04-102554 City of Federal Way
Commmmrty Development Services Electrical Permit #:04 - 102554 - 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: ALLEN
Project Address: 2615 SW 306TH F) Parcel Number: 416660 0673
Project Description: Add circuits to serve a new 616 sqft attached garage to existing house.
Owner Applicant Contractor
Kenneth B Smith &Barbara J Smith THOMAS ALLEN THOMAS ALLEN
2615 SW 306TH PL 2615 SW 306TH PL 2615 SW 306TH PL
FEDERAL WAY WA FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
98023-2349 (253)838-1092
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 4 II
PERMIT EXPIRES December 25,2004.
Permit issued on June 28,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: Date: 6
414 040-4/
FINALED
d
•
4111/4: . .• THIS CARD IS TO REMAIN ON-SITE
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102554-00-EL
Owner: THOMAS ALLEN
Address: 2615 SW 306TH PL
FEDERAL WAY, WA 98023-2349
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
,,oL Rough Electrical(4225) ❑ Ceiling Cover(4020) 1E1----- Final-Electrical(4055)
Approved Approved Approved
`By��'%'� Date ,'� ,4 By Date By S Date �G—pr
1 j�
.❑ Under-slab groundwork(4295)
Approved
By Date
Feder �►U �
0).4 - (02-55'1 -
PERMIT MF CO Mi�
COMMUNITY DEVELOPMENT SERVICES L D E EIV FP
33530 FIRST WAY SOUTH•POBOX 7114 APPLICATION
FEDERAL WAY,WA Q(j$\971 a� (► 1i a�! D / / i
,
25366M1/5•FAX 2 ��6�y SS�I12244 V '
www dh offederalway mm
The o11oa . Ve•kti4cF R 9.44X-ion-art inco •tete a.•Zication will not be acce•ted. P -ase •rint . .ibl ink)or .••
PROPERTY INFORMATION
SITE ADDRESS .• (S' S l� 3V(ti ?L Ckij f,1 9 o D-3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# L( / ( 7 r0 (. O. - 0 c , Z 3 LOT SIZE("Si) 3.j 4,(iV
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page f r lengthy legal desmpoon)
= -. . _ . - - " - , . - .. - PROJECT INFORMATION -
TYPE OF PERMIT >etUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
(G 1(0 SCtt / &-fir`` = 4 PI a\Q41 -tb E X tt i-4 -- / r _
N�-vv' = '.\.,.� J;v\� -t�- cern zS
Si Oka ('�,:•n-P /alai LeclAS:e-k\vl 4. \AtC, VA
PROJECT NAME(Name of Business or Owner Last Name) -1_.1— 'N.(
- -- - . • - PEOPLE INFORMATION '. .PROPERTY NAME
PRIMARY PHONE
OWNER 1-11C.'11 N( �` /V ( -3C
) ''3 ( - )(.3(--I
��]M�`AIILING ADDRESS !� CITY,STATE,ZIP 1 U
)401 3 JlV %*1‘T L l( W 4/ (- \I- ( 3 V
CONTRACTOR COMPANY NAME APPLICANT NAMEIOFFICE PHONE
Lw!VE_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_ _ B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP I CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant o Agent 0 Other(Descnbe) ( )
CONTACT NA E PRIMARY PHONE
E-MAIL ADDRESS
cn1(9s :}Ik,Q.A .. 0.)-- >) >5S - !oc(. - 'On1 V t\'-.-p.), L-,111
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 c N
NG a,R jam- —_ r c......: 3 TE,ZIP
• -• DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED-BUIL-DING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPUSEDI-R-EQ1URED? ❑ YES 0 NO
WATER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE -0 TACOMA ❑ PRIVATE(WELL) �\
\ SEWER SERVICE PROVIDER //❑ `LAKEHAVEN ❑ HIGHLINE RIVATE(SEPTIC) _ J
•
PROJECT FLOOR AREAS
AREA DESCRIPT •N EXISTING S•. FT. PROPOSED S•. FT. TOTAL
p r
s, �,@i
+R`
.wSECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) —
DECK(COVERED?)
GARAGE/CARPORT j ) / j
HOW MANY FLOORS? TOTAL ExisTuG IC• TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do of include existing fixtures to remain.
• MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPO•• IVE COOLERS GAS LOc S REFRIG.SYSTEMS
BBQS FANS HOO••(commercial) WOODSTOVES
BOILERS FIREP INSERTS RAN' S MISC(Describe)
COMPRESSORS FURNA• GA: WATER H • EARS
DUCTS GAS PI• 011'
PLUMBING
BATHTUBS for Tub/Show+erCombo) SHOWERS WATER r LOS^ S .oa<t) MISC(Describe)
DISHWASHERS SINKS DRINKI SUNT• S
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
• • DISCLAIIKER/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.
NAME/TITLE /J1JLYYY1fJ
ft^^-- DATE 3- U�.y[
(Signature) (Title)
RELATIONSHIP TO PROJECT QI;Owner ❑ Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin ll 100—March 30,2004 Page 2 of 4 k\I Iandouts—Revised\Permit Application