08-103814 City of Federal Way • Ele •
ctrical Permit #: 08-103814-00-EL
Community Development Services
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: BILLINGS
Project Address: 134 SW 312TH PL Parcel Number: 555780 0220
Project Description: Replace 200amp service.
Owner Applicant Contractor
SHAYNA BILLINGS FULLER ELECTRIC(ELECTRICAL) FULLER ELECTRIC(ELECTRICAL)
134 SW 312TH PL 37107 12TH AVE S FULLEEI027BK 1/12/10
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 37107 12TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Alt. Serv.fFeeder:0 to 200 amps(I 1
PERMIT EXPIRES Wednesday, August 12, 2009
Permit Issued on Tuesday, August 12, 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
,it •:r b, City of Federal Way.
Owner or agent: i% Date:
PINA ,,
D
4k THIS CARD IS TO WAIN ON-SITE ,
CITY OF Pommunity p Inspection me t Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103814-00-EL
Owner: SHAYNA BILLINGS
Address: 134 SW 312TH PL
FEDERAL WAY, WA 98023-4639
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.
❑ 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
4-4
By Dat
C�
For inspector reference only
0 Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
A
it
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Federal WayRECE 9ERMIT 9yalg1
COMMUNITY DEVELOPMENT SERVICES .. SF MF CO PL DE EN FP
5 8TH AVE1VUE SOUTH•PO BOX
333225 FEDERAL WAY.WA FAX 253-835-2609 718 AUG 12APPLICATION `° _:..... .. .. . _.. ..
ww w.cltuotlederalwau.corn
CITY OJ FEDW
ERAL AY
The following is require infoa a+ •n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
LI J• PROPERTY INFORMATION
SITE ADDRESS 13 7 S U- 3 12 P/a.-C t SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT
DESCRIPTION(Provide detailed description of work included on this permit onlu)
ot.O 0 ft✓ t-, •S ec i:c e. C...hG.«.y.2
PROJECT NAME(Name of Business or Owner Last Name) 5 ti 4-5,1''l 4t.. 13.-/ll' -A-..,-sr
• PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
Y
OWNER S1 4- AA 13 i /J. t9f (2-S.3 ) 7 92..-V241
MAILING ADDRESS CITY STATE,ZIP E-MAIL ADDRESS
13(j 5. w. 3t2 . J2/ac-t- Pet/ //wy(A ,q`rocp
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
Ftd I et,' i 1 e c,¢ . pi,p-Y Ft-l./ler (2...53) 6 6/ -7/1/
MAILING ADDRESS CITY,STATE,ZI CELL PHONE
3'7/0? /24'' Pry e Scc F'e.cl �✓c l G/6g ��va3 ( 10 6 ) 4123 -N3 V
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRA ON DATE FAX NUMBER
1q .../03349, 60
/.2-°•3 )-0 g (2'3 ) 6 6/ - 6fs4
CONTRAC ORG TRATON N-BE� EXPIRATION
DATE E-MAIL ADDRESS
FLA.)ke;o ..) diC /-i2.2v(o P F4/,-C4f}%Cd"N
APPLICANT COMP NAM 4 fsersc APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAMEPRIMARY PHONE E-MAIL ADDRESS
CONTACT Gt('j ( ) -
LENDER NAME @ Per RCW 19.27.095:
MpGFLender informatio required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,Z PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHIdNE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ 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 0 UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• 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.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS r GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING -
•
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS 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. 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 thisapplication. p- G
SIGNATURE: ,/ DATE O —12 o
Property Owner and/or Authorized Agent
FOR Opium CSE<gm
❑NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application