13-104476 • F ' Electrical
City of Federal Way
Community 2 Econ. sServic Permit #: 13-104476-00-EL
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 1
Project Name: FABER
Project Address: 2902 SW DASH POINT RI) Parcel Number: 416660 0610
Project Description: Electrical work for addition.
•
Owner Applicant Contractor
KENT FABER KENT FABER OWNER IS CONTRACTOR
2902 SW DASH POINT RD 2902 SW DASH POINT RD
FEDERAL WAY WA 98023-2348 FEDERAL WAY WA 98023-2348
Additional Permit Information,
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 3
PERMIT EXPIRES Monday, April 7, 2014
Permit Issued on Wednesday, October 9, 2013
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: OV 0 t.)FT-
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In ,(4
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THIS CARD IS TO MAIN ON-SITE .. r , ,
ITY°F Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050 •
PERMIT#: 13-104476-00-EL Address: 2902 SW DASH POINT RD
Project: KENT FABER FEDERAL WAY, WA 98023-2348
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.
0 UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . . .
❑ Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) • Ceiling Cover(4020)
LJ Approved Approved Approved
By Date By 0 .„..,A. , Date By Date
❑ Final-Electrical(4055)
Approved
By OA6 Date (I (, i 1,
❑
Rough Electrical Final Electrical Right of Way
Approved Final ❑ Approved
By Date By Date By Date
A
•ECETVED ELECTRICAL
CITY OF
Federal Way OCT 0 9 2013 PERMIT APPLICATION
2 CITY OF FEDERAL WAY
PERMIT NUMBER / 3 — / U /' f �DS7( — l C
/ 11 ( SUITE/UNIT/SPACE#
SITE ADDRESS: 0 Z 5 )14c-5',,,i i/c' Y Y%rT;^ /
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE j
PROJECT NAME d
(Tenant or Homeowner Last Name) (c`U -', c i 1 J , /,..- ,,4- G c,.. .1 l.A- CI
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PROJECT DESCRIPTION Z A�/ AMb <W tr(A+
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 4-` evN , ( ) i.
MAILING ADDRESS E-MAIL
Vt0 Z. 5va ()ft ' 4)fr r 04.4 Alkiste,.b e f w-t
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
'Y& 6U/-s /s ( ) -
MAILING AD RESS E-MAIL
ELECTRICAL \\\
CONTRACTOR CITY STATE I ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME (�,,,, PRIMARY PHONE
APPLICANT ` -- 14^4- bin - ( 'V ) /3";.- 'TOW' Ca)
MAILING ADDRESS pE-MAIL l
11I0 V /W Opjs - �O Ili( P '7 AI�f�r 14 Oyu.e cnti YF�.
CITY STATE ZIP V FAX
(-y`��'()tltotkl.00 W ill WA' 4176 z3 ( )
NAME PRIMARY PHONE
PROJECT CONTACT k4 t
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.
SIGNATURE: DATE 09 0 GT 2413
PRINT NAME: <T•
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application