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HomeMy WebLinkAbout15-101269T City of Federal way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 • Electrical Permit #: 15 -101269 -00 -EL C" = Inspection Request Line: (253) 835-3050 Project Name: HILLMAN Project Address: 30006 24TH AVE SW Project Description: Replace 200 amp panel and install 4 GFI's Parcel Number: 893750 0190 Owner ARRlicant Contractor EUGENE R IMBRO MICHAEL HOFMANN HI AMP ELECTRIC 30006 24TH AVE SW HI AMP ELECTRIC HIAMPAE942DM (3/14/14) FEDERAL WAY WA 31919 TISCH RD S PO BOX 196 98023-2313 ROY WA 98580 ROY WA 98580 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 Saturday, September 12, 2015 Permit Issued on Monday, March 16, 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 ty of Federal Way. Owner or agent: Dater/� V CITY CW Federal Way PERMIT #: Project: . THIS CARD IS TO ON-SITE Construction In ection Record INSPECTION REQ TS: (253) 835-3050 15 -101269 -00 -EL Address: 30006 24TH AVE SW EUGENE R IMBRO FEDERAL WAY, WA 98023-2313 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 LIFER Ground (4295)Ditch cover (4030) Temporary Power (4275)Service Slab/Concrete Floor (4255) Approved (4235) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Temporary Power (4275)Service Right of Way Approved (4235) Date Approved By Date Approved By Date Approved By Date By Date By Date E] 0 Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date Rough Electrical Approved1:1 Final Electrical Approved Right of Way Approved By Date By Date By Date REOV ED WY OF MAR 16 2015 EL C'T'RICAL Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBERje�_ Z— 0— 1 -2— &— f— _ 6 �— I - (,� f �-�,,� , ,� ` SITE ADDRESS: � � lJ � 1 � ► 1 1 � J "V �� � �J� . SUITE/UNIT/SPACE # PROJECT VALUATION $ .2- fk)- ASSESSOR'S TAX/PARCEL # % CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) /n� / ) !� PROJECT DESCRIPTION Detailed description of work to be included on this permit only f�p,ry U ' l PROPERTY OWNER NAME __ 11 PRIMARY PHONE MAILING ADDRESS 30 E-MAIL CITY WAy STATE ZIP FAX ELECTRICAL CONTRACTOR NAME/ / /�� P/ �, & � PRIMARY PHONE & _ MAILING{{MWRRESS %� L U J n E-71,1,P4, M/(,�,'ft',� elk STATE CITY fi)-D \ ZIP C,cJ % WA STATE C NT CTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME V PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME� - / / ` 1(/'✓N / PRIMARY PHONE (� ���) V613- 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 apart of this application. M SIGNATURE:/ PRINT NAME: Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application 1)