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HomeMy WebLinkAbout15-105939 -Electrical • - qty ofWay Permit #: 15-105939-00-EL Community&Econ.Econ.D Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 FILEInspection Request Line: (253)835-3050 Project Name: DIBBLE Project Address: 29244 13TH PL S Parcel Number: 720560 0010 Project Description: Add(3)outlets& (1)switch in bedroom. , Owner Applicant Contractor JASON DIBBLE JASON DIBBLE OWNER IS CONTRACTOR THERESA DIBBLE 29244 13TH PL S 29244 13TH PL S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Information Electrical Work Valuation 300 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 4 PERMIT EXPIRES Saturday, May 21, 2016 Permit Issued on Monday, November 23, 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 Aand the City of Federal Way. Owner or agent: Date: 1 1 i 2 3/13- t , /ISt , (-1 r a t}1 yy -3 . s 9 .. A P ' 6 fig- .3 8,.,..k total) THIS CARD IS TO REMAIN ON-SITE CITY OF - Construction Inspection Record Y Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-105939-00-EL Address: 29244 13TH PL S Project: JASON DIBBLE FEDERAL WAY, WA 98003-3743 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. O 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) El Service(4235) Approved Approved Approved By Date By Date By Date eders/Sub-panels(4045) '0 Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By �. _�. Date li-1.. t By Date O Final-Electrical(4055) Approved By lArb Date 7 t 2tel fu, 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF Federal WayNov 2 3 2015 PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER _ _ i:" 11- SUITE/UNIT/SPACE# SITE ADDRESS: 2 4 2L-1 4 F 2'1Z, 13G S I�t�Cc{ CTL( 1,./t4Y , (n/!q PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 7 CURRENT/PROPOSED USE PROJECT NAME °)) (Tenant or Homeowner Last Name) A/� i dd--11n 0 3 0,-1 le-f-1 I- f $,J;-tel "..re i A Oed/,0CJm PROJECT DESCRIPTION TM°S�`�� e- 3 e.r.± (Lyn. is O 11'L 47 'ar.e.d ....,-1-- Detailed description of work to be included on this permit only NAME ^ PRIMARY PHONE PROPERTY OWNER v'-S)'. `l//: b (2S 3 )-717 - 0 318 MAILING ADDRESS E-MAIL 2 4 2-11 t-( I 3 11,1 0 L S J 44 0^ 4:b b le&h`f o.,1.t.t., CITY STATE ZIP FAX Fc der 4 t,✓ l (41 A °19c)c)j ( ) - NAME PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAMEPRIMARY PHONE J GS�/l. V��wyiC ( ) APPLICANT MAILING ADDRESS L E-MAIL i 11)A L 13 It Ch S CITY s STAT ZIP FAX FG(f,.r:.( 001 U� ( 4&JL.'3 ( ) rC' NAMEPRIMARY PHONE PROJECT CONTACT JGit ,n (II,6(e (25-3 ) ")4? - 0 3l.S 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 Iaws 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: 0 DATE 1 1 17-3 I(3— PRINT NAME: J '-S ' 0- ' 1I Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application