09-104639 ' • .4&.Electrical
City of Federal Way 411)
, _
Community Development Services Permit #: 09-104639-00-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: WALIMMA
Project Address: 2101 S 324TH ST SPACE 138 Parcel Number: 162104 9037
Project Description: Installation of electrical feeder for placement of new home.
Owner Applicant Contractor
WESLEY&DONNA WALIMMA ENGLEHARDT ELECTRIC ENGLEHARDT ELECTRIC
6119 PACIFIC HWY E 738 ASHLEY CT ENGELEL917PE(10/5/11)
FIFE WA 98424 BUCKLEY WA 98321 738 ASHLEY CT
BUCKLEY WA 98321
Additional Permit Information
Is Use Educational or Institutional9 No
Electrical Fixtures
Service or Feeder- Manu./M.H. P 1
PERMIT EXPIRES Wednesday, November 24, 2010
Permit Issued on Tuesday, November 24, 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: /../0/-
Date: 1
ir /a/o9
5 8 0 7> C 155-
111.
THIS CARD IS TO AIN ON-SITE ' `
CITY OF ''`--' Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104639-00-EL Address: 2101 S 324TH ST SPACE 138
Owner: WESLEY & DONNA WALIMMA FEDERAL WAY, WA 98003
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.
0 Slab/Concrete Floor(4255) ❑ Final-Electrical(4055)
iApproved to place concrete Approved
By Date 7S Date('' --3-0 5)
/
Rough Electrical
El
Final Electrical ❑ Right of Way
CIRough
Approved Approved
1.By Date By Date By Date
_ 0 q 4c2 5 y
CITY°F
OE
Federal W VP MF CO ME 0 PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES N O V 2 4 �p L I C A T I O N I /
253-835-2607•FAX 253-835-2609
www.dtpoffederalwau.com .,
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F - .-- "8. DE...,;. TY: L€P"4 ,,,.FRO # !!5 ,.a #,sh h" I' r! r, T y. r a�
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SITE ADDRESS „u
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
l 3S / (40 ( 0 Y _ cl C 3, 77-
NAME OF �' `�. u
PROJECT .,.•,,,_.3',;i • .�,,. 4 ',40,:',:#101.:11447','
r: ,. .,,,3.
(Tenant or Homeowner Name) b L�\VV•04-f_ C-e__ V-S 8 00 A L- I HL A
❑ BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION CJ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
'11-C3)55 o vt:%--5 (34.8. Co`b %-" e v..•-ee-n ThtsL_o - 04
PROJECT DESCRIPTION � �` 0K
Detailed description of work to -etk-c K]0A)2
be included on this permit only
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER l5 C�A wk ( )
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
t CA S 52'-0-iik ;fi- FedeIsm\ v.}o../
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME ------------ ---
PRIMARY PHONE
,. 0.rc- '� CkL tvc LLQ z
lr� � ( S3)zCio- 75gq
MAILING ADD
CONTRACTOR AT
llESS,CITY,
,STATE,ZIP WA
- FAX
WA STATE CONTRACSTOR'S LICENSE# � G�EXPIRATION DATEJ�� FEDERAL WAY BUSINESS LICENSE#
E/t/rL1- 5L.C-?/7 (-7)E---. (0 / C,5 / i
NAME . . .. -.. -..
--� _ .�y_. PRIMARY PHONE
APPLICANT ---
11 a�7 YZ �\e, G'�Tt 1 (-2-5 3) ZUU 7 5 '519
MAILING ADDRESS,CITY,STA ZIP / FAX
PROJECT CONTACT NAME'y PRIMARY PHONE
(The individual to receive and ` v'l- - c' b L— 414 ( )
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME ( )
Required for projects with
0 OWNER-FINANCED
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19 27.095) .'
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: �� DATE I f —217 - Z0o61
PRINT NAME: T? 4 / -1
`\N
Bulletin#100–4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
w �
S MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS /
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Eh tris)
HOSE BIBBS SUMPS WASHING MACHIN TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes E No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
•
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING'
TENANT AREA ONLY
PROJECT AREA ONLY Z11-
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application