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HomeMy WebLinkAbout15-105166 • • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-105166-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
. Project Name: ATKINS
Project Address: 3738 SW 332ND PL Parcel Number: 109961 0110
Project Description: Extend(1)electrical circuit for heater connection.
Owner Applicant Contractor
BENJA ATKINS BENJA ATKINS OWNER IS CONTRACTOR
CYNTHIA C ATKINS 3738 SW 332ND PL
3738 SW 332ND PL FEDERAL WAY WA 98023-2922
FEDERAL WAY WA 98023-2922
Additional Permit Information
Is this an Online or O,T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT-EXPIRES Wednesday, April 6, 2016
Permit Issued on Friday, October 9, 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
and the City of Federal Way.
Owner or agent: Date: /4(9/1-6-
THIS CARD IS TO REN ON-SITE
CITY OF Construction Inspeon Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-105166-00-EL Address: 3738 SW 332ND PL
Project: BENJA ATKINS FEDERAL WAY, WA 98023-2922
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.
El UFER Ground (4295) ❑ Ditch cover(4030) - ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date i By Date By Date
ElPool Bonding(4195) , Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
•
,El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
.0 Final-Electrical(4055)
Approved
By Date 'A.—
Rough Electrical ❑ Final Electrical Right of Way
444 Approved Approved Approved
LII....._ Date By Date By Date
• RECEIVED •
A., •
(+ ELECTRICAL
CITY OFCITYOl. V 15
Federal Way of r=EDQERAL�� PERMIT APPLICATION
WAY
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PERMIT NUMBER _5 J ' CQ ./ _ (i `�
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1 g SUITE/UNIT/SPACE#
SITE ADDRESS: !� 0 , t� . j .-veil { F Cei c:J� �' J d,� `t �+ 3
PROJECT VALUATION ASSESSOR S T X/PARCEE�L# - CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
T et CA"ell �`,,rc.t're Y Y�- G4-z v '' E).k t ck Ik.c:.1-r-1 c.r-A (_t r to,. ._,-
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PROJECT DESCRIPTION 11-247--k c L014 ''A
Detailed description of work to
be included on this permit only
NAME 'QPRIMARY PHONE
PROPERTY OWNER Pt..
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MAILING ADDDRES E-MAIL
ZS`0 �3J ✓W 32N-P '' JN � YK `
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CITY—
f-t(-Azte ,,GASTATE ZIP
t CiL3 ( )
NAME
PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
g2 55-0 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 Iaws.
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.
- g7r."'
SIGNATURE: t a DATE P(1/5
PRINT NAME: II6e t 4- £ .114k t✓ c
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application