15-105634 -'- Electrical
City Federal Wa
Communi &Econ.Dev.Services Permit #: 15-105634-00-EL
33325 8th Ave S
Federal Way,WA 96003Inspection Request Line: (253)8354050
Ph:(253)835-2607 Fax (253)835-2609
Project-Name: GARVIK FAMILY LLC
Project Address: 30207 1ST PL S Parcel Number: 339180 0040
Project Description: Install(1)200 AMP panel and(8)circuits.
•
Owner Applicant Contractor
GARVIK FAMILY LLC ROBERT SHIVELY CRYSTAL ELECTRIC
35239 55TH AVE S CRYSTAL ELECTRIC CRYSTE*948PF(10/6/16)
AUBURN WA 98001 2207 E GEORGE ST 2805 PIONEER WAY
TACOMA WA 98404 TACOMA WA 98404
Additional Permit Information •
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 8
PERMIT EXPIRES Tuesday, May 3, 2016
Permit Issued on Thursday, November 5, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance w' the laws, rules and regulations of the State of Washington
'I c , and ity of Federal Way. l
Owner or agent: 41):,t L✓! Date: �/�
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Pa Kot
THIS CARD IS TO RE ON-SITE x
CITY of Construction Insp ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105634-00-EL Address: 30207 1ST PL S
Project: GARVIK FAMILY LLC FEDERAL WAY, WA 98003-4037
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 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. I . • .
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date ‘i �2,5_i S
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
C. k-\-lua 1t -9,.S- 15
0 Final-Electrical(4055)
Approved
By C ^' Date ` - 1 14`I b
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
eECEIVED
41111• ELECTRICAL�,TMOFNOV 05 2015
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
r 1 0 CDS
5 PERMIT NUMBER 1 - 5 `✓ V - l�
•
_ SUITE/UNIT/SPACE#
SITE ADDRESS: 3 0 Zo7 l s�L-- P) S' 'Fed e>ra l uva l
PROJECT VALUATION • ASSESSOR'S TAX/PARCEL# //'' / CURRENT/PROPOSED USE
$ ;O X ,3 5 f ? 0 - 0 0 �7 0 oecidekific/
PROJECT NAME
(Tenant or Homeowner Last Name) Ail / Cil
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5ervi c Charm e, _) OOC
PROJECT DESCRIPTION a A}-dole c° c.e.; f-r*-- -
Detailed description of work to
be included on this permit only
NAME_ ` � PRIMARY PHONE
PROPERTY OWNER �/,166/_�Gl /�c////�i (Carl-Fact) (?106)9 Li/ - 71 Z 2.
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
Crxfa I e/e i-r (c ( )
MAILING DRESS E-MAIL
ELECTRICAL Z 7 V�e17 y e -
CONTRACTOR CITY STATE ZIP FAX
fc cac4 wa ggyoy ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Cyy$+r 4WSFF la' 3o /ic
NAM9 PRIMARY PHONE
APPLICANT e'w, e ct5 �i Yz�C{�(7 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT kik
&B 253 _Z.C.0_6a'17 ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: g/1445/7 .--.
DATE
Ake-- IVy15
PRINT NAME: / ' 4 "' 4
Bulletin January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application