04-103938 •
City of Federal Way Electrical Permit #: 04 - te938 - 00 - EL
Community Development Services
P.O.Box 9718
Federal: 25Way,WA 98063-(253 Inspection request line: (253) 835-305C
Ph:(^_53)835-7000 Fax:(253)835-2609 P Q
Project Name: PETERSON
Project Address: 1403 S 302ND Si- Parcel Number: 025300 0110
Project Description: Install low-voltage T-stat wiring.
Owner Applicant Contractor
KENNETH PETERSEN INDOOR COMFORT SYSTEMS INC INDOOR COMFORT SYSTEMS INC
20720 127TH ST E 118 VIOLET MEADOWS ST S 118 VIOLET MEADOWS ST S
SUMNER WA 98390 TACOMA WA 98444 TACOMA WA 98444
(253)539-1424
Electrical Fixtures
Description Quantity L Description Quantity Description, __1Quanti r
Thermostat 1
PERMIT EXPIRES March 26,2005.
Permit issued on
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. dee Application
Owner or agent: Date:- -d 11
CP
le
, A, , . THIS CARD IS TO REMAIN ONrSITE
..
CITY OF0"11141100Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103938-00-EL
Owner: KENNETH PETERSEN
Address: 1403 S 302ND ST
FEDERAL WAY, WA 98003
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) —1 r❑ Service(4235) �❑ Feeders/Sub-panels(4045)
• By
Approved Approved Approved
LBy Date [By Date Date
•
- 1\ Rough E t ct:ie..1(4^2S) ❑ Ceiling Cover(4020) Final-E Metrical(4055)
t— Approved Approved Apt.roved
At
4N
LB4iZJ*
By _. Date By , ! ae
❑ Under-slay g.r�un IwoikL(4,95)
rApproved
Ey Date
09/17/2004 08: 31 FAX 2536614048 City of Federal Way @001/003
RECEIVED BY
co,. ,,..;.......i.k....._,,, COMMUNITYDEVELOPMENT DEPARTMQ11
IT .0_14_ - 1 6 ,..3_5 3 —00
• Federal Way pF‘RM
SEP 23 200 ' 1 . Sr: MF CO MI EL PL DE ENI
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The following 11,::required information-art irical,,Icic op Ucation tern not bc(wee tcd. Please •rint legibly(in ink)or type.
522111EME111111112Cii. -'I MIT INMRMATION - . . . ..., .
;.;TTE ADDRESS H0 . $_,__Loay....a SA, , . ... SUITE/UNI1' 11
ASSESSOR'S TAX/PARCEL# Oa 5300 -:: - 0 0 , . ••••••••000 LOT SIZE(NI)
LEGAL DESCRIPTION (c.g.Acme I.!:f,:tate:•.•:,Lni 1) ...„.,
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t6p....P.1,......,,p.4,Pr 1.,...g),,I-v..7
MEIMISSESEMBISIBEEMEw'\: ' ." ... DIFOMATiON
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TYPE CR,'PERMIT I.1 I:WILTING n PLUMBING 0 MECRANICAL
11 DI LITION A IF;LECTRICAL LI ENGINEEIUNG LI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION 0'r 01•ir,1,,•clutai/ed ii,:•:.:Crip,,v•..f tt,ork iri c 1 ucle<1 ort flu Ei,,,f rrn if.mild
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' PROJECT NAME(NOrtu..of Li w.tr i..•:„:,: 0, Otorwr I,rr;t M.,:...) - - ,.....__...
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PROPERTY NAMF: -r,,,,,,stAiv-F,,6-iii,..------..---. ..""
OWNER PeNe-4- Cl\C\- I ((SS )q Q L2• 0 1 I I
m to t.i;A,AE..a.:1.:7 1- f.':ITY,NTATE,%;),
14•4C.J' C 3(.3.-" , ...(6: : tre,or,o..-A W-a.... __W A cIS'0 o 3. . ........
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CONTRACTOR COMPAI:Y r;,.m r. os.i•Pi..icAri r NAME OFFICE.1110Ni;
1 (\.acc,..,c co -cr,f 1 lc\ a.‘i I )53ct'''---- 14a4
-,.,,,,,,,,.,.AT:TOo.:.,IF, CITY,t1TAIT,7.11' CFLL 1110111: ''' - ••-
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CITY oT FEI.Alik,AL WAY EWLINITII:':.1.1,.',.Ir.17,NI.1,11.'1ER '- '- EMULATION DM I?: FAX NI.11,413ER
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(LoraxA(,-co): ;Er..(ic...rk:m/ON NI,P41..;'(woisy.4 unt..4.;....quire71 with cAulla appliw‘Uoul ENPIKAEION()ATI.:
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APPLICANT ronit'ANY NANIF APPLICANT NAME OFF1C.E P)I(NP.
1 cs 1<eN4y-A.: ge,a\Pk_5 (-7-63)62°t ' 14-0(-3
MAII.)!C;A1)1)E1Y. cal-,NTATE.Z11CRI.i.PI•int:r:
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PAX NtIPARP.):
1:1 Archnec:( 11 Tcnant ,. A ge.ril ) 0111er(1.)1:::.ierlbet., ( )
CONTACT V4„1.., i
KIMsAKY PIION17:
li-MAIL AU.1,
Ke \3 \ 1/4s . ( z ) 3q \L4 14)Sfi
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LENDER rcr PCW 19,27.0957 Len&-... formation it: NANAK
required if project value c,!r., ,d.%$.5,000
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EXISTING USE PROPOSED USE ......—,--........., ...-„.
EXISTING ASSESSED/APPRAISED VALUE $ ,VALDE OF PROPOSED WORK $ _„„...
SPRINKI,ERED BUILDING? C.) YES n NO FIVE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES n NO
WATER SERVICE PROVIDER 0 LAKESIAVEN 5 IUGIILINE 0 TACOMA U PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAREHAvEN LiHIGHLINE
.. ..... ...__.........._.-- _._....._„..„ ,,,,,,.0 PRIVATE(SEPTIC)
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08/17/2004 08 :32 FAX 2536614048 City of Federal Way
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horoae is Ow Cay of recler,(111:01r(17, (o cloy rluio r.o•Itilliitg cost%, cwt....it:en, ai.d atfortseir:'.1.....s irret,rrerf it( the hi i.v.2.(.9.3(inv. rind tiefert•:e of
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11 Viic Alm nt Sy! ''ti 0 Yard Pole mete:4'boll;:., $5i .00
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BulIctin 11)00 March 30,2004- Page 3 of 4 L:\IlaniiIuI::...Itcvir.cd\l'erinit Application