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HomeMy WebLinkAbout15-100642 • Jai 0 Electrical - City of Federal Way ILE „ IIPermit #: 15-100642-00-E L Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 96003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p Q ., Project Name: MATY Project Address: 28546 20TH AVE S Parcel Number: 422200 0210 Project Description: Wire new house to include 200amp panel. Owner Applicant Contractor MICHAEL G MATY ROBERT WINKELMAN BOBCAT ELECTRIC INC 28546 20TH AVE S BOBCAT ELECTRIC INC BOBCAEI952JG(4/7/15) FEDERAL WAY WA 98003-3233 1407 S TYLER ST 1407 S TYLER ST TACOMA WA 98405 TACOMA WA 98405 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures New Service:Residential 1 PERMIT EXPIRES Sunday, August 9, 2015 Permit Issued on Tuesday, February 10, 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 the City of Federal Way. Owner or agent: V •A Date: —/O r 20/3 r THIS CARD IS TOMAIN ON-SITE FOF ,.•111`111/4111464.."'". Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-100642-00-EL Address: 28546 20TH AVE S Project: MICHAEL G MATY FEDERAL WAY, WA 98003-3233 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) 0Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) El Temporary Power(4275) 0 Service(4235) Approved Approved Approved ill y Date I By Date By C. Date N..i '1C1—is Feeders/Sub-panels(4045) `� Rough Electrical(4225) `� Ceiling Cover(4020) f_____ Approved Approved Approved By Date B Date C� z ,... ..E___ Thy Date 0 Final-Electrical (4055) • , Approved By Zdi Date c-' 9, Rough Electrical El Final Electrical Right of Way Approved Approvedlij Approved By Date 1 By Date By Date III 111116. ED E CTRI CAL CITY OF Federal Way FEB 1 0 2015 PERMIT APPLICATION .-r'.-• --' CITY OF FE E WAY PERMIT NUMBER _ ri D 6 / SUITE/UNIT/SPACE# SITE ADDRESS: 75--q O- r �P f5 15 PROJECT VALUATION GJ lVA SESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE $ `7000 , 00 _ Q 0 - 0 J-- 0 0 PROJECT NAME /� (Tenant or Homeowner Last Name) �/ " l PROJECT DESCRIPTION (ti ( rn.e cJ 1-4 6 u ..e- /5-00 u6? -701-6210r65) Detailed description of work to '7 U(' a, c-rU E be included on this permit only NAME PRIMARY PHONE Y PROPERTY OWNER /V\ I C // eGe.( viA of , eLS3 )75`rJ - ?-7(..a MAILINNG ADDRESS E-MAIL Z p J-1(p 2,0 Gk,L/C_... .--) CITY STATE ZIP FAX di.er-,k,1 (,/,-)0's (/Joy 9*(3053 ( ) - NAME PRIMARY PHONE S r ►��,-f-- L 1 td-r; c___, ,1�v\ c_, )-z - 7-77(07-- MAILING ADDRESS E-MAIL ELECTRICAL }_ —r/ P • 7n( r - ro,Ci✓ CONTRACTOR CITY STATE ZIP FAX —1 .CO ou ( Jct- n(40 5 3)'759' - 3)`2.-77 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# r0hl✓69E 9S2,75'"c, 09 / /6_ 201(0 NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - PROJECT CONTACT NAME PRIMARY PHONE 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: L,/1k/ DATE?_—10 "7.--'0/ PRINT NAME: Jt ��P.r ( p✓� �I //V� �� Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application