HomeMy WebLinkAbout15-100733 0
,- Electrical
C>ty ofity&Econ.al Dev.Way PF ILEermit #: 15-100733-00-EL
Community&Econ.L1ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: BAILEY
Project Address: 30127 10TH AVE S Parcel Number 515390 0180
Project Description: Rewire house due to fire damage.Relocate existing 125amp panel.
,
Owner Applicant Contractor
ALAN R BAILEY FULL SPECTRUM ELECTRICAL FULL SPECTRUM ELECTRICAL
30127 10TH AVE S CONTRACTING CONTRACTING
FEDERAL WAY WA 98003 11515 83RD AVE SW FULLSSE972QE(11/5/16)
LAKEWOOD WA 98498 11515 83RD AVE SW
LAKEWOOD WA 98498
Additional Permit Information
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
PERMIT EXPIRES Sunday, August 16, 2015
Permit Issued on Tuesday, February 17, 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 agent4-74 • , Date: Z',i 7"Z d/5".
SLM
401, ,
CITY
CARD IS TO . ON-SITE -
crof 410
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-100733-00-EL Address: 30127 10TH AVE S
Project: ALAN R BAILEY FEDERAL WAY, WA 98003-4102
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.
a UFER Ground (4295) - E 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) E Service(4235)
Approved Approved Approved
By Date By Date By Date ,c_�
"1
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date ByC � Date a, 3,Thi s By Date
o Final-Electrical(4055)
Approved
B Date
Y '1..\-. 41. -`S
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
► EL CTRICAL
cIt„oF
17 2015
Federal Way PERMIT APTION
CITY OF FEDERAL WAY FEB � 1 r� 2��5
r CDS
C
PERMIT NUMBER / O O. 6 3 _ �
CITY OF FEDERALcc-- WAY
SUI'iCA��i &/SPACE#
SITE ADDRESS: .x(0017r"� ]1 � S k)
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ; ao SLS 3 - L
PROJECT NAME J�
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION -10/l'Il�-- lee -MP. f i voi- �Q r-ae- ! mi 6-16)-e
Detailed description of work to 1 h
be included on this permit only �f"6
NAME PRIMARY PHONE
PROPERTY OWNER !/ L 6N I XX ( ) -
MAILING ADDRESS E-MAIL
Ara-
CITY / STATE ZIP FAX
( )
NAME PRIMARY PHONE
,cd ' S f-cr: f am i c (2S'?)e.2Z - /33
MAILING ADDRESS E-MAIL
ELECTRICAL l/cj 3 -5 31=-- fi Illz L CPcMcie czoiGaj-./v4
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
r/A L ;S• 0/7Z OF If i " aik
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Cr-e 67 C `J q QS 3)z zz. - g y33
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: j� , DATE 2.- /7lV) J
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Iandouts\Electrical Permit Application
