09-101932 ' • Electrical
City of Federal Way • 33
Community Development Services e2Permit #: 09-101932-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax (253)835-2609 FILE Inspection Request Line: (253)835-3050
Project Name: BEST
Project Address: 727 SW 323RD ST Parcel Number: 926492 1140
Project Description: Adding/altering(2)circuits for smoke detectors
Owner Applicant Contractor
D MARK BEST WAGNER ELECTRIC LLC WAGNER ELECTRIC LLC
727 SW 323RD ST 6523 CALIFORNIA AVE SW SUITE 254 WAGNEEL959JD(4/6/11)
FEDERAL WAY WA 98023-5532 SEATTLE WA 98136 6523 CALIFORNIA AVE SW SUITE 254
SEATTLE WA 98136
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Is Use Educational or Institutional9 No
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I hereby' tAr ;above orm. '.n is cow t t t ie cd tr on,:lx'-'"--1,..,4t, ti above =cri' •f.�re, ` d w,m,
the occupy ancy ie use a in a =n e ruff a t sof th ate a.}` ``y
and the City of Federal Way.
Owner or agent: /, / (.)
f1'�i� Date: G /2 7/oc3�//
FINALED 5/jq(boCf
• THIS CARD IS T(MAIN ON-SITE - '
CITYOF Community Development Inspection Record •
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101932-00-EL
Owner: D MARK BEST
Address: 727 SW 323RD ST •
•
FEDERAL WAY, WA 98023-5532
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 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
•
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
ByiaDate 6• • 0 9
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
( Approved Approved
By Date By Date
�,�A ' _ i0C 932_
Ferani ECEIVE 80PERMIT
COMMUMTYDEVELONISM'SERVICES
SF MF COM DE EN FP
33325 arm AVENUE SOUTH•PO BOX 9718
• , �; 2 X971 AY 2 7 zoosAPPLI CATI O N
r / /
www.auoffederakvay.corn
Th.fol lirit aa a WAY.complete application will not be accepted. Please print legibly(in in1c)or type.
MI PROPERTY INFORMATION
SITE ADDRESS �.a.-/-
?- �4) '-'2, 3 r1 :474 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# l2" L j �
� �
/ / /
` f(2. LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
tifferh•ll-m•?Drib►WWI/kW'clinatrmv
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION it ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
• I '- - ` !/ ' ' JO - r c• . 41. - 'Y-( He e J f/"k
Cd r A 4+-0Y1 4-- U' e `'�,r fav' y <c,e v e
PROJECT NAME(Name of Business or Owner Last Name)
IN PEOPLE INFORMATION
PROPERTY a K ^�7 �[mumr PHONE
-
OWNER 7.�
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR CON• NAME APPLI - OFFICE PHONE
t4 'lett ;c LLC - ' . c 1e _ 6) ,, s -73.5'
MAILING .•DRESS . - srgrt,ZIP . CELL PHONE
1 ✓ 6�a301G t „ , 5;4A-2 51 eq cc, ftp/3.c ( It ) it - + ‘
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) - .
connectors T YRATIOX 1IUlB=R •limo,. DATE E-MAIL ADDRESS
L s� a .. `( �L..: .�. -!- Fri 2i
OA
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Q S
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect o Tenant o Agent a Other ( ) -
PROJECT PRIMARY PHONE E-MAIL ADDRESS
CONTACT Ile4106: gi��'- 8!'i g ( j -
LENDER NAME Per RCW 19.27.095:
Lender injbnmation is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE; VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HEMLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) I;
GARAGE 0 CARPORT 0
NUMBER OF FLOORS O 1.20/0•10 TOTAL
S
TOTAL' 'O10ar 7OTAcra°raee°u TOMS?
"*NEW HOMES ONLY" NUMBER OF BEDROOMS _ ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of f Lure to be installed or relocated as part of this project Do not include existingf xtures to remain.
MECBARICAL
Value of Mechanical Work$ (A COPY OP BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UMTS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS Ic....d.+
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMING
BATHTUBS ofree/se...rcameo LAVS(5re,omMok4 URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS craps
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BLEBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized
agent
of the bast
knowledge,the iat(brmation submitted in support of permit application is Crus and correct.property
I�owner.I that that
will
comply
with all
the applicable c my
City of Andral Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmines the City of Federal Way as to wig claim(including costs, wgmnses, 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, 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- lication.
` I
SIGNATURE: AAA, . // i J�--- DATE 13' 17/2a
Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO IIP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application