04-102803 4 At
City Federalof Way
CommunityunityDevelopment Services Electrical Permit #:04 - 102803 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax 253 661 4129 Inspection request line: 253.835.3050
Project Name: ORCHID LANE LOT 26
Project Address: 1212 SW 342ND p) Parcel Number: 640370 0260
Project Description: Install low-voltage T-stat wiring
Owner Applicant Contractor
HARBOUR HOMES INC*FRANK CLARY* BOB'S NEW CONSTRUCTION INC BOB'S NEW CONSTRUCTION INC
33400 9TH AVE S SUITE 120 BOB'S NEW CONSTRUCTION INC BOB'S NEW CONSTRUCTION INC
FEDERAL WAY WA 98003 13633 NE 126TH PL UNIT 350 13633 NE 126TH PL UNIT 350
KIRKLAND WA 98034 (425)889-9345
Electrical Fixtures
Description Quantity Description ,Quante Description Quantity
Thermostat 1
PERMIT EXPIRES January 15,2005.
Permit issued on July 19,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in ac orda> ee with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: -7-(°1-0`k
03 10S
'• t THIS CARD IS TO REMAIN QA-SITE ;
CITY OF Community '
Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102803-00-EL
Owner: FRANK CLARY
Address: 1212 SW 342ND PL
FEDERAL WAY, WA 98023
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.iw, Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055) •
Approved Approved Approved
`By ItC../ Date 5 4 v l By Date By C � Date 3--%4_OS \ `
, • -❑ Under-slab groundwork(4295)
Approved
By Date
JUL-14-2004 15 01 - P.02
cD1 CONSTRUCTION PERMIT APPLICATION
CITY of
APPLICATION NUMBER:Qj - az-on
Federal Way APPLICATION NUMBER: - _ _
APPLICATION NUMBER:
' The following is required information-Please print(in Ink)or types
Please note; Electrical,Fire Prevention Systems and Engineering permits may require a separite+pgllgtlon.
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• PROPERTY 1NFORMATION
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SITE ADDRESS: 7 .) '3 42rv4 PL. ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF!SUDJECT PROPERTY(ATT.CH SEPARATE DE RIPTION IF NGTHY :
♦ •.& _tt,` Ali • 1, \:r•A .A L . ►
• PROJECT INFORMATION
'TYPE OF PROJECT(This application): o BUILDING O PLUMBING ❑MECHANICAL 0 DEMOLITION
yZLECTRICAL O ENGINEERING t FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 0 ch i `� • V�J`Y.0
PROJECT NAME: O C.n. lClf l Q
• PROJEC 1 1 NFORMATION
PROPERTY OWNER: DAYTIME PHONE
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'•D •( r- A•• 55; ,STATE,
OD ' A 2SO- '" 14- ZO '1:1•1/31, . ;.•3
CONTRACTOR: . . , ` ., lxonDAYTIME PHONE_ F
MAI e•-Is.( •z ADDRESS;CITY, ATl,ZIP): ,` �J - ENING PHONE:
CITY OF FCDERAI.WAY- 9 U** 1 BE - PAX NUMBER:
•_ f I I 1111PIP. �..).; . -i ,
CONTRACTORS REGISTRATIDN NUMBER: R O. IA�7 EXPIRATION DATE:
(copy of cord required) e2 Mi�.L t Q 1�I1 1 O. a " 1 / /
APPLICANT: NAnE: mew PHONE:ko OLS � V Q. tom?)' . c a
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVEN- '-•'!:
( / i
(7,1!
RELATIONSHIP TO PROJECT: n FA1j NUPIT
O!ARCRC HITT ECT O TENANT 0 OTHER(DESCRIBE); v ,` . 046 179_ -U.170
!.MAIL ADORE95:
CONTACT PERSON FOR THIS PROJECT;X.PROPERTY OWNER ❑APPLICANT o CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS; $
SPRINKLERED BUILDING? E YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES O NO
WATER SERVICE PROVIDER: n LAKEHAVEN 0 HIGHLINE a TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
JUL-14-2004 15 01 P.03
•� **NEE RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
U PROJtCI FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DiESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
' TOTAL:
it FIXTURES
indicate number of each type of fbct'ure
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) I FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGES) MISC.( )
COMPRESSORS) FURNACE(S)
11 DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:o ELECTRIC a GAS
PLUMBING
• BATHTUB(S) ! LAVATORY(S) URINAL(S) / WATER HEAVENS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC 11rGAS
DRINKING P'OLINTAIN(S) SHOWER(S) WASH MACHINE OUTLET /"
OILS PIPE (S) SINKS) , WATER CLOSET(S) MISC.( ,)INTERCEPT S) SUMP(S)" .
DISCLAIMLR/SI(NAIURE RLOCk
I certify under penalty of perjury that the Informatlonfurnished by me Is true and correct to the best or 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 mode I
huKher agree to hold hanhless the City of Federal Way as to any claim(Including costs,expenses,and attorneys'fees Inairr.d In the
Investigation and defense of such claim),which may be made by any person,Including the undersigned,and Bled against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,Including Its officers and employees,upon the dcouracy
of the Information sup�plied� to the city as a part of this application. �
NAME/TITLE:,C +71C14 TitJ4 (L/ O __- (
DATE: f 7/('O
o PROPERTY OWNER o �PLZCANT Yk.CONTRACTOR •
•
FOR OFFICE USE ONLY: 1
❑NEW a ADDITION ❑ALTERATION 0 REPAIR o TENANT IMPROVEMENT
CENSUS CO E• LOT SIZE;
ZONING D GNATION: BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? a YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? a YES a NO CHANGE OF USE? o YES a NO •
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9715•FEDERAL WAY,WA 99063-9715.253661.4000•FAX:253-661 129