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FILE
City of Federal Way Permit #, 15-106250-00-E L
Community& con.Dev:Services •
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MORRISON
Project Address: 29712 4TH AVE S Parcel Number: 692860 0580
Project Description: ***5/12!16-Revised to include a 200amp panel change and(8)new branch circuits to
supply a new additional kitchen in basement.*** Add (2)circuits to rec room and clean up
wiring.
Owner Applicant Contractor
ROBERT J MORRISON ROBERT J MORRISON OWNER IS CONTRACTOR
LISA A MORRISON 29712 4TH AVE S
29712 4TH AVE S FEDERAL WAY WA 98003-3621
FEDERAL WAY WA 98003-3621
•
Additional Permit Information
Electrical Work Valuation? 3000 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits Residential 8
PERMIT EXPIRES Friday, December 9, 2016
Permit Issued on Wednesday, December 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: ', 5{'d SCAT i bl\ Date: s\ \2- l i'C'
e ' •Electrical
City of Federal Way Permit #: 15-106250-00-E L
Community 8 Econ.Dev.Services
33325 8th Ave S F ILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MORRISON
Project Address: 29712 4TH AVE S Parcel Number: 692860 0580
Project Description: Add(2)circuits to rec room and clean up wiring.
•
Owner Applicant Contractor
ROBERT J MORRISON ROBERT J MORRISON OWNER IS CONTRACTOR
LISA A MORRISON 29712 4TH AVE S
29712 4TH AVE S FEDERAL WAY WA 98003-3621
FEDERAL WAY WA 98003-3621
Additional Permit Information
Electrical Work Valuation? 3000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Monday, June 6, 2016
Permit Issued on Wednesday, December 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
h and the City of Federal Way.
Owner or agent: d1'42 pyo. Date: /) -8 9-,
DATE INSPECTOR AREA AND TYPE OF INSPECTION
V‘ c—T-Le.2--
J
-' •~ THIS CARD IS TO REMAIN'ON-SITE
CITY OF ,N. • Construction 'Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106250-00-EL Address: 29712 4TH AVE S
Project: ROBERT J MORRISON FEDERAL WAY, WA 98003-3621
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 LIFER 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) E 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 `By Cha Date a 7-t��n By Date
El Final-Electrical(4055) '
Approved
By Iv* Date ?I?xi l
Rough Electrical Final Electrical Right of Way
® Approved Approved Approved
By Date By Date By Date
Z-6211,
CITY OF RECEIVED ELECTRICAL
Federal Way DEC 09 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER 1 5 _ 1 t) co z TI L. -
SUITE/UNIT/SPACE#
SITE ADDRESS: 2 Q,712 C,/ S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$3000 " 2- 1.0 0 _ 0 5 0
PROJECT NAME �/J
(Tenant or Homeowner Last Name) /" ( ®(f" i 5 Q
Rp,mav& PanPi/inn l,1 bc?JJrrlOrr+ ar)f add c-.r L�.is
PROJECT DESCRIPTION 40 li e c �'�OOfl4) Clem t.4 f t i//f'//I q /
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
,
PROPERTY OWNER gob &/i71 / /171(c1 Orl C:?196 ) S72 -96P99
MAILING ADDRESSE- L
a 9 7 ok 4i'iy;4vle- I
CIT' STATE ZIP FAX
t ) W4 — 98003 ( ) -
/ PRIMARY PHONE
NAM A,JV�iie ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME r! ... `.. - _ ...
i PRIMARY PHONE
APPLICANT � //tit'J ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT NAME PRIMARY PHONE
/306 A9,0471/ 0/-/ (2(96 )3 70 -9899
9
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: 73" /. (/ % ‘04jl/7---�' DATE / 1&` AS
PRINT NAME: 12A7 ,4O /'rV(Di
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application