16-104883City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: COVET
Electrical
FILEPermit #:16 -104883 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 4236 SW 328TH CT Parcel Number: 873204 0270
Project Description: Electrical connection for furnace replacement.
Owner
Applicant
Contractor
CHRISTOPHER COUET
JAIME HOWBRENNAN HEATING & A/C
BRENNAN HEATING & A/C LLC
4236 SW 328TH CT
4601 S 134TH PL
(ELECTRICAL 01)
FEDERAL WAY WA 98023
SEATTLE WA 98168
BRENNHA962DU (3/31/18)
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: n1� 1 1 h 6 Date:
NJ L.'. .
cruor OAI�
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16104883 00 Address: 4236 SW 328TH CT
Project: CHRISTOPHER D COUET FEDERAL WAY WA 98023-2654
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 withow
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. Y mor if
0
UFER Ground (4295)
0
Ditch cover (4030)
F11
Slab/Concrete Floor (4255)
UFER Ground (4295)
Ditch cover (4030)
Slah/Concrete Floor (4255)
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Final - Electrical (4055)
By 3U Date
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
10 Final - Electrical (4055)
Final - Electrical (4055)
By 3U Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY Oic 4A
Federal Way
RECEIVE® ELECTRICAL
OCT os 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS PERMIT NUMBER
SITE ADDRESS: n(gjv� C f
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SUITE/UNIT/SPACE N
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL N
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeoumer Last Name)
C V
PROJECT DESCRIPTION
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S
C
Detailed description of uaork to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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F -MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
LING ADDRESS IIMAIL
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ELECTRICAL
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CONTRACTOR
CITY
STATE
ZIP
FAX
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( Ob) $ -1AO s
WW ANTE CONTRACT R'S LICENSE M EAPIRATION DATE
FEDERAL WAY BUSINESS LICENSE it
PRIMARY PHONE
N
APPLICANT
l
( ) -
MAILING ADDRESS
&yAIL
FAX
CITY
STATE
ZIP
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 cert(fy 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 defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where uc claim arises out of the reliance of the city, including its officers and employees, upon the7uracy of the
information su plie to the city as a pa this application.
_
SIGNATURE DATE
PRINT N _ tat .nn: _L. nt_ A 1
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentex@cityoffederalway.com
Bulletin #160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application