10-100798 • ,
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City of Federal Way
Community Development Services Permit #: 10-100798-00-EL
P.O.Box 9718 F ILE
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: DYER
Project Address: 1025 SW 306TH ST Parcel Number: 178870 0140
Project Description: Rewire residence damaged by fire.
Owner Applicants Contractor
HAROLD&EULA DYER EXTREME ELECTRIC EXTREME ELECTRIC
1025 SW 306TH ST PO BOX 65576 EXTREEL925M1(7/21/10)
FEDERAL WAY WA 98023-8246 UNIVERSITY PLACE WA 98464 PO BOX 65576
UNIVERSITY PLACE WA 98464
formation " ` 04
Is Use Educational or Institutional9 No
46.xs fir,
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, March 1, 2011
Permit Issued on Monday, March 1, 2010
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 \b.. lam'V- Date:
k o0 .�3 0
2..s.‘,1
FINALED slcoitc,
. THIS CARD IS TO AIN ON-SITE r .
CITY OF Construction Ins ectio '1 Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-100798-00-EL Address: 1025 SW 306TH ST
Owner: HAROLD & EULA DYER FEDERAL WAY, WA 98023-8246
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
0 Pool Bonding(4195) El Temporary Power(4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) • .Rough Electrical(4225) �El Ceiling Cover(4020)
Approved '- Approved Approved
By Date li Date
9_ zdBy Date
.El Final-Electrical(4055) '
Approved
By Date 4E30•rp
ci,a)
El Rough Electrical Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date
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Fede
Way MF CO ME 'L DB EN FP
COMMUNIT DEVELOPMENT
EVELOP253-83607.FAX NTSERVICES MAAPPLICATION '
3-835-2609
MOW nt o$ederdw nm
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SITE ADDRESS
\O't71 4 , , C6 el . '( `, . , v) / A Cfrvii0 L 5
SUITE/UNIT# ZONING ASSESSOR'SCAH/PARCEL#
C -° 7 � d - C� y --
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4
.................................................::::........
...........................................................................:...................:...................
NAME OF PROJECT 1.�� ,.-
(Tenant or Homeowner Name) 1 C r
❑ BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
❑ DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
/`"
'�
PROJECT DESCRIPTION `�-t �
Detailed description of work to '
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER :L ` 3)`� - C111.4.
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
1 l7 5 �� pro(D+4'\ ST C • '\)Wit A- 6 ` -'2-,)
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT\7 0 PROJECT CONTACT
NAME PRIMARY PHONE T
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'''''-').(\---(N,
`^� � ��t-t,'h``+ L ``
'(1'0-Ate'
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066.-
MAILING TATE,ZIP FAX•-, • • -i / n0 (cn l/ i' at tvlRy - )) 1,,.5
(}co I
WA STATE CONTRACTOR'S LICENSE# \ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.p-X i'e-e i 4 2, �'l - / /
N
PRIMARY PHONE
APPLICANT
¢. O A. / .14 (, A .,,1..(4' -1'1?(c.-e-1��..�1 ( )
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: (r PRIMARY PHONE E-MAIL
S )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: LA J(AA DATE
PRINT NAME: 11. 1 i ` Ci((,�V1 '.. •
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
•
Value of Mechanical Work$ (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(commen.;ey
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING, WOODSTOVES
Indicate number of each type of a to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orThb/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS • SINKS(nuten/utiiity) WATER HEATERS(Ekctric)
HOSE BIBBS SUMPS WASHING MACHINES FQ'EAi�.FlX4US:
GENER L I FORM. . ON
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR 7' VALUE OF EXISTING IMPROVEMENTS
$_ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
0 es❑ No ❑ Yes ❑ No
AREA DESCRIPTION(in square feet) EXITING - PROPO D TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
fE
GARAGE 0 CARPORT 0
(Tk3EI jtletse 'be) --- —
_
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROO S
AREA DESCRIPTION Area Occupancy Group(s) nstruction #of Additional Information
in Square Feet pe Stories
T $ISL k�iHO :: [:::;::::'
ADDITION
AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
TUTAL $UILDINO E :::: :::: .. ..
TENANT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application