06-104622City of Federal Way Electrical Permit #• 06 -104622 -MEL
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: DAUGHERTY
Project Address: 35318 19TH AVE SW Parcel Number: 926975 0500
Project Description: Adding 4 circuits to new addition
Owner
Applicant
Contractor
BRET & DELORES DAUGHERTY
MADSEN ELECTRIC
MADSEN ELECTRIC
35318 19TH AVE SW
3939 S ORCHARD ST
MADSEE*140P8 4/30/08
FEDERAL WAY WA 98023
TACOMA WA 98466
3939 S ORCHARD ST
TACOMA WA 98466
Additional Permit Information
Electrical Fixtures
Circuits«,,Residential ...................... 4,
q
P MIT EXPIRES Sunday, March 11,
I hereby "th�ht above', ormati6n is correct and t� the c tri
the occuputi th' _" vA be in accordance with thiAh�u a
and the Ci o Federal Way.
Owner or ageo
Date:11�6
0
I
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104622 -00 -EL
Owner: BRET & DELORES DAUGHERTY
Address: 35318 19TH AVE SW
FEDERAL WAY, WA 98023-6922
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
❑ Temporary Power (4275)
Approved
By Date
Rough Electrical (4225)
Approved
Date
Under -slab groundwork
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
IZJ Final - Electrical (4055)
By.&Approved
Date
OF
Feeral Way 40
Building Division
33325 Eighth Avenue South
PO��x 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS:,36&Zb Z'21X-Qut- <<IJ #: D1e-Io4C.?.Z-EL
1,
IF YOU HAVE ANY QUESTIONS CA
Call for reinspection before cover
(253) 835- ��
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSP CTOR
DO NOT REMOVE THIS NOTICE
Page V of
RECEIVED
CITY OF ,
Federal WIC
COMNUNI9YMMOPMERI'SERVICES SEP 12 2006 P E R M I T
33325 80 AVENUE, WA 9• PO 9718 L I C AT I O N
FEDERAL WAY, WA 98063-971971 8 .
253.835.2607• FAX 253435-2609 Ci I7 Y ® F ( E OAA
www.cit%mffNemtmau.com BUILDING NtfT,
SITE ADDRESS S 1 / Ave- SW
4 � � (2- - Z 0— el— -(/z" 2, - 4; �
SF MF COM EL L DE EN FP
SUITE/UmT #
ASSESSOR'S TAR/PARCEL I _ _ _ _ _ - _ _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach rePnmteP�Be%a X41 Dat deavtptla)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION AELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Protdde detailed description of work included on this permit onivl
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
N PRIMARY PHONE
MAILINGADDR ATE, ZIP
363 ,11"
COMPANY NAME
APPLICANT NAM
OFFICE PHONE
L,�239e
dh
(as3 315.3 -LYS%
MAILING ADDRESS
,STATE, ZIP
CELL PHONE
So
CELL PHONE'
. � 1
(30-7-
OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
-B
RELATIONSHIP TO PROJECT
FAX NUMBER
L'
❑ Architect O:Tenant
CONTRACTORS REGIST ON NUMBER (copy of card required with "ch application)
EXPIRATION DATE
a_ ��a ` Q
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O:Tenant
❑ Agent ❑ Other (Describe)
( -
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAV[EII VEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE 0 PRIVATE (SEPTIC)
L