11-104987F Electrical
City of Federal Way
Community & Econ. Dev_ services Permit #: 11 -104987 -b0 -E L
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PARKER
Project Address: 33416 26TH AVE SW Parcel Number: 932090 0130
Project Description: 20amp circuit heat pump - smoke det - lights bedroom misc
Owner
Atmlicant
Contractor
MAXINE PARKER
FULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
33416 26TH AVE S
37107 12TH AVE S
FULLEEI027BK (1/12/12)
FEDERAL WAY WA 98023-2818
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
FTVOn
Is Use Educational or Institutional? ....................... No
rA '12", �iz
Circuits - Residential ...................... 1 Thermostat .................................... - 3
PERMIT EXPIRES Tuesday, December 18, 2012
Permit Issued on Monday, December 19, 2011
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: MWENMIZ' ' WOMEN Date:VB'W
IT/rz/11
CITY OF
Federal Way
THIS CARD IS T(#MAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -104987 -00 -EL Address: 33416 26TH AVE SW
Project: MAXINE PARKER FEDERAL WAY, WA 98023-2916
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.
E]
UFER Ground (4295)
El
Ditch cover (4030)
El
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved /
Date
FILE
FJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
« CrTr or
Federal Way
COMMUNITY DEVELOPMENT SERVICES
�.. 253-835-2607• FAX 253-835-2609
u.!i�u!, r:ityq eder<rlwtsrr_con!
(*FCO ME PL DE EN FP
RECEIVED
DEC 2
-723L� Ave SW M 7g 'TCt'�AL WAY
PROJECT VALUATION
ZONING
ASSESS0 S TARIPARCEL #
$ re
2� 7 0
oda - 0 1 d
ZIBUILDING Id PLU=ING &MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeowner Last Name)
Kt^,�
PROJECT DESCRIPTION
10
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
�/
PRIMARY PHONE
`� 1 " �p
MAILIIiGM 771
E-MAIL
CITY j V A.
\
ZIP
(�
or NAME
PHONE'
TO VIC
W
MAILINGDRESS�4 A��
E-MAIL
CONTRACTOR
CITY
STATE_
Mf Vf I$7"
..4-16
ZIP
1010 te
FAX
WA STATE CONTRALTO LICENSE #
EXPIRATIOlf DATE
FEDERAL WAY BUSINESS LICENSE #
l
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAM
Y O
PHONE r��
= z� qM
respond to all Correspondence
M'OL� f } ��
E-MAIL
concerning this application)
VADDRESS �
► ,
Abr
C� A— A
STATE
ZIP/j/1 /
7(}J[
FAX
t
r M —
24
ALTERN T CONTACT N PHONE
E-MAIS.
PROJECT FINANCING
NAME r----
Y' isde-d
❑ OWNER -FINANCED
Required value oj$5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorixed 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
iotformation supplied to the ci art of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin # 100 — January I, 2011 Pagel Gf 3 k:\1landouts\Permit Application
?.60V
V
0
VALUE OFMECHAMCAL WORK $
�/ l i 1
(a copy of bid or estimate must be provided)
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 (Commercial)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
WASHING MACHINESLCIi�
<. . .
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 (Electra )
HOSE BIBBS
SUMPS
WASHING MACHINESLCIi�
<. . .
CRITICAL AREAS ON
l"
- _q` f .',,zr/ f',�' - �y"gr` ✓
.r1a - !,f' - M `R
••
.'.EXISTINGW.EXISTING
FIRE SPRINKLER
0
FOR OFFICE USE
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Iandouts\Permit Application
09/23/2011
10:45
a.
LPM
King County
Housing and Community
Development program
Housing Repair
Dep$rtment of
Community and human Services
401 Fifth Avenue, Suite 510
Seattle, WA 98104
(206) 263.9095
(206) 296-0229 FAX
TTY 711 (RELAY SERVICE).
ALLCLIMATEHEATING
#5394 P.012/013-
0 *
CONTRACTOR'S BID &PROPOSAL
Attn: Bruce Pulman (206) 263.9091
OWNER
Maxine Parker
«M2Flrstnameb
«M 2Lntname*
33416 26 Ave SW
Federal Way, WA 98023
PH:253-661-0958
CONTRACTOR
(Name,8ddreis, fione)
All CAvmc11,nL
X75 2 -7 A/E (,7+f` L4
oj,, ( J/ WA- 5g-052-
-'34)77
gv52-
-34)77
ti q(,%C
(License number and oxpiration date)
The above, named contractor hereby proposes, unless specified, to complete the owner's attached WORK -
WRITE -UP (W WU) and the contractor's bid proposal(attached) for the amount of:
00
SUB -TOTAL: S
3l
WSST 9.5%t $, -2-q 3��!
TOTAL AMT: S 3 l s
(dote submitted)
To assist the owner in determining the most responsible bid, the following itemized costs, (corresponding to the
ownees Work -Write -Up, are given:
JOB ITEMS AMT
ESTIMATE
Energy Conservation
su a
3. Ductless heat pump
. Bldg Pre
1. an Wall
2. LI trica
3,Kitc n
4. t ,hen c
JOB ITEMS
6, Kitchen floor coveri 8
6. alk -lo -shower
7. T "let
8. Lav ory sin & faucet
9. Bath ni
10.- Bath fl covering
11. Bath f
12. Floor ov ;ngs ,
13, Hot ter k.
14. In for pain g
16, edor painfi
AMT
�a k.6=��5