of Washington
/ and the City of Federal Way.
Owner or agent: Date:
FINALED 0'9
•4A,16THIS CARD IS TO EMA1N ON-SITE
CITY OF '" Construction IY�., d
ection RecordFederal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 09-103533-00-EL Address: 30918 37TH PL SW
Owner: BRIAN FILBERT FEDERAL WAY, WA 98023
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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
liKr Dat 01...09
•
Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
' 410gii__ _ t D 3 33
CITU OF
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF COM`EL PL DE EN FP
3332587"AVENUE SOUTH W 98063-9718 APPLICATION APPLICATION /
FEDERAL war,WA seost-9718 /
253835-2607•FAX 253.835-2609
www.cLyolfecleralwati COM
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 30918 37th Place SW, Federal Way WA SUITE/UNIT
ASSESSOR'S TAX/PARCEL it 0 58 7 5 50 5 5 0 - LOT SIZE(s3)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot l) The Filbert Residence
(nam n .r°r k." +SIN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MEC' 1
0 DEMOLITION XJ ELECTRICAL 0 ENGINE 414 I - CIOEMENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlul
ED
Alter two circuits SEP j 4 20t,
CITY OP
CDs WAY
PROJECT NAME(Name of Business or Owner Jost Name) Filbert
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Filbert, Brian & Kathy (253 ) 529 - 0654
MAILING ADDRESS CfY.STATE,ZIP E-MAIL ADDRESS
30918 37th Place SP1 Fbderal Way, 4 198023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
=DT
T State Eie±'(dc (753 )77o ()F 5F
MM n...AD�DARESS
CITY,STATE,ZTIIPP CELL PHONE
B)BIt 849 - Sumer, A 98390 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-99-106639-00-a, 12/31/2009 ( 23 )770 - 1767
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
EVERGSE0663A 4/1/2010 wiredl @rpt wnture.cun
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ESI State Elc _ ( 253 ) 770 - 0656
MAILING ADDRESS amL'.STATE.ZIP CELL PHONE
R)Bac 849 Sumer, W 98390 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent )0 Other F.1 e-rri cal Q tald:Cir ( 253 ) 770 -1767
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Chris I"te ResidEntial Surervisor ( 253 )770 - 0656 wira12@nat wnture•CCm
LENDER NAME Per RCW 19.27.095:
Lender information is required{'fproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE Simla Fc[Ilily 1 sidsnce PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKIZRED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑NO
WATER SERVICE PROVIDER ❑LAKEIIAVEN ❑HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEIIAVEN ❑TIMELINE ❑PRIVATE(SEPTIC)