05-101965 1
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City of Federal Way Electrical Permit#: 05 - 101965 - 00 - EL
Community Development Services
PO.Box 9718
Federal Way, A -9718
Ph:(253 835-70009 806F x3(253)835-2609 Inspection request line: (253) 835-3050
Project Name: PENSWICK
Project Address: 31630 9TH SW p Parcel Number: 555731 0250
Project Description: Altering(1)circuit for new outlet,add light for door install
Owner Applicant Contractor
STEVE PENSWICK STEVE PENSWICK STEVE PENSWICK
31630 9TH PL SW 31630 9TH PL SW 31630 9TH PL SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
(253)839-7182
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES October 25,2005.
Permit issued on April 28,2005
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 Way.
Owner or agent: Date: 'Ai ass/OS-
/0y.
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THIS CARD IS TO REMAIN ON-SITE
CITY OP .�41411‘ Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-101965-00-EL
Owner: STEVE PENSWICK
Address: 31630 9TH PL SW
FEDERAL WAY, WA 98023-4703
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.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
O 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) Tom' Final-Electrical(4055)
Approved Approved Approved
Date S-alp � By Date By tl�,,�\� Date 1 o7
❑ Under-slab groundwork(4295)
Approved
By Date
i
A . ...___
arrOf s
Federal Way RECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF COM dB)'L D E EN FP
39SZSdTMSV��EfS011ff! PO 9A1� 2 8 20APPLICATION
FEDERAL WAY,FAX
5343 -260 R TD / /
www.cituoffeclerdwau.com
(;I i Y (ii- FEDERAL WAY
The ollowi • Is •{;; f; •!;k,(;. 11;;;•.11.n-an i II. •tete • ••lication will not be acce.ted. Please •rint le•ibl in i or
Ai PROPERTY INFORMATION
1
SITE ADDRESS 3 Vo q
{r'Y CJ 5-‘) •
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mteth.eparatepaucta lengthy kg.,desaioVioni _
IL PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION �7 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Re (26-TC E Lec izic. k OIr\¢T, (a^,a r A - 1:c)1-r- coe_ ACOA- OSTA\l .
PROJECT NAME(Name of Business or Owner Last t a •-)
s \
Il; PEOPLE INFORMATION
,
PROPERTY NAME PRIMARY PHONE
OWNER 5`(F = -Pe.,0 5 w Gt/C ( z.53 )F3 -1(8 Z.
MAILING ADDRESS CITY,STATE,ZIP
3((130 <WI'?(• 5") Ce6e /z"l t.,)Ace WA ci8)2-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / I ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
I RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant a Agent ❑ Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER a;- zol: ,{.,il:X:rt wa,6,0% 47C6),(M,:('',7/7 V NAME
MAILING ADDRESS CITY,STATE,ZIP
li DETAILED BUILDING INFORMATION
.4 TING USE PROPO:
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❑
NUMBER OF FLOORS RXa*TBro rR• '-en TOTAL "s t+ ' ar • �? 7 u:tiOroe=u wt•sr` .
•
"'YEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
IIXTURES
Indicate number of each type of fixture to be inst. -d or relocat • 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 + GES MISC(Describe)
COMPRESSORS FURNACES GA ' ATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or•••/Shower Combo) SHOWERS WATER CLOS gone) MISC(Describe)
DISHWAS ^•S SINKS DRINKING FOU NS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks V CUUM BREAKERS ELECTRIC WATER HEATE
•
DISCLAIMIER/SIGNATURE BLOCK
I certify under penalty of perjury that the i ormation 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 prem es 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 _ V DATE /213 /645-
(Signature) (Title)
RELATIONSHIP TO PROJECT ,lr4Qwner 0 Agent 0 Contractor ❑Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application