12-1052354 i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
L-A
electrical
Permit #: 12- 105235 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: HART $ b 0 a 0
Project Address: 29250 MILITARY RD S Parcel Number. 042104 9149
Project Description: Mast meter repair
Owner
ARRlican
Contractor
BRIAN HART
RUUD ELECTRIC
RUUD ELECTRIC
29250 MILITARY RD S
PO BOX 1030
RUUDEEI955LS (6/29/13)
FEDERAL WAY WA 98023
SUIVINER WA 98390
PO BOX 1030
SUMNER WA 98390
Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Mast or Meter Repair (ResidentiaU 1
PERMIT EXPIRES Wednesday, May 15, 2013
Permit Issued on Friday, November 16, 2012
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 agent: Date:
P",n� r�
11
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record b
Federal Way INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 105235 -00 -EL Address: 29250 MILITARY RD S
Project: BRIAN HART FEDERAL WAY, WA 98003 -7916
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)
Ditch cover (4030)
E]
Slab /Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I e seder pnaftg of PWJwy that I am the property Dwmw or wahw t wd amt of the p i-rV osu w. I cwft that to the
best of uW g the informatim sabmtbted in support of this permit a�pptication is true and awrecG I ctrft that I MiU aorepty that
antra an appit c*u cam of Pkderat Way regulations P-*dw m to the teork aathoriHd wlth is al, a of rMiL tt�Iesthe9
the issw+ae of this permit does not ramose the oreeer's r+espon 6iuV f. coaepitancs
consduction or wwbvnmwtW taws- and attorneys' fees i7ecrrred
I agree to Nerd ha =hM the CUM of Federal WV as to any ctaim ftMch� t o� �
in the bw.Mg d. and dgWw of sack akdmX which may be made by any pere� s acrd a upon the led doL�/ It Ilea
eltg, bat onig whom such claim artso out of the ronamw of the ettg, 6eeiadbW obi
bormaun rt of this application.
SIGNATURE:
PVMT NAIL c k u u 17
Bulletin # l00 — 411711009 Page I of 4 k:\Handouts)permit Application
S
PBWARY Psonz
t�53 )9q1 -q?g'3
PROPERTY oWARM
xurm /unrr #
ZONING
ASSBBSOWS TAXIPARCEL •
E -HAIL
.250 m .
NAMB0FPR
p CONTRACTOR p APPL&CAMe PROJECT CONTACT
(Tenant or Homeowner Name)
d c S
WEAVMM ADDRESS, CITY. STATE, ZIP
?-d- 030 Suvnncr 3 0
PAX
3 -6y58
D BUILDING
O PLUMMG D MECHANICAL
FEDERAL WAY BUSRIESS LICESSB 0
TypE OF PERMT
D DEMOLITION g ELECTRICAL O ENGIItBMI(G
D FIRE PREVENTION
Mezt.r
Psanuff PHONB
PROJECT DESCRIPTION
06-3)&3 -0180
APPLICANT
!/AILDf6 ADDRSSB. CITY STATE. ZIP
.O. D3o Sla,ylncr 83 d
Detailed description of work to
PROJECT CONTACT
NAM
tLk Zj 1,t1�1b
/PRtatum Psow
S3 [s' 9/ 18.1 f<
be included on this Permit only
MAILING ADMMM CMT. STATE. ZIP
jam. 0. /0W S u W7 r2t C- tR.la alb
FAX
-
nwpond to all
concerning this application)
I e seder pnaftg of PWJwy that I am the property Dwmw or wahw t wd amt of the p i-rV osu w. I cwft that to the
best of uW g the informatim sabmtbted in support of this permit a�pptication is true and awrecG I ctrft that I MiU aorepty that
antra an appit c*u cam of Pkderat Way regulations P-*dw m to the teork aathoriHd wlth is al, a of rMiL tt�Iesthe9
the issw+ae of this permit does not ramose the oreeer's r+espon 6iuV f. coaepitancs
consduction or wwbvnmwtW taws- and attorneys' fees i7ecrrred
I agree to Nerd ha =hM the CUM of Federal WV as to any ctaim ftMch� t o� �
in the bw.Mg d. and dgWw of sack akdmX which may be made by any pere� s acrd a upon the led doL�/ It Ilea
eltg, bat onig whom such claim artso out of the ronamw of the ettg, 6eeiadbW obi
bormaun rt of this application.
SIGNATURE:
PVMT NAIL c k u u 17
Bulletin # l00 — 411711009 Page I of 4 k:\Handouts)permit Application
S
PBWARY Psonz
t�53 )9q1 -q?g'3
PROPERTY oWARM
1� iZlc�.vi �o a
MAA.ffiG ADDRESS. CITY, BTATS, ZIP
a9 ' l * 4e.x "G' 8c
E -HAIL
.250 m .
OWNER IS ALSO:
p CONTRACTOR p APPL&CAMe PROJECT CONTACT
PRIILARY PHONs
CONTRACTOR
WEAVMM ADDRESS, CITY. STATE, ZIP
?-d- 030 Suvnncr 3 0
PAX
3 -6y58
WA ETA?& CAPrahzTOWS LICwE i
BXPDIATiON DATE
G
FEDERAL WAY BUSRIESS LICESSB 0
I9 u.u.o f SSL.S
/,2'9 /13
Psanuff PHONB
NAM
Z.-D Ellglr,,
06-3)&3 -0180
APPLICANT
!/AILDf6 ADDRSSB. CITY STATE. ZIP
.O. D3o Sla,ylncr 83 d
FAX
53 L3 -Oy58
PROJECT CONTACT
NAM
tLk Zj 1,t1�1b
/PRtatum Psow
S3 [s' 9/ 18.1 f<
(Tire individual to receive and
MAILING ADMMM CMT. STATE. ZIP
jam. 0. /0W S u W7 r2t C- tR.la alb
FAX
-
nwpond to all
concerning this application)
ALTERRATB COMACT NAIL:
zcL, Me- 4g,Z
PROIARY PHONE
53 Sob -9�I8
$ '
P WJECT FINANCING
NAM
p OWNER MAac2n
Required fo.r projects with
�
"flue Of �5,0W or more
HUWMADDRESS, MTY> STATS, ZIP
FRnu" PHom
IRCW 14.27.095]
-
I e seder pnaftg of PWJwy that I am the property Dwmw or wahw t wd amt of the p i-rV osu w. I cwft that to the
best of uW g the informatim sabmtbted in support of this permit a�pptication is true and awrecG I ctrft that I MiU aorepty that
antra an appit c*u cam of Pkderat Way regulations P-*dw m to the teork aathoriHd wlth is al, a of rMiL tt�Iesthe9
the issw+ae of this permit does not ramose the oreeer's r+espon 6iuV f. coaepitancs
consduction or wwbvnmwtW taws- and attorneys' fees i7ecrrred
I agree to Nerd ha =hM the CUM of Federal WV as to any ctaim ftMch� t o� �
in the bw.Mg d. and dgWw of sack akdmX which may be made by any pere� s acrd a upon the led doL�/ It Ilea
eltg, bat onig whom such claim artso out of the ronamw of the ettg, 6eeiadbW obi
bormaun rt of this application.
SIGNATURE:
PVMT NAIL c k u u 17
Bulletin # l00 — 411711009 Page I of 4 k:\Handouts)permit Application