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04-104468 City of Federal Way Electrical Permit #: 04 - 104468 - 00 - EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050 Project Name: COLBY Ng Project Address: 31231 4TH'SW Parcel Number: 555750 0220 Project Description: Addition of(1)15 amp 120volt circuit Owner Applicant Contractor Jon C Colby &Stephanie K Colby WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 31231 4TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-4638 (206)282-4700 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Residential 1 PERMIT EXPIRES May 3,2005. Permit issued on November 4,2004 I hereby certify that the above information is correct and that the construction on the above described proprtyrand. the occupancy and the use will be in accor nce with the laws,rules and regulations of the State of Washmngti# ztd the City of Federal Way. I Owner `YYl O /41 /cat O er or agent: 6 //( Wl� � Date: Dt-( „ , . THIS CARD IS TO REMAIN ON-SITE - CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104468-00-EL Owner: JON C COLBY Address: 31231 4TH AVE SW FEDERAL WAY, WA 98023-4638 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) ❑ 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 ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By Date ❑ Under-slab groundwork(4295) Approved By Date NOV-2-2004 08:59 FROM: TO:12538352609 P.3 ,4())/OTT Of . • . . . Federal Wa -Q a- - —1- yp_ el •y PERMIT SF MF CO M L DE EN FP 33345 AMAX '0 BOX 11 FEDERAL WAY.WA 98097111 APPLICATION - / / ftC?53,$S360p inieedeaffcskaimaereas The olio • is re•*tired i ormation-an tricorn•lite a••iication wilt not be acre•ted. Please - tit ie• • in ink)or j•- - MI PROPERTY INFORMATION SITE ADDRESS ?v 12JZ 3 1 lT . J -4- /� SUITE/UNIT i ASSESSOR'S TAX/PARCEL 0 S S Z 5 Ur_ _A 22 a LOT SIZE(sJ) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 2) Amok osper.r.rav!s lengthy Uwed..vHW ' In PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION )(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti 11-0D I rZl 1 / c a m p l_r rre." i t 12.o a P- -t n--ii e., PROJECT NAME(Name of Business or Owner Last Name) ( _" /b Lf • - . • al PEOPLE INFORMATION ORWNER TY NAME ZS h Co1 PRIMARY PHONE - MAILING ADDRESS LW rel..) STAT ,ZE4/frit) L,../÷ wit)2 ^ CONTRACTOR COMPANYNAMEC 4 (� // APPLICANT 14 -- O(FFICE�U0NE 2,� - te r`.AID �•C�� I(/`.(J 1/3TA B ZI /� iil CELLPHONE - CITY OF FEDERAL WAY BUSIN ENSE NUMBER vC� EXPIRATION DATE FAX NUMBER/ 2©-� -i6 23 BL 1 / �/ a," ( ) - • �NT OR`�,),$ I.-'RA N H t carol with woT•oppl[nWm) oCPIRATION DATE j APPLICANT APPLCANTJOFFICE PHONE Lhwr�L-I Q ` V` ^ ‹L ( - Po pax jisi ate?q c 7 c„.4_ f„pee, (c TNE72e)- 3Z RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑ Tenant [Agent 0 Other(Describe) ( ) - CONTACT NAME I . „. t,.._ P O E-MAIL ADDRESS LENDER '- s � btr.��i7��� � o �•o • NAME i'"i"ix teKlAtei•r A.'S'.t-Z2 dyas K6eYItC�1c . MARANO ADDRESS CITY.STATE.ZIP ■ DETAILED BUILDING INFORMATION - ' EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO . WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE p TACOMA. 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE a PRIVATE(SEPTIC) name adern 2500 Its-13.50) 'Per WAC 29646.91 0(S)(b)p a. ) I I Wie& jr),/ teyt4:2) /Ill Fullclm 41CI() •-,J:arltna:y I. (1(1I Page 3 FROM: - TO:12538352609 P.2 • .•r._y... .,s,, s Y l.' f.• • PROJECT FLOOR AREAS ' . y _AREA DESCRIPTION EXISTING SQ.FT. , PROPOSED SQ.FT. TOTAL QASEMENT - FIRST SECOND THIRD • FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT Toro.rxstuo Taro.raorosco tofu.67d5ruo AMD raoroars HOW MANY FLOORS? "NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ —- --. Indicate number of each type of fixture to be installed or relocated as part ofthis project. Do not include existing fixtures to remain. =CELAN/CAL Value of Mechanical Work $ It&1 2."' • AIR HANDLING UNITSEVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANSHOODS(commerebay WOODSTOVES BOILERSFIREPLACE INSERTS .RANGES MISC(Describe) / COMPRESSORS I / FURNACES GAS WATER HEATERS DUCTS ! GAS PIPE OUTLETS PLUMBING MISC(Describe) BATHTUBS(or Tub/ShwerCombo) SHOWERS • WATER CLOSETS ir•Sel DISHWASHERS SINKSDRINKING FOUNTAINS • OAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALSHOSE MESS LAVS I9orhrooa Sinks, VACUUM BREAKERS ELECTRIC WATER HEATERS •'DISCLAIMER/SIGNATUREBLOCK `'•:�' -- . y),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 investigationbut wane such d claim suof such claim), which may be made by any person,including the undersigned,and flied against the City of Federal Way, y. arises out of the reliance of the city,Inc ding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 41 (/1215441 NAME/TITLE i�' ""'� ---"---) DATE y (Signature) lritki l RELATIONSHIP TO PROJECT 0 Owner gent O Contractor ❑ Architect 0 Other I o NEW o ADDITION o ALTERATION o REPAIR 6.TENANT IMPROVEMENT i BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO I ZONING DESIGNATIONCHANGE OF USE? o YES o.NO t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?. o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO t Bulletin H l00–March 30,2004 – Page 2 oto kU-andouts–Rcvised\Permit Application