14-104465 , 4111) • Electricals
Community&Federal o .D Way Permit #: 14-104465-00-EL
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
01
Project Name: MCDOWELL '37
Project Address: 5325 SW DASH POINT RD Parcel Number: 321020 0345
Project Description: Replace 200-amp panel.
Owner Applicant Contractor
DOUG MCDOWELL CHARLES DEAN ELECTRIC LLC CHARLES DEAN ELECTRIC LLC
5325 SW DASH POINT RD 28107 20TH AVE S CHARLDE930LQ(6/18/15)
FEDERAL WAY WA 98023-2043 FEDERAL WAY WA 98003 28107 20TH AVE S
FEDERAL WAY WA 98003
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 Sunday, March 1,2015
Permit Issued on Tuesday, September 2, 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 Ci tleral Way. C�
Owner or agent: Date: l ` 2 /1/
r .
FJNAL
E
0 THIS CARD IS TO ON-SITE ,
CITY OF �M1 '
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104465-00-EL Address: 5325 SW DASH POINT RD
Project: DOUG MCDOWELL FEDERAL WAY, WA 98023-2043
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.
❑ UFER Ground(4295) `❑ Ditch cover(4030) -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
CI Pool Bonding(4195) ❑ Temporary Power(4275) E Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) Cl Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
_� Datec a_ ev
I
I
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RIVED
411111..CITY OF
sEP o2 2014 E CTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
' 1 CDS
PERMIT NUMBER / 7 _ V (77VVV 5 _
�O J C�
i � SUITE/UNIT/SPACE#
SITE ADDRESS: 5,2 c S C✓ ri h pr
PROJECT VALUATION TAX/PARCEL# CURRENT/PROPOSED USE
$ 200o ao 3 a f 0 ) 0 - 6 3 q -
PROJECT NAME
[A4(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION - rtP(Act 2 00 A Dq/),f
Detailed description of work to t
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER M C Dowell /17(M.4✓ ( I -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAM ` PRIMARY PHONE
Zs - 93 qi6
.. E-MAIL
ELECTRICAL S 157 AR' 5
CONTRACTOR FAX
WA SIVE • •• •• • FEDERAL)WAY BUSINESS LICENSE#
CptitgLpe r o - d 3 g OoDp
L..
NAME PRIMARY PHONE
APPLICANT
MAILING ADDRESS E-MAIL
CITY STATE ZIP // FAX
(
NAME PRIMARY PHONE
PROJECT CONTACT C'Gir(C S 053 93 S
)7 7- ic
'ter_ V
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 taws 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.
SIGNATURE: DATE
`?%2'I f
•
PRINT NAME: ri S • /■ t t1
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application