06-105105 gai
CityofFederalWay Electrical Permit #: 06-105105-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ANDERSON
Project Address: 33412 28TH PL SW Parcel Number: 010060 0520
Project Description: 2 -20 AMP Garage Circuits
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Owner Applicant Contractor
WILLIAM(BILL)ANDERSON LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC
33412 28TH PL SW 13359 NE 16TH ST LANDEES991BC 1/3/07
FEDERAL WAY WA 98023 BELLEVUE WA 98005 13359 NE 16TH ST
BELLEVUE WA 98005
Additional Permit Information
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Tuesday, April 3, 2007
Permit Issued on Thursday, October 5, 2006
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
- ; City o fFedelal Way.
Owner or agent:
SeeApp1kptjon Date: /e/670�
‘41 4
' THIS CARD IS TO REMAIN ON-SITE '
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CITY OF ' E, Community Development Inspection Record
'�. .�,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105105-00-EL
Owner: WILLIAM (BILL) ANDERSON
Address: 33412 28TH PL SW
FEDERAL WAY, WA 98023-2744
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) 0 Ceiling Cover(4020) to Final-Electrical(4055)
Approved Approved Approved
% ‘
By Date By Date , B 141, J Date it )
❑ Under-slab groundwork(4295)
Approved
By Date
-
•OF �'"-�'' RECEIVED BY � (;�IVEL - /
e(�QYaI RECEIVED
DEPAA RM IT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258TMAVENUESOUTH•POBOX 719718 , ' 0 4 APpLICATIC9N 0 5 zoo�D — / J
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
www.eituolrederalworn CITY OF E QEFiAL WAY
la ,•� E , -d. Please •rint ie•ibl in ink or •e.
The oliowin• is re•uired in ormation-an in
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
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FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EEISTIRO PROPOSED TOTS, TOTAL A per tOTAL P5OPC SlEn sr toYAL
. sfi
""NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
—
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/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 _ DATE
iS gna e) (Title)
RELATIONSHIP TO PROJEC o Owner D Agent. •ntractor ❑ Architect 0 Other
+t•ORAF lei USE OIYI { a
❑NEW a A DI 'TONT gAT TE to '7-ON•
REPAIR TENANT IMEPR( MEI T '� �'
$VILDII�tG SHELL OIv>f.Y r .. tt p NO BASIC PLANT i �, a ISO
ZONING DESIGNATI,ON ,CHANGE OP1JSaE ' o '(�
;NEW ADDRESS REQZIIRE�4 n cr No VI'/SOPA/S>J? F +a YES q NO
t
PLAT'I`1';D LOT? �'ES 46 DEMO PERMIT 13E9.VI(2ED C YES C NZ) ,s ,
Bulletin 4100 January I,2006 Page 2 of 4 k\Handouts\Permit Application