06-104491 Cityof Federal Way Electrical Permit #: 06-104491 -00-E L
cdmmunity Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph (253)b35-260 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ELDER
Project Address: 1836 S 308TH ST Parcel Number: 785360 0008
Project Description: Replace 200-amp panel.
Owner Applicant Contractor ,
WALTER H ELDER WALTER H ELDER WALTER H ELDER
1836 S 308TH ST 1836 S 308TH ST 1836 S 308TH ST
FEDERAL WAY WA 98003-4820 FEDERAL WAY WA 98003-4820 FEDERAL WAY WA 98003-4820
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
PERMIT EXPIRES Sunday, March 4, 2007
Permit Issued on Tuesday, September 5, 2006
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
an. the Ci • of Federal Way.
Owner or agent: Ar-Ai Date: ?'' ¶
THIS CARD IS TO REMAIN ON-SITE
r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104491-00-EL ,
Owner: WALTER H ELDER
Address: 1836 S 308TH ST
FEDERAL WAY, WA 98003-4820
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.
0 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
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 ByQsA Date ea—wit-ea.
❑ Under-slab groundwork(4295)
Approved
By Date
i •
A RECEIVED / , , /
un or OL - _ �,--.,,I — L 1
Federal Way c r p 0 5 2006 PERMIT
•
COMW TYDEVacoPMPJ.TSERV, SF MF CO ME(!1)., L DE EN FP
33325 fM AVENUE SOUTH•PO DOX 9718 ,!
FEDERAL WAY,WA 93063 Y OF FEDERA tbUILOING DE PLICATION To
753435.2607•PAX 25343 / / /1
The ollowi • is re, ired{ ormation—an{two •Zeta a••licat{on will not be acce•ted. Please •rint leg{bl n in or 1• .
• PROPERTY INFORMATTIOON
! L
SITE ADDRESS c. 3 S Sc'G� hi C 7 ' '5 / �/%`/2f/ert L Ay SUITE/UNIT#
ASSESSOR'S TAX/PARCEL if __:_7K5360 - 000g�4 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach+moratePaCeler I.ne+wr deeaipdani
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION El ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
h't' PL/t•F 2-c/A/`V2 .L °L7"N A Nell/ c'c47i 1 i "i h` /7/9//Sf/c>-Gdf/-
i
PROJECT NAME(Name of Business or Owner Last Name) ! N
MI PEOPLE INFORMATION
PROPERTY NAME )
PRIMARY PHONE
OWNER 4,42-rt i H, f L pFr\ ( ) _
MAILING ADDRESS . CITY,STATE,ZIP
4 CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE
( )
MAILINGf1i94i(
RESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER- EXPIRATION DATE FAX NUMBER• / -
)
- -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) / ( EXPIRATION DATE
/
APPLICANT COMPANY NA nn APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME )�� - 5-/L` Pf Q PRIMARY PHONE
(2 �) ON 3 �- / 2`( E-MAIL ADDRESS
A-z-
LENDER I NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=ATOM PROPOSED TOTAL
NUMBER OF FLOORS
••NEWHOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(orArb/Shower Combo( SHOWERS WATER CLOSETS(rum MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(eachnom seas VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information 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 by any person,including the undersigned,and filed against the City of Federal Way,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 part of
this application.
NAME/TITLE LL ' 7 / Y DATE ( '
(Signature) (mile)
RELATIONSHIP TO PROJECT q Owner q Agent 0 Contractor 0 Architect 0 Other •
•
.1 3
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