16-104878City of Federal Way
Community Development Dept.
33325 81h Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 835-2609
Electrical
FILE Permit #:16 -104878 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ASHTON
Project Address: 33618 38TH AVE S
Project Description: Electrical connection for furnace replacement.
Parcel Number: 618143 0740
Owner
Applicant
Contractor
MICHAEL J ASHTON
JAIMIE HOWBRENNAN HEATING & A/C
BRENNAN HEATING & A/C LLC
33618 38TH AVE S
4601 S 134TH PL
(GENERAL 01)
FEDERAL WAY WA 98001-9568
SEATTLE WA 98168
BRENNHA971R9 (1229/17)
4601 S 134TH PL
TUKWILA WA 98168
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Friday, 6 October, 2017
Permit Issued on Thursday, October 6, 2016
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:
FIJyACfp
THIS CARD IS TO REMAIN ONSITE
Construction Inspection
RecordFederal Way INSPECTION REQUESTS:
(253) 835-3050
PERMIT #: 16104878 00 Address: 33618 38TH AVE S
Project: TERI ASHTON FEDERAL WAY WA 98001-9568
Scheduled inspections maybe failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(mad 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)
Final- Electrical(4055)
--� Date � t 7e3 /
El
UFER Ground (4295)
0
Ditch cover (4030)
®
0
Slab/Concrete Floor (4255)
Pool Bonding (4195)
UFER Ground (4295)
Temporary Power (4275)
Ditch cover (4030)
Service (4235)
By
Slab/Concrete Floor (4255)
By
Date
By
Date
By
Date
Final - Electrical (4055)
Final- Electrical(4055)
--� Date � t 7e3 /
El
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Date
By
Date
By
Date
Final - Electrical (4055)
Final- Electrical(4055)
--� Date � t 7e3 /
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
By
Date
By
Date
By
Date
Final - Electrical (4055)
Final- Electrical(4055)
--� Date � t 7e3 /
El
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF iA
Federal Way
RECEIVE®
OCT 06 2016
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER 1 G - I L? t f 1 -7— )( _ � _Z
SITE ADDRESS: � � � � S 3 � �,� /) . _ S
SUITE/UNIT/SPACE S
PROJECT VALUATION
'��
ASSESSOR'S TAX/PARCEL%«
�L�I3-C� q�
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeoumer Last Name)
PROJECT DESCRIPTION
Detailed description of uAork to
be included on this permit only
Q f rA
PROPERTY OWNER
NAME )
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STAT ZIP
( FAX
1 � -
ELECTRICAL
CONTRACTOR
NAME
PRnIARRY PHONE
(9()6)Tlv- D 0
MMLING ADDRESS
E-MAIL
14'Z "-,y�
CITY
_'::�e� j'V _"_
STATE
ZIP
YYl
(co) p q *- 0 5
WA STATE CONTRAqr OR'S LI ENSE N EXPIRATION DATE
h.4Lba leu S��1 J,g
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
N
7 OCA \-"—
PRIMARY PHONE
MAILING ADDRESS 9E
-MAIL
CITY
STA
( FAX
1
PROJECT CONTACT
NAME
PRIMARY PHONE
-
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy 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 authorised 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 a erase of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where ch c im arises out of the reliance of the city, including its officers and employees, upo the accuracy of the
igformation sup lied to the city as a port of th application. �j I
SIGNATURE: DATE J !
PRINT NAME: J Q'\ M 1 .L
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(iticityoffederalway.com
Bulletin #160- April 14, 2016 Page 1 of I k:\Handouts\Electrical Permit Application