15-103504 • Electrical
City of FeWay Permit #: 15-103504-00-EL
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CRUMBY-TRIMBLE
Project Address: 31721 7TH AVE S Parcel Number: 794160 0150
Project Description: Replace electrical panel in garage and add GCFI 5 outlets.
Owner Applicant Contractor
JOANN F CRUMBY-TRIMBLE JOANN F CRUMBY-TRIMBLE OWNER IS CONTRACTOR
31721 7TH AVE S 31721 7TH AVE S
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1 Circuits-Residential 5
PERMIT EXPIRES Wednesday, January 13, 2016
Permit Issued on Friday, July 17, 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 with the laws, rules and regulations of the State of Washington
�—.) ' 71and the City of Federal Way.
Owner or agent: 1��.. ,:!. .,'f, r� // /�,� ��
„� r��/ f�' Date:
LFINy�.;r'. LED
K
z, • THIS CARD IS TO REM�N ON-SITE
CITY OF -- Construction InspeZ�tion Record _ --
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-103504-00-EL Address: 31721 7TH AVE S
Project: JOANN F CRUMBY-TRIMBLE FEDERAL WAY, WA 98003-5212
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
013,
Final-Electrical(4055)
Approved
Dat% . 7 ---
CI Rough Electrical CI Final Electrical 111Right of Way
Approved Approved Approved
By Date By Date By Date
•
-�,..�► ELECTRICAL
CITY OF
Federal Way PERMiTE /Fl 'LICATION
PERMIT NUMBER ^'\ 1 -i O 5 O y - L JUL 17 2015
L.;
CITY OF FEDERAL WAY
CDS
17
Ji/
SUITE/UNIT/SPACE#
SITE ADDRESS: `3/77/ 7} �®!
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE-
S /(9:00,�v 7 4' c_ _ V" /cc�C,/( iJ/ 4
PROJECT NAME ,/
(Tenant or Homeowner Last Name) _�/ �) /12 `J
PROJECT DESCRIPTION 1•P /ere e- . ... /e/=7c-&'(.14:: 7 U;)7 e 1 i//2J J
r,r4 €-''
Detailed description of work to 7 a OeL-�- /e_t- c- -
be included on this permit only .7.---
�� ✓✓✓
NAME�/ �)/e-i
PRIMARY PHONE
PROPERTY OWNER -�/ r) e/./J2/2 (7a,) .3554 7g/--
MAILING ADDRESS 1-77
_ / E-MAIL
CITY STAZ FAX
7oJ%i'c rA '
) X:� ( )
NAME PRIMARY PHONE
Sc- ,'� - /��v ,7� h (�?)���- //,
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CIS /SST T ZIP FAX
/) `/
q72- K1 w ( ) -
WA STATECONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ / "'XI
NAME / PRIMARY PHONE
APPLICANT �f �/�4
(7. ) .53_ ,
MAILING ADDRESSE-MAIL
/7— �z��� G�V '
CITY C f ST� Z Cz o (t ) FAX
(
NAME i�/J PRIMARY PHONE
PROJECT CONTACT ( )
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 applic i:in.
/
SIGNATURE. .61/,'"74-76/� � DATE 7/7`���
f -7--r-ii/97)1e_.-
PRINT NAM': ' r /47/2/7 `
Bulletin#160—January 1,2013 Page 1 oft k:\Handouts\Electrical Permit Application