06-104766 N
City of Federal Way Electrical Permit #: 06-104766-00-E L
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: BRADSHAW
Project Address: 2905 SW 311TH ST Parcel Number: 167300 0150
Project Description: ADD-Wiring for new in-ground swimming pool
•
Owner Applicant Contractor ,
DON&LISA BRADSHAW DENNY LOKIS DELTA WYE ELECTRICAL CONTRACTORS
2905 SW 311Th ST DELTA WYE ELECTRICAL CONTRACTORS DELTAWE11OBQ(1/19/07)
FEDERAL WAY WA 98023 17002 PACIFIC AVE S 17002 PACIFIC AVE S
SPANAWAY WA 98387 SPANAWAY WA 98387
Additional Permit Information ;
Electrical Fixtures
Swimming PooL 1
P IT EXPIRES Monday, March 19, 2007
Permit Issuedon Wednesday, September 2Q, 2006
I hereby certify that the-..'- ` forma n is o 1=ct and thatNie construction tips above described pro rty end
the occupancy ani se j be in -.-.--;an ''"‘ the laws,rules and'regulations of the #ate Of WeShington
-nd the"oilliof Federal Way. /�
Owner or age / add. t i i<i /' i Date: 7-20—06,tl
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THIS CARD IS TO REMAIN ON-SITE
CITYA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104766-00-EL
Owner: DON & LISA BRADSHAW
Address:_ - -2905 311TH ST
FEDERAL WAY, WA 98023
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) El �[
Ditch cover(4030) x Pool Bonding (4195)
Approved to place concrete Approvedii Approved
// ,.
By Date By Date B . II Date q la)) u,„
❑ Temporary Power(4275) El Service(4235) �❑ 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
RECEIVED
un OF2 O A 2000 � . - I D 2Zeo•Y•
�'edewalWay SEP HERMIT
• aCOMMUNB5 lint YDEVELOPMENT'SERVICES
C2F,EDERAL •�N SF MF CO ME PL DE EN FP
FEDERAL WA$WA BUILDINGA PLI CATI O N
253435-2607*FAX 253-8354609
l ww.dtucffedemTwau.00em 1
The oUowin' is •aired in orniation-an ince •fete a'•lication will not be acce•ted. Please .rint legibi 'n in .0 or 1•-.
,,••� ! , ' -al (
MI PROPERTY INFORMATION
SITE ADDRESS 2 qv s (,V -a l Ci SUITE/UNIT 0 .
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
IAS soParate PPIor knOtgiefledd M
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT ESC ION(Provide detailed des tion of work included on this permit only)
l � IN ��R.oG/WO 6w/MA4p PePoL 0 /v )-c/
_ R
PROJECT NAME(Name of Business or Owner Last Name) g--74‘D 5
• PEOPLE INFORMATION
PROPERTYSCI4E `/iR4bvy^ / PRIMARY PHONE
OWNER J�1�f 4'L f64 ,/ i4 fl�V/ (2•56)7/4 -,26/z
MAILING ADDRESS CITY STATE,ZIP
q 's ski z it f, SCD. Gr/ W4.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
L74 CJ�YG 6 LLC 4 4) 'Z-40 J (253)377 -9,1/
Th
NO ADDRESS C ATE,ZIP CELL PHONE•F /AY5BUSILICENSE NUMBER " "'Y/!//¢EXPI(tATIO A DATEN ;'o 1 FAX NUMBER
/ (2 .3)5a4 -
B L '
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each appileatioui EXPIRATION DATE
1 L _LA,//O _ _ / / /5 '07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
J ( .) -
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ 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 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 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(DES '1:E)
DECK(COVERED?)
GARAGE 0 CARPORT 0
s 3TIMO nm . ., Tar u
NUMBER OF FLOORS
"NEW HOMES ONLY' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of - to be installed or located 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(commerdoQ WOODSTOVES
BOILERS FIREPLACE INSERTS t GES MISC(Describe)
COMPRESSORS FURNACES GA WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATH • :• (or1Lb/snowerCombo) SHOWERS WATER CLOSETS Crones MISC(Describe)
DISHW-tz HERS SINKS DRINKING FOUNTAINS
GAS PE OUTLETS SUMPS RAINWATER SYST
W '- ING MACHINES URINALS HOSE BIBBS
• S(Bathroom 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 Fed• • as to any cl- . .,chiding costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which m• • ,e made any p • includi ,• the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the ance of the ci ,in- •ing its officer employees,upon the accuracy of the information supplied to the city as a part of
this application i
NAME/TITL:, /t L_i� - / ems C '"OW/V ATE q ?�
Signature 7� (Title)
RELATIONS 4 n _ •JEC ci 0 •er 0 Agent 0 Contractor 0 Architect 0 Other •
.
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RtlllPtin ill(IA—Tatman/I 9nn6 Pape 2 of 4 - k\flandouts\Petmit Application