16-104943i
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2609
FILE''
Electrical
Permit #:16 -104943 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ULRICH
Project Address: 1201 SW 316TH ST Parcel Number: 416810 0330
Project Description: Replace wiring and upgrade service to 200A.
Owner
Applicant
Contractor
BRAD M ULRICH
JOHN REARDENMADSEN ELECTRIC
MADSEN ELECTRIC
1201 SW 316TH ST
3939 S ORCHARD ST
MADSEE'140P8 (4/30/18)
FEDERAL WAY WA 980234522
TACOMA WA 98466
3939 S ORCHARD ST
TACOMA WA 98466
AdditionalPermit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml
PERMIT EXPIRES Tuesday, 10 October, 2017
Permit Issued on Monday, October 10, 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:
511\
cn~ of
Federal Way
PERMIT #: 16104943 00
Tlit i CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 1201 SW 316TH ST
Project: IMSTY A ULRICH FEDERAL WAY WA 980234522
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.
Q
UFER Ground (4295)
Q
Ditch cover (4030)
Approved
Approved
Slab/Concrete Floor (4255)
By Date
Approved
[By
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
By
Date
® Pool Bonding (4195)
Temporary Power (4275)
® Service (4235)
Approved
Approved
Approved
By Date
By Date
By Date
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
1By
Approved
Approved
Approved
By
Date
Q Date 16
By
Date
Final - Electrical (4055)
Approved
❑
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
10/07/2016 11:26 FAX Q001
O pY EIVED e" "
CM ce vil cc, 07 20% CTRICAL
Federal Way pF FEDERAL WAY PERMIT APPLICATION
CITY CDS
PMMT NUMB= 1 � _ ) e 1-1 q q 3 _ -, (�--
SITE
PROJECT VALUATION
$ -�'.7/ L�
PROJECT NAME
(Tenant or Komeouiner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
he included on this permit only
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
I certify under penally of perjury that Y am the property owner or authorized agent of the property owner. I cern, fk that to the beet of
my knowledge, the Information submitted in support of this permit application is true and correct. I certify that I will comply with all
opptleable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
Issuance of this permit docs not remove the owner's rwponvajuty for eompHance with local, state& or federal laws regulating
construction or environmental laws.
I further agree to hold harmlcss the City of Federal Way as to any claim (including costa, 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 gMxcrs and employees, upon the accuracy of die
Information sLipp e h `Illapart of th pllcatiore.
DATE /0
PRINT NAME:
Bulletin #160 — April '14, 2016
pERMrT CENTER + 33325 8t' Avenuc South + Fedcral Way, WA 98003.6325
253-935.2607 + FAX 253-835-2609 + permiteenterCaidtyoffederalway.cam
Page I of 1
k Rundouts0curical Pernlit Application
L
SUITS/Wn'r/APACE #
I ✓
yr �--Ftti f�T—
r�
A3BSBBOR'A TA,7[/P`�RCP�L 11 � 0
C1 MMIT/PROPOQEP USE
_
L Ir`
FIA
pocur&'Ry PHONE
MAILING ADDRESS
K
l
WMAIL
CIT `` IMATE C
O�-�`�� 41�0�-
FAX
( I
RAU&
PRIN!"Ir PADRE
1
393 SO. �POKCA
B�
i� STATE
PAZ
O `
L d
YC
WA STAIR CONTRACTOR'S LICENSE ZXrntAvoff DATE
Hj&dSee%1 0 /
FEDERAL WAR IfI38M S M BE n
RAIIE
PRTVALcv PHONZ
y
esw 3"G ADD RESa
$'XAM
erry STATE ZIP
PAR
PnRV WA3 Y PHONE
I certify under penally of perjury that Y am the property owner or authorized agent of the property owner. I cern, fk that to the beet of
my knowledge, the Information submitted in support of this permit application is true and correct. I certify that I will comply with all
opptleable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
Issuance of this permit docs not remove the owner's rwponvajuty for eompHance with local, state& or federal laws regulating
construction or environmental laws.
I further agree to hold harmlcss the City of Federal Way as to any claim (including costa, 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 gMxcrs and employees, upon the accuracy of die
Information sLipp e h `Illapart of th pllcatiore.
DATE /0
PRINT NAME:
Bulletin #160 — April '14, 2016
pERMrT CENTER + 33325 8t' Avenuc South + Fedcral Way, WA 98003.6325
253-935.2607 + FAX 253-835-2609 + permiteenterCaidtyoffederalway.cam
Page I of 1
k Rundouts0curical Pernlit Application
L