12-101681Project Description: Final inspection of the work of Permit #05-106159 to "add (3) circuits for remodel".
Owner
A Ipn icant
Contractor
ORCHARD TERRACE ESTATES LLC
-
923 E PACHECO DR
Electrical
City of Federal Way
Community Econ.
LOS BANOS CA 93635
5114 PT FOSDICK DR NW
Permit #: 12 -101681 -00 -EL
33 258thAvveeSServices
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: 835-260`7
9
s
h,
Inspection Request Line: (253) 835-3050
(253)
Project Name: ORCHARD TERRACE ESTATES LLC
Project Address: 31629 1ST PL S
Parcel Number: 337530 0050
Project Description: Final inspection of the work of Permit #05-106159 to "add (3) circuits for remodel".
Owner
A Ipn icant
Contractor
ORCHARD TERRACE ESTATES LLC
KIRK HAUGARD
923 E PACHECO DR
PRECISE BUILDING CORP
LOS BANOS CA 93635
5114 PT FOSDICK DR NW
GIG HARBOR WA 98335
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 3
PERMIT EXPIRES SaturffV19WI
Permit Issued on MondAM116ril 1
I hereby certify that the above information is correct and t the
the occupancy and the use will be in accordancefoi
gee laws,
andtLi 2115v of Fede,
Owner or agent:
�i
ion on the above described property and
regulations of the State of Washington
Date: (4110,/d0 1
CfrY O
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -101681 -00 -EL Address: 31629 1ST PL S
KA
Project: ORCHARD TERRACE ESTATES LL FEDERAL WAY, WA 98003-5224
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.
Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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
By Date
Rough Electrical
Approved
Final ElectricalRight
Approved
of Way
Approved
By
Date
By
Date
By
Date
�� OF ` Building Division
33325 Eighth Avenue South
Federal Wa Federal Way, 98003-6325
y Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: 3 ti L I -_-S -, PERMIT#: 1 9 —) z. \
C C CA
ti -
r
,���'N_ � -, -,A 0\AV -&tI
q , r).
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ej
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY of.0
�o
,..104
Fob@
ELECTRICAL
2�- - lo / _61Z
PE MIT APPLICATION
electrical permits may be obtained on-line at www. citvoffederalway.com**
a
SITE ADDRESS: 31629 1st Place S, Federal Way
SUITE/UNIT/SPACE #
ASSESSORS TAE/PARCEL #
CURRENT/PROPOSED USE
337530-0050
PROJECT NAiili<E
Homeowner -Orchard Terrace Estates LLC
(Tenant or Homeowner Last Name)
inspection and final approval of the work of Permit # #05-106159 for electrical
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
� .firs: S � �: i, 3 i :�" • f� 3 � '�
, K Ah '�2£?+ k 1 i
�1 �' i{`., , ^�, �ky 1� i +�i (r j ,�*��* �� t r�3 �S 5' * § *,� Ff
NAYS
POYARY PHONE
PROPERTY OWNER
Orchard Tenace Abe LLC
253-381-0601
YAHJNG ADDRESS
E MAH.
2 (( 32_�
923 E. Pacheco Blvd, Suite C
CITY
STATE ZIP
FAX
Los Nadas
CA 93635
t /
NAME
PRDIARY PHONE
YAHJNG ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
UP
FAX
CONTRACTOR
r
WA STATE CONTRAC'TOR'S LICENSE #
sSPIgATION DATE
FEDERAL WAY EUSNNSSS LICENSE #
NAME
PRUKART PHONE
APPLICANT
Kirk Hangars
253-381-0601
MAHAfG ADDRESS
Ir Men
2
Z ( L I
5114 Pt Fosdick Dr NW MESS
iir*Rflding.com
CITY
STATE
ZIP
FAX
GIS Harbor
WA
98335
l /
NAME
PRIMARY PHONE
PROJECT CONTACT
Kkk Haopard
253-381-0601
I caWfy under penaft of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I Certo that I will comply with
all applicable City of Federal Way regulations pertaining to the work muthortred by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with Soca/, state, or federal lams 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, andAled against the city,
but only where such claim arises out of the reliance of the city, including its ofJicem and employees, upon the accuracy of the
information supplied to the city as a pmt of this application.
SIGNATURE.
PRINT NAME:
`f )iblko
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fair: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 k:lHandouts\Electrical Permit Application