13-101179 Electrical
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of Federal Way
Cd Permit #: 13-101179-00-EL
Community 8 Econ.D ev.Services
33325 8th Ave S
Federal Way,ax 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 �
Project Name: GUERIN
Project Address: 405 SW DASH POINT RD Parcel Number. 062104 9090
Project Description: Adding/altering(1)circuit for furnace install
Owner Applicant Contractor
MCCANN JACK COMPANY DIAMOND BAY ELECTRIC DIAMOND BAY ELECTRIC
25870 LAKE FENWICK RD PO BOX 448 DIAMOBE101PB(10/2/14)
KENT WA MAPLE VALLEY WA 98038 PO BOX 448
98032 MAPLE VALLEY WA 98038
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Additional Permit Information:
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Ele lical Fixtr res
Circuits-Residential 1
PERMIT EXPIRES Tuesday, September 10, 2013
Permit Issued on Thursday, March 14, 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 o Federal Way.
Owner or agent Date:
3- r
FIN of
rfta
ON-SITE ', ",
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101179-00-EL Address: 405 SW DASH POINT RD
Project: MCCANN JACK COMPANY FEDERAL WAY, WA 98023-3964
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) -0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ' Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date � (Qi (/2
7
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER 0 1 t 7--q _ 00
'BAR 14 2013
SUAwfs€,J5RAL WAY
SITE ADDRESS: t°5' 5 5if ROAD CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ,-oo � � Z O .+ _ ctO clo
PROJECT NAME
(Tenant or Homeowner Last Name) 3",.) / O�-
PROJECT DESCRIPTION ('" k e 4) t cl-,�i FL,z j\i
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 4 o .. t`E-
CONTRACTOR CITY STATE ZIP FAX
�, 1ik 9 o36 )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Skin obe_ta �l3 /O /31 //3
NAME PRIMARY PHONE
1.4 ` 7-1 ) -
APPLICANT -L � ` ' t
MAILING ADDRESS / E-MAIL
I /�/�/L'--_.. !4 r /44°v---
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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: vv �I --�' DATE 3 l3
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Flandouts\Electrical Permit Application