Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout15-102503 • Electrical
City of FederCommunity a Econ.oev.Services Permit #: 15-102503-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)8
Ph:(253)835-2607 Fax:(253)835-2609 P 4 35050
Project Name: ZELLER
Project Address: 2420 SW 319TH PL Parcel Number. 193840 0430
Project Description: Replace Electrical Panel and add 2 circuits.
Owner Applicant Contractor
GARY J ZELLER AFFORDABLE ELECTRIC AFFORDABLE ELECTRIC
2420 SW 319TH PL 15223 S 276TH PL AFFORE*883L1
FEDERAL WAY WA 98023-2220 FEDERAL WAY WA 98042 15223 S 276TH PL
FEDERAL WAY WA 98042
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 Circuits-Residential 2
PERMIT EXPIRES Sunday, November 22, 2015
Permit Issued on Tuesday, May 26, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be in accordance with the laws, rules and regulations of the State of Washington
d e City of Federal Way.
Owner or agent: Date: Y
26 w
L !NALED
5
•
4111116. • RECENL'D
ELIECTRICAL
CITY OF 101111
Federal Way MAY 2 6 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER i 5 _ i O 2 5 O3 _ 0 0 ' ,/iAY
SITE ADDRESS: 2 y70 S W 3)q -tk PL Lk/A2e SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
), £v _ - _ _
PROJECT NAME
(Tenant or Homeowner Last Name)
Rep t ct c t io, E'Le c 'f'i-i"c c&L. pa vi•e L_
PROJECT DESCRIPTION 7k Q. G'k C w f 5
Detailed description of work to
be included on this permit only
N PRIMARY PHONE
PROPERTY OWNERud�y 2 e 1(2 v- (2 57) 2 q q- 3 2.‘
2MAIL1NG 1+ 2©
ADDRESS s.TYt i� �� E-MAIL
C TY "(' STATE ZIP 9 '0 n s FAX
C tie ck WA G ( ) _
NAME HONE
/jive°rda (e (c c.t1„C ( 73) PRI
g(4 P326
MAILING ADDRESS E-MAIL I
ELECTRICAL I S 2 2. - 5C 2 76 PC- Q {orc(e(eC1ficQ4Dt irn.Cc t
CONTRACTOR CITY y ^ ,T sIN ZIP C V FAX 2 I
!lam ( 3) 6 (F4
7 mC (/'RACfO LICENSE N EXPIRATION DATE /• FEDERAL WAY BUSINESS LICENSE#
�pCq1 3 C 1J 2 PRIMARY PHONE
NAME
, rt.dtftz.y y. KJ2 / sem, y ( ?51 ?yq- 32,6 ?
APPLICANT MAILING ADDRESS E-MAIL
1S223 5 - 2 7G Pc-
CITY Jam- N STATE AZIP qgd (i ( ) FAX
NAME r PRIMARY PHONE
PROJECT CONTACT /f 0 Vey 2%`I/ S Ki"
y y (z5-3, zvq_ 326E
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 Iaws 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 • = es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city , a part of this application.
th
- SIGNATURE: n41.1VI DATE
PRINT NAME: 13 N l r Y L i-i ;'3 x/'V
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
THIS CARD IS TO REMAIN ON-SITE
CITY OF 0 Construction InU ction Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-102503-00-EL Address: 2420 SW 319TH PL
• Project: GARY J ZELLER FEDERAL WAY, WA 98023-2220
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
,_B_ ---e: ' Date ....._ (S--------
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date