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HomeMy WebLinkAbout15-102778 electrical
City of EcoFedn
Permit #• 15-102778-00-EL
Community 8 Econ.f�ev.ServicesFILE.
•
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DEVORE
Project Address: 5154 SW 311TH PL Parcel Number: 321020 0145
Project Description: Adding/altering circuits for new lighting with associated kitchen remodel
•
Owner Applicant Contractor
TIMOTHY A DEVORE TIMOTHY A DEVORE OWNER IS CONTRACTOR
LORI A DEVORE 5154 SW 311TH PL
5154 SW 311TH PL FEDERAL WAY WA
FEDERAL WAY WA 98023-2029
98023-2029
Additional permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential
PERMIT EXPIRES Sunday, December 6, 2015
Permit Issued on Tuesday, June 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
an e City of Federal Way.
Owner or agent: Date:Date: 6
Nq
4F�
THIS CARD IS TO REMAIN ON-SITE _.
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-102778-00-EL Address: 5154 SW 311TH PL
Project: TIMOTHY A DEVORE FEDERAL WAY, WA 98023-2029
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.
0 UFER Ground(4295) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
• • • •
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date ByoA"'r_ Date Q.-.. `,,v By Date
❑ Final-Electrical(4055)
Approved
/By-- Date 4 __l_Q
Rough Electrical Final Electrical •El
Right of Way
ElApproved ElApproved Approved
By Date By Date By Date
k. ELECTRICAL
CITY OP U�
Federal Way PERMIT APPIdJIO.N
PERMIT NUMBER l 1 0 2 7-cc3
_ )UN 0 9 2015
CITY OF FEDERAL WAY
SUITE/TM/SPACE/SPACE#
SITE ADDRESS: 1�...LvJ.J�
5"l sq s. (,\_) z1/V-1- P LC F-e.DiA4L Wilt
PROJECT UA' -- ASSESSOR'S TAX/PARC L#
��aU - �7 t 0 ° - G ( �I CURRENT/PROPOSED
�1�t _
PROJECT NAME G� V `�'
(Tenant or Homeowner Last Name) 'sba_J1©RQ____
PROJECT DESCRIPTION 147C .,.i e6 bYZo,`�5.-L — ADO 1 L C t �'ZC I t 175
`r )
Detailed description of work to Lc 6fl7i•v t.,
be included on this permit only
NAME \ PRIMARY PHONE
PROPERTY OWNER 1.---
( wkp� -y `(--- tog , (\ t /o (2-O6)37.5'_ d4'e6j
MAILING ADDRESS E-
1kx g1r� Deisff POtti7 R_ 87 f-i$416/.4 x deticARee
CITY STATE ZIP
PEDE— A� 1�—)AY liJ� qSa a-3 ( ) S Pc-rr/e. aoV-
NAME PRIMARY PHONE
© 3 f2 ( ) -
w e`
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 E-2_ ( )
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 supplied to the city as a part of this application.
SIGNATURE: er _ __ .,../A., DATE e! "--C947"0-01
PRINT NAME: 1 1 IVj p 7K)1 bfVa. 6
Bulletin#160—January 1,2013 Page 1 of 2 101-landouts\Electrical Permit Application