14-104060 •
Al
• • EillectriC41
City of federal way .//
Community&Econ.Dev.Services Permit #: 14-104060-00-EL
33325 8th Ave S F ILE
Federal Way,WA 96003 Inspection Request Line: (253)835-3050
•
Ph:(253)835-2607 fax:(253)835-2609 p q
Project Name: FUEGMANN
Project Address: 5405 SW DASH POINT RD Parcel Number: 321020 0326
Project Description: Change out panel and wire for addition.
Owner Applicant Contractor
CASSANDRA FUEGMANN PACIFIC SUN SERVICES LLC PACIFIC SUN SERVICES LLC
• K C FUEGMANN 4408 S 282ND ST PACIFSS945RC(12/12/14)
5405 SW DASH POINT RD AUBURN WA 98001 4408 S 282ND ST
FEDERAL WAY WA 98023 AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Saturday, February 7, 2015
Permit Issued on Monday,August 11, 2014
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 td/C/464-%
d-(4.911,4, Date: q ll l«/
1
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record ' , .
Federal Way INSPECTION REQUL 'TS: (253)835-3050
PERMIT#: 14-104060-00-EL Address: 5405 SW DASH POINT RD
Project: CASSANDRA FUEGMANN FEDERAL WAY, WA 98023-2044
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.
LIFER Ground(4295) - F El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date CS Date t o _ Z..Ai By Date
o Final-Electrical(4055)
Approved
By fie--- Date ` 1,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date .
•
E C'TRICAL
CITY OF
Federal Way rocelm PERMIT APPLICATION
\ AU G 11 2014
PERMIT NUMBER \ _ ickikAFAL ,t,,PNAY cc
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cDs
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 405 tl �1 Fe d VJ�
is.Y7
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
$ 800 v - _ .— _ _— 5!',e
PROJECT NAME ) ADS, i ' i R �u �4 �N Ai
(Tenant or Homeowner Last Name) J(.1✓
)2e l cc ce e...-let 200 /} i a -f ltl an- e✓ ee Zoo All p
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PROJECT DESCRIPTION stoG4"e1// .
Detailed description of work to Arm FGoo/ i,e l ay'a.u1- E 1. 406 IM 01 c,r4w/ 4r Cart 770„
° YCU.St✓e
be included on this permit only
9.(2,v ale� G Ad in e j feu 1 -10 atAi faAjd•ve
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
54 045 5t10 Dasti PollIAT 1
CITY STATE ZIP FAX
Fed u0a1 1.0A 900�5 ( ) -
NAME PRIMARY PHONE
PA-Cl-4'C &i, S-r0ic€s (253) 6,53- gb31
MAILING ADDRESS E- L
ELECTRICAL 440 $ 5 • a 8� 1 PcflMi Cus. n ki t
CONTRACTOR CITY STATE ZIP FAX
BJ(4w ►k)R ygao i ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
f7kCmss -53 y rG iz / /2- /ly _ __._ ___
(NAME PRIMARY PHONE
APPLICANT VI)L4#4711 ' T-1401/)4.5 ( ) -
MAILING ADDRESS E-MAIL
,N171/1 c AS A73ere--
CITY - STATE ZIP FAX
( )
N
PROJECT CONTACT V PHONE
/LL1 OM e'% )A S (Z53 )653- yi3e
1 I 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 supplied to the city as a part of this application. �r SIGNATURE: � �, u - t� k._ DATE /iIi ti
PRINT NAME: t+l LLA /3711 S• 7-40•1/^IS
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application