06-105382 v. Mr
City of Federal Way Electrical Permit #: 06-105382-00-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: KOVALIK
Project Address: 33506 10TH PL S Parcel Number: 926501 0030
Project Description: Installation of pole and 2 lights to the driveway.
,
Owner Applicant Contractor
KING COUNTY L&D ELECTRIC L&D ELECTRIC
500 4TH AVE 14811 16Th AVENUE CT S LDELE**055ME(2/3/07)
SEATTLE WA SPANAWAY WA 98387 14811 16TH AVENUE CT S
98104-2337 SPANAWAY WA 98387
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, April 18, 2007
.Permit Issued on Fridays October 20,2006-
I hereby certify that the above informations is correct and that the construction on the above describedro and ;
p PedY
the occupancy and the use will be in accordance with the laws, rules and,regulations of the State of Washington
1 and t ity of Federal Way. r� /�
O
Owner or agent: e . Date: )t '/S, — % (
Fl!'"A .
. _ THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105382-00-EL
Owner:
Address: 33506 10TH PL S
FEDERAL WAY, WA 98003-6306
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
O Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date /7— 6
❑ Under-slab groundwork(4295)
Approved
By Date
A RECEIVED
Feder�alway Zoos PERMIT - �( � 7 3
• COMANA47YDEVELOPMESS iL 0 SF MF CO ME PL DE EN FP
33395 8TM AVENUE SOUTH•PO BOXBOF r �
1 9718
' 607* AX99PO
WAY,WA 5. -�j¢ EDERW PPLI CATI O N To
ruww.ctwtralemtwau.cogUILDING DEPT.
The olio is re, fired i ormation-an Inco 'late a• licatlon will not be acce•ted. Please print le!ibiy n in or p .
r )
111 PROPERTY INNFORMATION
SITE ADDRESS 3 3:7 b tC )D Pio C e • a LL t 11 SUITE/UNIT if
ASSESSOR'S TAX/PARCEL it 7 2 Go S O t! - ) 0 3 a LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A • 4Page/w linethVMeald.. W
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 1 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inc ed on this permit only)
40) pole awe 1,.: t 4r) VG waybS 4L(1 14:14,
J
PROJECT NAME(Name of Business or Owner Last Name) KbL)Q, 1 .k
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER s4 5Q/) K b U4 1 k (A5.3) 8l5 -Th 4
MAILING ADDRESS a CITY,STATE,ZIP
33,5 t� 1/471)1 10 Pact seFcJera 1 k y R7 D 0 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
4 #1) g M + PP;e_ Rov 2tomz (c253)537 - lif48'
MAILZIP i Tarty CELL PHONE.
/INSI 1 ADDRESS kl AI �I' Z t CITY,
STATE, 4 i1tJ k 't (2 ) ab - l/)V'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI
2v-_000= ( t. B ? Li-B L .. ( Z/ g( /aS ( )537 -bb(3'
CONTRACTOR'S
NTRACTOR'S R ISTR TJON NUMBER �of card required with each application) EXPIRATION ATE
I.
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Cab Ct. eaol. n q. ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME • I PRIMARYPHONE E-MAIL ADDRESS
J ( . ) -
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF.PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SC,/ r
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(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
asurore neorosso rar�u
NUMBER OF FLOORS
"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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercir), WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS . FURNACES GAR WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING '
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS peso MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(aetlwom Sims VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished¢y 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 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 ci. inc a ding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. k 'A
NAME/TITLE / /$$ (i I' Q !f�3�1'f'i. �/'v �"7.DATE / - Rt- U 3
Signa . I (Mk1
RELATIONSHIP TO PROJECT a Owner 0 Agent 0 Contractor 0 Architect a Other •
�,, ;r 3 .,O, 2.,s. , , -, .
/.yo �,� Loj wr ,,h�a7 z.;hs .. ..J ,
=1;. .3. ..' la!ti -q1 1% ... iP, Z1'1137' F 1, '11 •3J� i(:.
Rnlletin#100—January I.2006 Pane 2 of 4 ku-Iandouts'Peimit Application