HomeMy WebLinkAbout15-102127w w A .b
Electrical
c`tyEcon. Way
Community Permit #: 15 -102127 -00 -EL
& Econ. Dev. Services
f' 33325 8th Ave S
Federal way, 98003 Inspection Request Line: 253 835-3050
'Oh: (253) 835-2807 Fax:ax: ec
(253) 835-2809 p q
Project Name: TARPLEY
Project Address: 33572 36TH AVE SW
Project Description: Service change.
Parcel Number: 109960 0440
Owner
ARDIlicant
Contractor
ROBERT K TARPLEY
BLUEVOLT ELECTRIC
BLUEVOLT ELECTRIC
JAMIE TARPLEY
33569 36TH AVE SW
BLUEVE'8638R(11/21/16)
33572 36TH AVE SW
FEDERAL WAY WA 98023
33569 36TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA 98023
98023
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, November 1, 2015
Permit Issued on Tuesday, May 5, 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 ag Date:. 0 1 -'9—
FINALED
CITY OF IV&
Federal Way
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -102127 -00 -EL Address: 33572 36TH AVE SW
Project: ROBERT K TARPLEY FEDERAL WAY, WA 98023-2904
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.
Final - Electric
Approved
Date
1
UFER Ground (42 5)
Ditch cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electric
Approved
Date
1
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)Service
1:1Approved
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electric
Approved
Date
1
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
40MVED
E CTRICAL
CITY OF MAY 0 5 2015
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER / � _ � � �
SITE ADDRESS: 33S -7,Z- 3&T-� Ave sevj )
SUITE/UNIT/SPACE #
PROJECT VALUATIONASSESSOR'S
$iCCDC).,(f>
TAR/PARCEL #
10-?_ _2 o-�2
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
y-� �-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
S�—U i — —
PROPERTY OWNER
NAME
30 l3 `iY4 P
PRIMARY PHONE
00q)4:1021- (41 71
MAILING ADDRESS
is -09
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
13c.UEVOI,7(—
PRIMARY PHONE
74(0—Z_ 7
MAILING ADDRESS
&
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LIC NSE # EXPIRATION DATE
l3 (_d ve * SC:3 t t /2-1 /1cp
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
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 apart of this application.
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Bulletin # 160 -January 1, 2013 Page 1 of 2 k: llandoutsTlectrical Permit Application
