22-104079Electrical
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KRAMER
Project Address: 1942 S 372ND CT
Permit #:22-104079-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 721265 0300
Project Description: Adding canned lights, moving washer/dryer plug, adding 3 outlets. Altering up to 4 circuits to
do work.
Owner
Applicant
Contractor
JAMES KRAMER
SANDRA KRAMER
SANDRA KRAMER
1942 S 372ND CT
1942 S 372ND CT
1942 S 372ND CT
FEDERAL WAY WA 98003-7559
FEDERAL WAY WA 98003-7559
FEDERAL WAY WA 98003-7559
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
�r
Elect fixtures
Circuits - Residential 5
'FAX
•
PERMIT E ES Sunday, 5 March 3
Perm* Issn Tuesday, September 22
I hereby certify that the above info ion is correct and that the co truct'on on the above described property
and the occupancy and the use wi be in accordance with the I�Iles and regulations of the State of
Wa hington and the City of Fede ay.
1� lr
Owner or areft ---
r
CA
4%,
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: Address:
Project:
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) Cl Slab/Concrete Floor (4255)
Approved Approved Approved to place.concrete
By Date 113y Date By Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Feeders/Sub-panels (4045) �.� Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved pproved Approved
By Date By ;ez Date 51 By Date
❑ Final = Electrical (4055)
Approved
By Date
CITY OF - - --_-
Federal Way
RECEIVED ELECTRICAL
SEP 06 2022 PERMIT APPLICATION
CCiY OF FEDE - WAy
CpM}�>}�y11Y DEV �C� MENT
PERMIT NUMBER 1 0
SITE ADDRESS:
SUITE/UNIT/SPACE#
PROJECT VALUATIO7
$ 1S-a�U
ASSESSOR'S TAX/PARCEL #
-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
I �C �� �.A��1� �•�i �kconr\ Me -Mc,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
L-� w c
PROPERTY OWNER
NAME
+X?--
PRIMARY PHONE
( 2fY0) q - 76J P
MAILING ADDRESS
L9 f["'a S. ~J7D y-,J\ U
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STATE
ZIP
AX
ELECTRICAL
CONTRACTOR
NAME _.
Se J�- Oowc.
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
NAME[]
.7--Q ' ` �
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
)
PROJECT CONTACT
\�
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PRIMARY PHONE
[� ) 9.9- 70�J
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 w re claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
informatio sup P. ' t the city as apart oft is application.
SIGNATUL,
f 11 Inrt (, DATE
PRINT NAME:
Ob,W
Bulletin # 160 — April 14, 2016 Page I of 1 k:\Handouts\Electrical Permit Application