06-104715 •
City of Federal Way Electrical Permit #: 06-104715-00-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: HALL
Project Address: 32027 26TH AVE SW Parcel Number: 873190 0330
Project Description: Add- 1 circuit for newly remodeled garage
Owner Applicant Contractor
GLORIA&JAMES HALL RAVEN ELECTRIC RAVEN ELECTRIC
32027 26TH AVE SE 2810 Z ST SE RAVENE*944KC(5/3/2008)
FEDERAL WAY WA 98023 AUBURN WA 98002 2810 Z ST SE
AUBURN WA 98002
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1,,
PERMIT EXPIRES Saturday, March 17, 2007
permit Issued onay ptebr 18, 201I
I hereby iffy that the above information is°coact alit that the cestru onr theabove # ribed property and
the occupant and the use w i be in ane the- ,fug aniregulations of the ate Of Washing# 0
/�;; and the City of Federal Way. I
Owner or agent: ( . Date: `/�I / S 0
rs,.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ' . Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104715-00-EL
Owner: GLORIA & JAMES HALL
Address: 32027 26T1-I AVE-SW -
FEDERAL WAY, WA 98023-2509
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) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.
O Rough Electrical(4225) ❑ Ceiling Cover(4020) /5 Final-Electrical(4055)
Approved Approved Approved
Ili ro4
ByCsl, / Date/%-/-0(/ By Date By' 7 Date i V
❑ Under-slab groundwork(4295)
Approved
.
By Date
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RECEIVED
Patera!
SEP 182006 � - I L12LS
Patera!WayH E R M I T
CITY OF FEDVIAI.W
COMMON,*DEVELOPMENTSERVCBUILDING DEPT. SF MF COME(1L)PL DE EN FP
33325 S'AVENUE 3011171•PO BOX 9718
X60;PAX93 .7AP P LI CAT I O N T°
?538360q
www,dtwtfedemhvau.com •
The oUowing is re• fired I ormation-an Inco •lete a• •Iication will not be acce•ted. Please •rint le. •i n or 1•-.
—7 MI PROPERTY INFORMATION
>�
SITE ADDRESS R—O G_ ( Z (? AV•, SUITE/UNIT# .
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) '
• htnadi•Ve aara¢elar lenOttv troal d ) •
• ■ PROJECT INFORMATION '
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITIONECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONvide detailed description of work included on this permit only)
•
•
PROJECT NAME(Name of Business or Owner Last Name) l P ',,1 a P,r7 r
PEOPLE INFORMATION 66
• PROPERTY . NAME
ii 1 PRIMARY PHONE
OWNER (OY" �iy `y 1 l • •(2o )L fq -ZO(a -
MAILING ADDRESS CITY,STATE,ZIP
//0 1 j a
CONTRACTOR COMPANY NAME q ] • APPLICANT NAME /OFFICE PHONE• L
I�rx.\; 1\\ 12�✓lY `� QC:14A-
- ldS 3)4,53 - 'q'5 3�/MAILING ADDRESS CITY,SINE, CELL PHONE
•
,CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L . -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
•
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE '
) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
)•RELATIONSHIP TO PROJECT FAX NUMBER
• ❑Architect ❑Tenant o Agent ❑ Other(Describe)
)
CONTACT NAME • PRIMARY PHONE E-MAIL ADDRESS
)
LENDER NAME
.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 a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
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 R, CARPORT O r-L
snarao reorwso TOTAL
NUMBER OF FLOORS
**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 not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Cemmeretos WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTI,IBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roueq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom ammo 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 authorised 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 tiny 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. fi
NAME/TITLE a_ /`/ I/ t,C DATE 1
(Signature) (Ttlk)
RELATIONSHIP TO PROJECT C) Owner 0 Agent Contractor 0 Architect a Other •
7 ,y
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Rnlletin#100—Ianuary 1.20n6 Page 2 of 4 k\fIandouts\Pern it Application