The URL can be used to link to this page

Home My WebLink About15-101992 .! 4 a, II III Electrical City of Federal Way Permit #: 15 -101992-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax (253)835-2609 F II LEInspection Request Line: (253)835-3050 Project Name: FREEMAN 0 Project Address: 30202 11TH PL S Parcel Number: 515390 0390 PrOject Description: New circuits for outlets,switches and lights in addition. , Owner Applicant Contractor PATRICIA FREEMANC D I SYSTEMS INCORPORATED C D I SYSTEMS INCORPORATED 30202 11TH PL S PO BOX 1981 CDISYSI884NH(8/8/16) FEDERAL WAY WA 98003 MILTON WA 98354 PO BOX 1981 MILTON WA 98354 Additional Permit Information Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 4 PERMIT EXPIRES Wednesday, October 21, 2015 Permit Issued on Friday,April 24, 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: V 24/-201 THIS CARD IS TO ON-SITE CITY OF 11P11111 • Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-101992-00-EL Address: 30202 11TH PL S Project: PATRICIA FREEMAN FEDERAL WAY, WA 98003-4106 Scfleduled 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) Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 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) 0 Ceiling Cover(4020) Approved Approved Approved By Date By V.JI Date 5(5- ( Is— By Date ❑ Final-Electrical(4055) Approved By _ Date „-, ‘_vs. ❑ Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date RECEIVECI '`► AI- §, E C'TRICAL CITY OF ' 2015 Federal Way CITY of FEDERAL WAPERMIT APPLICATION CDS PERMIT NUMBER / _ / 07 q SUITE/UNIT/SPACE# SITE ADDRESS: 362 02, u ,pc S f ctuatC i,JC �?,7Ob3 PROJECT VALUATION ASSESSOR'S TAX PARCEL3# r� CURRENT/PROPOSED USE $ 1, 00' - 5 1 5 ? 0 - 0 .3 9 0 PROJECT NAME (Tenant or Homeowner Last Name) gift-4-1V1414. ,.Wr/70r►o, /$4-41'°zNt Idr'-f-;vkt Ii Or 'u et-S; PROJECT DESCRIPTION /`� G'�G/)�a' ou•1 I�13' SUS`+c�nv� / jGltar. Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER 1� ; - frww►a•, ( ) - MAILING ADDRESS E-MAIL 30202 )I+-11- /1. 51 CITY STATE ZIP G)00J? FAX j�cr( WaY fit/Pr 33244- O 7 ( ) - NAME PRIMARY PHONE D �`. Ci) sym-yvi-, irt� (3C0 ) 2 X 23 2 MAILING ADDRES% E-MAIL ELECTRICAL Po Sox l9 S I eta ysiatirv ,' •G CONTRACTOR CITY STATE ZIP FAX /1/1 "ton 1AI4- 3.5Y ( ) N44-- WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT /`G4/. ; ,4 /14e'21 (3(a )28b -923 2_ MAILING ADDRESS E-MAIL Po 137;x- l 9S? cd�',ssrvl>r� /.e Y CITY STATE ZIP FAX 14-1) L - _ 9$'3sy ( ) - NAME PRIMARY PHONE PROJECT CONTACT KCV'ttt ii 4c M€44 (3o )20 -922 2 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 Iocal, 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. 2 SIGNATURE: ,oG DATE y"' 2 Y - 2v // PRINT NAME: /'S e..-V trt / � /►��► Bulletin#160-January 1,2013 Page 1 of 2 k:\landouts\Electrical Permit Application