12-100594 A `
r Electrical
City of Faders!W41 ,{{jj
Community 8 Econ.Dev.Services Permit #: 12-100594.-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
'F' I LE
Project Name: JARVIS
Project Address: 29516 11TH PL S Parcel Number: 515180 0005
Project Description: Install 0-200 amp service and 60 amp subpanel
Owner Applicant Contractor ,
NATHANIEL P&CINDY L JARVIS WATTS ELECTRIC SERVICE INC WATTS ELECTRIC SERVICE INC
29516 11TH PL S PO BOX 46410 WATTSES176OK(12/5/13)
FEDERAL WAY WA SEATTLE WA 98106 PO BOX 46410
98003 SEATTLE WA 98106
' ¢ MTI .. k..1't1/17.':°'r. .. ® §,. • :,, ,
Is Use Educational or Institutional? No
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Monday, August 6, 2012
Permit Issued on Wednesday, February 8, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy d the use will be in accordance with the laws; rules and regulations of the State of Washington
an a City of Federal Way.
Date:
2 • a . 12o
Owner or agent: Qin. L
1N2 t
flt\-- "'---
THIS CARD IS TO MAIN ON-SITF,.
CITY OF
• Construction I ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 12-100594-00-EL Address: 29516 11TH PL S
Project: NATHANIEL P & CINDY L JARVIS FEDERAL WAY, WA 98003-3740
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) 0 Ditch cover(4030) -
� 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
' '
O Feeders/Sub-panels(4045) El Rough Electrical (4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,0 Final-Electrical (4055)
Approved
'‘ '
DateS— 4---i2_
El Rough Electrical ,� Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• • Ilk. 0 C__. _ 1 0 0 5 c34 .
_____ ____
F:e' 00 D ELECTRICAL
FEB 0 8 20'? PERMIT APPLICATION
CITY OF FE* s elec'tri'cal permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: �sld //' A_ 5 v
SUITE/UNIT/SPACE M ASSESSOR'S TAX/PARCEL# _ O CURRENT/PROPOSED USE
5i_ O- 0 _ d _5
PROJECT NAME
(Tenant or Homeowner Last Name) j'--19(2-VI $
PROJECT DESCRIPTION _(71/'L LvY Le"'ti/ (rEtL/ t lei 5Lai' PZ
Detailed description of work toi
be included on this permit only
NAME .,. PRIMARY PHONE ,.
PROPERTY OWNER 4ji9%7j Jyfy<j( 7 .0)-v( S VO-3 ) 9 - 5 7.a l
MAILING ADDRESS E-MAIL
y17,j-/6 /( 1 eL 5J
CITY STATE ZIP FAX
Ft_ GC/'4i GOA 9JOd 3 ( )
NAME PRIMARY PHONE
WA-T( ' (2t--- '\e-,C (2 i ) 7G7- 57( (
MAILING ADDRESS E-MAIL
ELECTRICAL 20 d x 146 5e/(i
CONTRACTOR CITY STATE ZI FAX
SCA (NA- YY'/off (fib )76) - 33C?
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(jrrtZl' ( 7C O I.- / S /12
NAME PRIMARY PHONE
APPLICANT 5.71-)V"€- ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME 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 plied to thee city as a part of this application.
SIGNATURE: -L `ii " C__4 DATE 2 , .2--
PRINT
PRINT NAME: Il �U t3 `\ F'S
33325 8ih Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application