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06-102912 City of Federal Way Electrical Permit #• 06-102912-00-EL 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: HAGERMAN Project Address: 408 S 323rd ST Unit L10 Parcel Number: 926660 0850 "Project Description: Install 30 AMP dryer circuit I . Owner Applicant Contractor ROSANA E HAGERMAN LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC 408 S 323RD ST#L10 13359 NE 16TH ST LANDEES991BC 1/3/07 FEDERAL WAY WA BELLEVUE WA 98005 13359 NE 16TH ST 98003-5859 BELLEVUE WA 98005 Additional Permit information Electrical Fixtures Circuits-Residential 1.00 PERMIT EXPIRES Saturday, December 9, 2006 Permit Issued on Monday, June 12, 2006 I hereby certify that the above information Is correct and that the construction on the above described property and the occupancy and thea will be in accordance with the laws, rules and regulations of the State of Washington dee p Ap` '"C( of Federal Way. Owner or agent: Date: —/- — THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-102912-00-EL Owner: ROSANA E HAGERMAN Address: 408 S 323rd ST Unit L10 Federal Way, WA 98003 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) 0 Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved _ By Date By Date Byl a Date 6 Zz r 0 Under-slab groundwork(4295) Approved By Date R�C ►v t:,61. Q le - P �. cnr or 44•:Federal Way p E RM IT SF MF CO ME�a PL DE EN FP COMMUNITY DEVELOPMENT SERVICES JUN 2 2006 1 / 33325 8T AVENUE WA •PO 971 9718 /� yL I C AT I O N / I FEDERAL•WAY,AX 2983063-9718CITY OF FED,L�11'1~r IT.Ts3 unuu itu ffer ulwauscun609 BUILDING DEPT. The oliowin• is re•uired in ormation-an incomPROPERTY•U INFORMATION be acce•ted. Please •tint le•ibl (in in or •C. 1111 D r. n/hd } SUITE/UNIT 1k L I 0 SITE ADDRESS i�' g U L� —f i 0 - /ai� — `moi Q LOT SIZE(sf) ASSESSOR'S TAX/PARCEL# 15-a LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal desrnpnon) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onitl) install 3°amp Dryerr (iroi t PROJECT NAME(Name of Business or Owner Last Name) a PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE E OWNER RON&���� V "I (g51) fi i—�—�— i ADDRESSMAILING C"Y,STATE,ZIP ogS323 � t. I ° Q00��� CONTRACTOR COMPANY NAME ' NAME OFFICE PHONE LAhI4&y. EI e,`ttI r Kr /l N � �m ih (4-25)562 - I77 I MAILING ADDRESS CITY,STA ,ZIP CELL PHONE 0151 NE I6 thrt• VYiV) LNA g005 EX RATION DATE FAX NUMBER CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER i / /I / 06 ( 1145) 5-6d - ,g66 20 - ob - Io obi- 'BL EXPIRATION DATE CONTRACTORS REGISTRATION NUMBER'copy o Ica:d required with each application) I / � / . LADCr E S a1 Pic 07 APPLICANT NAME — OFFICE PHONE APPLICANT COMPANY NAME __� OM & qS (oh rACt©r. N CITY,STATE,ZIP CELL PHONE MAILING ADDRESS ( ) - • FAX NUMBER RELATIONSHIP TO PROJECT f ) 0 Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( PRIMARY PHONE E-MAIL ADDRESS CONTACT NAME Il . - � NAME LENDER 'F4i: 0*,i9,2 ,P*$:1-Aittter iitforntation{b. i*, Of''iid,41-P'oJeCt tittlue QXC*ids$s,,OOo , , PHONE MAILING ADDRESS CITY,STATE,ZIP P J a DETAILED BUILDING INFORMATION PROPOSED USE EXISTING USE EXISTING ASSESSED/APPRAISED VALUE $_ — VALUE OF PROPOSED WORK $— -- -- SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) _ SEWER SERVICE PROVIDER o 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 U CARPORT( NUMBER OF FLOORS L°a"No ?Rorosw TOTAL swarm TOTALswasr• rOTALrkorossoar 107-A141, , **NEW HOMES 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(Commerua1) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS(Tose) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sulks) 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 authorized 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. g / NAME/TITLE DATE 6— r 0 6 (S• nature) (Title) RELATIONSHIP TO PROJ T 0 Owner ❑ Agent o Contractor 0 Architect 0 Other - 1210ICE USE ... ... . :. v st� i ci NEW., .. ❑ADDITION ' p ALTERATION ❑REPAIR- " U TENANTTIMPROVEMENT BUILDINO SHELL ONLY'-',, a YNS..C NC)• • AST�I'I AN? ',,•. s 3'"� l7 S .?`C1' 0:. ZONING DESIGNATION CHANGE OP UST?."`', s. . 010 ,"oto., NEW ADDRESS REQUIREDACl Y)E cl NO ° UP/SEPA./SU7;> ` ' o ES rs.q bio PLATTED LOT? ,tl YES p NO DEMO PERMI'i'REQUIRED`:: ci YLS;`: II NO r• Bulletin#100 -January 1,2006 Page 2 of 4 k\Handouts\Permit Application