06-106251 City of Federal Way Electrical Permit #: 06-106251 -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: ADAMS FILE
Project Address: 33232 37TH AVE SW Parcel Number: 109961 1160
Project Description: Add (2)circuits for air conditioner/heat pump.
Owner Applicant Contractor
KOLYN C ADAMS KOLYN C ADAMS KOLYN C ADAMS
33232 37TH AVE SW 33232 37TH AVE SW 33232 37TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2905 98023-2905 98023-2905
Additional Permit Information
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Saturday, June 9, 2007
Permit Issuefl on Monday, December 11, 2006
I hereby certify that the above information-is Corr t and that the construction on the abovedescribedoar and
the occupancy and the use will be in aauxionce with the laws, rules and regulations of the to o ashington'
and the City of Federal Way.
Owner or agent: Date:
tJ
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record_
FederalWay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106251-00-EL
Owner: KOLYN C ADAMS
Address: 33232 37TH AVE SW
FEDERAL WAY, WA 98023-2905
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.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) #❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date 4 By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ►:1 Final-Electrical(4055)
Approved Approved / Approved
i'&
By Date By Date B���(& Date Z Z2-
0
-❑ Under-slab groundwork(4295)
Approved
By Date
• RECEIVED
a OF DEC 0 6 - / 6,..2-c- /
Federal Way 1. 1 2006 PERMIT
COMMUNITY DEVELOPMENT SEQ4 F SF MF CO M: EL 'L DE EN FP
33325 8TN AVENUE SOUTH•PO BOX 970 DIN E 1 1 L I C A T I O N TD
FEDERAL WAY,WA 98063-9718 G D
253-835-2607•FAX 253-835-2609
www.dtooffederalwatt.com
The following is required information-an incomplete application will not be accepted. 'lease print legibly(in ink)or type.
. ■ PROPERTY INFORMATION -
,
SITE ADDRESS 3 / JC J CO- 7 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) ® -.5e
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
.0 DEMOLITION A ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) j.
' Z4)//E / a Pa/e 30 ,.u,> .i 1,Gc'2 10 hiA)6- _(,,)T,cam
S/U " ..'. d ./0 'ice ._•_ 44 r ' '4, i'E-'
AlLe _ A 2- .+.r. - ..4" • 4is••10 z:{2-- 40!i// 7-
-Z--5
. 3 .mss iy,A-, - I7 "740.i— --/A 7 cAi.
PROJECT NAME(Name of Business or Owner Last Name) �G.P".1 6, A/;a3
PEOPLE INFORMATION
•
PROPERTY' ANAME /JiG, (J1/ � ' PRIMARY PHONE
OWNER A-13) 61
. ..5�
ADDRESS ., CITY,STATE,ZIP ,,,,d014/77,2 E-MAIL ADDRESS •
35' 3A ,37� '4 5 eAr A-4 6,.;/0'7' Aid 7C)—‘..1JI't e .) M5AJ
CONTRACTOR COMPA NAME Q APPLICANT NAME • OFFICE PHONE
Sf,G 4
,5 33ve_, ( . ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
. ( ) • -
coPY of card.required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
WIth eae applloatlo,
APPLICANT COMP NAME APP ICANT NAME OFFICE PHONE
Z>' 4'46/51 s L,� ( J 44e
• M !LING ADDRESS �-- // - • CITY,,STATE,ZIP j.� CELL PHONE
j RELATIONSHIP T. PROJE/ / /t✓v� SiAr 7/ G✓ JA /€ . ( )
FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other ( ) - .
PROJECT NAME • PRIMARY PHONE E-MAIL ADbRESS
CONTACT .( • ) '
•
LENDER NAME Per RCW 19.27.095: .
Lender information Is required if project value exceeds$5,000
• MAILING ADDRESS CITY,STATE,ZIP PHONE
. ( ) _
• MDETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ 'VALUE OF PROPOSED WORK $ .
SPRINKLERED BUILDING? 0 YES 0 NO FIRE. - ••RESSION SYSTEM PROPOSED/REQUIRED? DYES 0 NO
WATER SERVICE PROVIDER 0 LA 'HAVEN ❑ HIGHLINE , a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 L EHAVEN . ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(51 COVERED OR ❑UNCOVERED?)
GARAGE ❑ ARPORT ❑
NUMBER OF FLOG EXISTING PROPOSED I TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** \UMBER OF BEDROOMS ESTIMATED SELLING PRICE $
IF FIXTURES
Indicate number of each type of fixture .. be inst. ed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A •PY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORA E COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INS S HOODS(commordo1)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUB or Tub/Shouter Combo) LAVS(Bathroom sinks( URINALS MISC(Describe)
DISHW =HERS RAINWATER SYST VACUUM BREAKERS
DRI ING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
E CTRIC WATER HEATERS SINKS WASHING MACHINES
/OSE BIBBS SUMPS •
•
SIGNATURE
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 he 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 —/ C V s
.:nature) (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent 0 Contractor 0 Architect 0 Othet
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? n YES o NO UP/SEPA/SU? o YES to NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application