Loading...
12-104762City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: DEBOER Electrical Permit #: 12- 104762 -00 -EL r-7 Inspection Request Line: (253) 835 -3050 Project Address: 30425 MILITARY RD S Project Description: Service Change and Generator Hookup V1q-ju Parcel Number- 092104 9220 Owner AR lie cant Contractor DENNIS DEBOER DENNIS DEBOER OWNER IS CONTRACTOR 30425 MILITARY RD S 30425 MILITARY RD S FEDERAL WAY WA FEDERAL WAY WA Is Use Educational or Institutional ? ....................... No Alt. Serv./Feeder: 0 to 200 amps (F 1 CONDITIONS: A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin #150 for placement details. PERMIT EXPIRES Monday, April 15, 2013 Permit Issued on Wednesday, October 17, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy a se will be i accordance with the laws, rules and regulations of the State of Washington q; ;)the City of Federal Way. Owner or agent: Date: D \ l Z FINgr 1O�C4'%lt CnT OF Federal Way PERMIT #: 12- 104762 -00 -EL THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQ TS: (253) 835 -3050 Address: 30425 MILITARY RD S Project: DENNIS DEBOER FEDERAL WAY, WA 98003 -4852 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 - Electrical (4055) Approved By Date UFER Ground (4295) ❑ Ditch cover (4030) Temporary Power (4275) Slab /Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date Pool Bonding (4195) ❑ Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date 0 ❑ Rough Electrical (4225) Feeders /Sub - panels (4045) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date Rough Electrical Approved ❑ Final Electrical Approved Right of Way Approved By Date By Date By Date # W2- -- I�4 -T 6.2 - - - - -- CITY ef ELEC'T'RICAL OCT 17 2012 PERMIT APPLICATION CITY OF FEDERAL WAY CQ$Most electrical permits may be obtained on -line at www.cityo (federalway.com ** I IBM SITE ADDRESS: SUITE /UNIT /SPACE A ASSESSOR'S TAX /PARCEL i CURRENT /PROPOSED USE PROJECT NAME tTenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER 4-A$ - 8 46 G MAILING ADDRESS E -MAIL -S©,-� Z, `j dr � mcw Ovl� CITY �"ATE I ZIP FAR NAME PRIMARY PHONE // MAILING ADDRESS E -MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E -MAIL CITY STATE ZIP J FAX l � - PROJECT CONTACT, NAME PRIMARY PHONE 1 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 supp lied Fto thq city as 2rpaQ ofViRr pplication. SIGNATURE: PRINT NAME: 33325 8'" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 — January 1, 2011 Page i of 2 k:\Handouts \Electrical Permit Application