13-100876 • Electrical
City of ay
Community&Econ.ral Dev.Services Permit #: 13-100876..00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: EVANS
Project Address: 2515 S 283RD PL Parcel Number: 326081 0590
Project Description: Altering(1)circuit for master bath radiant floor heating
Owner Applicant Contractor
KELLY L EVANS S M E INC OF SEATTLE S M E INC OF SEATTLE
2515 S 283RD PL 828 POPLAR PL S SMEINS*066DB (3/2/14)
FEDERAL WAY WA 98003-2971 SEATTLE WA 98144 828 POPLAR PL S
SEATTLE WA 98144
Additional Permit Information.
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Saturday, August 24, 2013
Permit Issued on Monday, February 25, 2013
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 '--- Date: '2-
•
' THIS CARD IS TO MAIN ON-SITE `
CITY OF ! Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100876-00-EL Address: 2515 S 283RD PL
Project: KELLY L EVANS FEDERAL WAY, WA 98003-2971
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.
El UFER Ground (4295) ElDitch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final•-Electrical(4055)
Approved
... cc.
`By Date '-- ___-(__
C3 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
l
PERMITIAPPLICATIoN
• Federal Way
RECEIVED
PERMIT NUMBER I ✓ _ 0g _76 0 FEB 2 5 201
— — — TARGET ATE 1 ! 'ZS i V2)
CITY OF FEDERAL
SITE ADDRESS
WAY SUITE/UNIT 4
t . 2� - CDs
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 4
$ (ppm (Q 0 &' / - CO 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT t L W,� N,Ve (5
"T"ir CCE' o 3 G-Ls, t7_ Ct.0Q..Lv,t,31-- o c
PROJECT DESCRIPTIOr'
Detailed description of work to L NI - c L.CSO Li-CAA--
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C-1 C-1 $ 0G'' c2.C.,;,Z-21 - V-i`,-1
MAILING ADDRESS E-MAIL
2. 1,c �. 2-V4-7)-CLC' it—
CITY STATE ZIP
NAME PHONE V ... .
MAILING ADDRESS E-MAIL
CONTRACTOR c32_ce, idy�,.m6 `" (2(... 4 CA`ipc;rCOSh+6ir>tfOFWtbt,6.,C.,t.
CITY STATE ZIP FAX
G- Kte '- IA 1,14x4
WA STATE CONTRACTOR'S LICENSE 4 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 4
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(Tice individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application] CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 arty 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 of this application.
SIGNATURE: � r DATE f-2A'7"-C")t ci
PRINT NAME: IMP
f 1A 112-to•L.'Ily;}-
Bulletin#100—January 1,2013 Page 1 of 3 k:UHandouts\Permit Application
• i
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many 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)Commercia))
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OFPLUMBING WORK
PLUMBING PERMIT
Indicate how many 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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? 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 ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
FD� e s s e ' 1, 4
COVERED ENTRY
sem "t .. z b�� >; v
GARAGE 0 CARPORT 0
6, ® _ a � z y i k 8 a ,. gr a a ;", CE3
EXISTING PROPOSED 'rG'fwL
Area Totals
fthitRE 44010V14411
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TENANT AREA ONLY
x � .• '-,�,.,ms:!��._. 16te,i1K , .�t>
Bulletin#100—January 1,2013 Page 2 of 3 k:\HandoutskPermit Application