06-104204w
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (263) 835-2607 Fax: (253) 835-2609
Project Name: BERG
Project Address: 1216 SW 330TH PL
Electrical Permit #: 06-104204-00-E5L
Inspection Request Line: (253) 835-3050
Parcel Number: 926495 0040
Project Description: ALT - installation of A/C circuit and possible service circuit. Up to 2 circuits.
Owner
Applicant
Contractor
KILE D BERG
RC ELECTRIC CO LLC
RC ELECTRIC CO LLC
MARY M BERG
21010 7TH ST CT E
RCELECL021 R9 12/29/06
1216 SW 330TH PL
BONNEY LAKE WA 98391
21010 7TH ST CT E
FEDERAL WAY WA
BONNEY LAKE WA 98391
98023-5326
Additional Permit Information
Electrical Fixtures
Circe idential...... ........Q
dPEF
hereby ce f above
the occupancy and the use v
Owner or agent:
AXP ES le es ,February, '14, 00 , h
Wit a en : 911111
�'� 't Lig
�tl Adi �4 yy��-
ia 4o thorttru tabove' ' a` rib ipr ` aid
in accor ce with the laws, rules and regulations of the State of Washington
the ity of Fed ral Way. %)
Date: �� �� " 6—
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104204 -00 -EL
Owner: KILE D BERG
Address: 1216 SW 330TH PL
FEDERAL WAY, WA 98023-5326
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.
❑ Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑ Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
By
Date
By Date
❑
Service (4235)
❑ Feeders/Sub-panels (4045)
❑ Temporary Power (4275)
Approved
Approved
Approved
By Date
By
Date
By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) Final - Electrical (4055)
Approved Approved Approved
By Date By Date B Date
❑ Under -slab groundwork (4295)
Approved
By Date
—D,...._
o"OF 1 a lv
Federaffla Q'l� PERMIT
cOMMUm" DEFELOPmw 3S v1Au
9332PEDMLANY,WA 8" E° �APLICATION
FBDBRAL WAY, WA 98
253435.4607• FAX 253-8
mm.a(uoffeaemhomom BUILDING DE
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # - v
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SF MF CO MD�0 PL DE Eli FP
SUITE/UNIT #
LOT SIZE (sf)
(Aftwhsq mte~ r-aiwhoald aOdO4
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESION (Provide detailed description of work inc ded on this permit oniu)
G %CGU T 0 v-•c�- S � vLe 5VG , �e�- C1�
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME / PRIMARY PHONE -
MAILING ADDRESS w - � CITY, STATE, ZIP
CO PANY NAME
MEC �37
OFFICE PHONEI
(- ? 3 76
MAILING ADDRESS
2ta�o-
CITY, TE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
PAX NUMBER
CONTRACTORS REGISTRATION NUMBER (copy of card required with "ch appIIcatioa) EXPIRATIONDATE
/`-7 C L C& G &0Z—\ar_ _ t,—L/
-Z-!=O\
`l
COMPAN/ � �
Y t�K Q
APPLICANT NAME
OFFICE PHONE -
f1 I
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑: Tenant o Agent
o Other (Desalbe)
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK ($
TTTTf nTTT\ATTG�nTA1T �VaTL�if TfflATIA QL�T /DL�ATTiDL•T7 C'1 VL•Q A Nn
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. ",,SQ. FT. SQ. FT.
BASEMENT
REFRIG. SYSTEMS
FIRST
FANS
SECOND
WOODSTOVES
THIRD
FIREPLACE INS
FOURTH
MISC (Describe)
ADDITIONAL FLOORS (DESCRIBE)
FURNACES
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
raasrnra erroeoseo
NUMBER OF FLOORS racer
GAS PIPE OUTL S
"''NEW HOMES ONLY""' NUMBER OF BEDROO ESTIMATED SELLING PRICE $
of each type of fixture to be installed or relocated as part of this'project. Do not
Value of Mechanical Work $
to -
AIR HANDLING UNITS
EVAPO VE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (c....i q
WOODSTOVES
BOILERS
FIREPLACE INS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTL S
PLiTlYMM
BATHTUBS (or Tub/shower combo)
SHO RS
WATER CLOSETS Ir a.4
MISC (Describe)
DISHWASHERS
S S
beZINIONG, FOUNTAINS
GAS PIPE OUTLETS
UMPS
RAftWATER SYST
WASHING MACHINES
URINALS
HOSE biQPS
LAVE(Bob. swo
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the tr{formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .made. 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 pers�lnctudt g the u�,rlvymz
d, andfiled against the City of Federal Way, but only where such claim
arises out of the reliance of the , inclut iso s andupon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE l ).-, - (/ `' �✓y �-
(Signature)
RELATIONSHIP TO PROJECT q Owner 0 Agent
o Architect o Other