23-105118Electrical
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: DAMMEIER
Project Address: 29210 18TH AVE S
Permit #:23-105118-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9196
Project Description: Added plugs, switches, (4) can lights, and GCFI plug off sink in vanity area
Owner
Applicant
Contractor
STEVEN & JENNIFER DAMMEIER
STEVEN DAMMEIER
OWNER IS CONTRACTOR
29210 18TH AVE S
29210 18TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential 5
PERMIT EXPIRES Wednesday, 10 April, 2024
Permit Issued on Friday, October 13, 2023
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 ID)Z5
Owner or agent: Date: �
-4k
CITY as
Federal Way
THIS C JLRD IS TO RE_\I_-I\ ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 535-3050
Scheduled inspections tna-; be failed if this curd is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
C read lea to right. top to bottom). Please scLedule inspections as appropriate. Work must not be co.: eyed until it is appro v ed. Check rxith your inspector if
you are unsure about am of the inspections or the inspection sequence. On -going inspections are Iogaed on the back of this card.
ELECTRICAL
❑
By
LFER Ground (4295)
Approved
Date
❑
By
Ditch cover (4030)
Approved
Date
❑
By
S1abiConcrete Floor (4255)
Approved to place concrete
Date
El
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Serx-ice (4235)
Approved
Approved
Approved
By
Date
By
Date
B}-
Date
❑
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
BY
Date
By
� Date 0^�
By
Date
L: I
Final - Electrical (4055)
By
oved
Date
MECHANICAL
❑
Jechanical Rough -in (4165)
❑
Gas Piping (4125)
Q
Final - Mechanical (4065)
Approved
Approved to release test
Approved
BS
Date
BV
Date
By
Date
PLUMBING
0
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
BY
Date
CITY OF 'A
Federal Way
RECEIVED
OCT 1 J 2023
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
SITE ADDRESS: 74f- t- /+ J
'? .7
SUITE/UNIT/SPACE #
PROJECT VALUATION
s ��1
ASSESSOR'S TAR/PARCEL #
0 }
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
' n
PROJECT DESCRIPTION�—
Detailed description of work to
be included on this permit only
PROPERTY OWNER
MAM
-Ker Wt V
PRIMARY PHONE
( Z"�q) Z29 - 5Z---10
MAILING ADDRESS
E-MAIL
• 1
a
STA
�
ZIiq ��
( ) FAX
ELECTRICAL
CONTRACTOR
APPLICANT
NAME
DVYl �/�finn
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI #
N
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAM _
,
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 suppii d Ce�C ity as apart of this application. ��qq h.3
SIGNATURE: tDATE LJZ?--,�
PRINT NAME: ._ I Ir ". &7f].�� P,I r �/I.
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente 4Dcityoffederalway.com
Bulletin #160 — April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application