HomeMy WebLinkAbout15-100994 • • Electrical
City of Federal Way
Community&Econ.Dev.Services I LitPermit #: 15-100994-00-EL
33325 8th Ave S �"
Federal Way,WA 98003 ' Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: LANG
Project Address: 31203 2ND AVE SW Parcel Number: 555750 0010
Project Description: Adding/altering(1)circuit for bathroom to relocate junction box in ceiling of basement
Owner Applicant Contractor
DONALD B LANG R&R ELECTRICAL SERVICES LLC R&R ELECTRICAL SERVICES LLC
CHERILYN R LANG 25644 30TH AVE S RRELERE870MK(7/12/15)
31203 2ND AVE SW KENT WA 98032 25644 30TH AVE S
FEDERAL WAY WA KENT WA 98032
98023-4616
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Sunday, August 30, 2015
Permit Issued on Tuesday, March 3, 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
C(N )--)*.t.
nd the City of Federal Way.
Owner or agent: ,, \\, Date: A (..) 3
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'4kt; • THIS CARD IS TO AIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-100994-00-EL Address: 31203 2ND AVE SW
Project: DONALD B LANG FEDERAL WAY, WA 98023-4616
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) ❑ 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) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ' 14Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By ., DateBy Date
O Final-Electrical(4055)
Approved
By a.„,,,, _. Date ')--rc1��S
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
III
CITY OF EL CTRICAL
Federal Way PERMIT APPLICATION
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PERMIT NUMBER / 5 - t o v L 4- 0 0
- - - - MAR 032015
SITE ADDRESS: C irtt JCKAL WAY
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S 5 o --Q)" 5 5 S 50 - o o l O
PROJECT NAME
(Tenant or Homeowner Last Name) '_._ �',‘")
PROJECT DESCRIPTION It-`O(-Ove- 3\NJ' \\Of" C Or- \ C,..`r\-rc -"Thi( Qi \o� .-
Detailed description of work to j� L \ ��k, \ ' c P'\\ � c.,,.t YY,,-`r \
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER \_ PA:- C/' ) -
MAILING ADDRES E-MAIL
•
CITY STATE ZIP FAX
NAME PRIMARY PHONE
ca, %'-Z 7 \Lc \r:c t. 1\cA, c\I 11 LL-(- i'A, )37)1 - RLVo1
MAILING ADDRESS E-MAIL
ELECTRICALc.ap 4..._\ S.--yr ( S •
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C&-r0 Qt. (-n mK . ) /la- /d315 \ . \ 3 -03L-
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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 oft 's application.
77
SIGNATURE: TWA' DATE J 1 3 I '�A
PRINT NAME: QUO c `C—A \\ ,k Z c
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
