14-102019 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-102019-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p q ( )835-3050
Project Name: HULSE
Project Address: 1206 S 293RD PL Parcel Number: 516200 0060
Project Description: Adding/altering(2)circuits for basement remodel
Owner Applicant Contractor
GRANT HULSE ED LURAGHI CASTLE ELECTRIC
JENNIFER HULSE CASTLE ELECTRIC CASTLE*922QM(11/14/14)
1206 S 293RD PL 17647 SE 121ST PL 17647 SE 121ST PL
FEDERAL WAY,WA 98003 RENTON WA 98059 RENTON WA 98059
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Saturday, November 1, 2014
Permit Issued on Monday, May 5, 2014
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 accord„'e with the laws, rules and regulations of the State of Washington
-1 • the City of Federal Way.
Owner or agent: Date: S ” S - /V
414\‘._ THIS CARD IS T .MAIN ON-SITE
CITY OF - -- Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-102019-00-EL Address: 1206 S 293RD PL
Project: GRANT HULSE FEDERAL WAY, WA 98003-3712
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
❑ 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 B c Date s—_ G�_72/ By Date
•
0 Final-Electrical(4055) /
Approved
By Date \I --9.3'-i 4
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITYAIL OF ELECTRICAL
Federal Way PERMIT APPLICEATJON
PERMIT NUMBER 11'2"-. _ 0 ' b 1 _ E7 MAY 0 5 2014
1 CITY OF FEDERAL WAY
/Z c' S Z`/'3 d rat ec� SUITE/UNITE#
SITE ADDRESS:
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ �, 00a 5I (o ZOC) _ OO ( C�_
PROJECT NAME //
(Tenant or Homeowner Last Name) 1 /(2$e k/ /
ease,..i.„1-- /,yh AL,y rrsu4ou/r! `, Z -� C l CC)
PROJECT DESCRIPTION ✓
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
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CITY / STATE ZIP 9f�
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NAME
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MAILING ADDRESS E-MAIL
ELECTRICAL /7�v y7 . /z/ ( cus Ni -i- c��L Com-,
CONTRACTOR CITY STATE ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME
PRIMARY PHONE
APPLICANT Z•0 N- ( ��?s-L3O,6. - yS?S
MAILING ADDRESS E-MAIL
/76117 SE /z( . 9/ ��
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CITY /!-Pi// STATE ZIP
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NAME ( )PRIMARY PHONE
PROJECT CONTACT
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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 relianc• the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o his p. i..tion.
SIGNATURE: DATE
PRINT NAME: / :ci G Ve/4G,q/
Bulletin#160—January 1,2013 Page 1 of 2 k:A1-Iandouts\Electrical Permit Application