06-105452 •
City of Federal Way Electrical Permit #: 06-105452-00-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: HAYFORD
Project Address: 31014 10TH AVE SW Parcel Number: 024800 0210
Project Description: Upgrading panel from 100 amp to 200 amp
Owner Applicant Contractor
LOREN&JAN HAYFORD LOREN&JAN HAYFORD LOREN&JAN HAYFORD
31014 10TH AVE SW 31014 10Th AVE SW 31014 10TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
PERMIT EXPIRES Monday, April 23, 2007
Pit;Issued on Wednesday, October 25, 200
I hereby certify that the above information is;correct and that the construction on the above described property and
the occupancy a e use will be in accordance with the laws, rules and regulations of the ate of Washington
and the City of Federal Way.
Owner or agent: t' C \‘ILL.Q. Date: /O/as- Jo
•' THIS CARD IS TO REMAIN ON-SITE ` t
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105452-00-EL
Owner: LOREN & JAN HAYFORD
Address: 31014 10TH AVE SW
FEDERAL WAY, WA 98023-4550
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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
O Temporary Power(4275) 'El Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
i�r �
By Date By bpv Date 1 1 i_Aip By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(40.0) iR Final-Electrical (4055)
Approved Approved 4\ Approved
By Date By Date By�L�� Date \\ 5 1 0
❑ Under-slab groundwork(4295)
Approved
By Date
A O _ 1 RECEIVED 5 .
nn or
Federal Way OCT 2 5 2006 PERMIT
COMMUNITY DEVELOPIEM'SERVICES
SF MF CO ME EL L DE EN FP
33325dTaAVENUE,WA 9•SB S!�F FEDERAL ,I,pLI CATI O N To
PSDEAV WAY,WA 9B / /
2534352607•FAX 253435-s I L D I N G DEPT.
www.dtwihbderulwau.wm
The ollowi • is • fired in ormation-an incomplete a• •lication will not be acce•ted Please •rint le, •I in or p
`� R PROPERTY INFORMATION
SITE ADDRESS O A 10 ,-- L.A.) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
leaath sq,eraoe taxhr 197.1 ,
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Providerdetailed description of work included on this permit only)
v{,[6✓Lo suz..- Q-y„W, \Q c, c ry r-0 oOC ✓-Y
PROJECT NAME(Name of Business or Owner Last Name) t''PN%-,Q -ZX
1111 PEOPLE INFORMATION
PROPERTY NAM --.S
\ (� PRIMARY PHONE
OWNER ,r,. R.__ °1.- J G-r C - �12- �c )-cX RSZ Cit-ilio - Zito
MAILING ADDRESS
'''' \/Zn‘k V041. (4-.44.- C'Z ,-.1-1 ft...CIL' ' rP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _
- -B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COM ANY NAME APPLICANT NAME OFFICE PHONE
_ ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? d YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a 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
asnrao PROPOSED toter
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.
MECIIAMCAL
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{roses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bvbroom9tdq VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK
I certi j 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 any person,including the undersigned,and feted against the City of Federal Way,but only where such claim
arises out of the an- 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 • C1.1J ' � o - DATE !o) S-icç
�•��) ` fns)
RELATIONSHIP TO PR• T ci Owner 0 Agent ❑ Contractor ❑Architect ❑ Other
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application