16-103004 Electrical
City of Federal Way Permit #: 16-103004-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,Fax: p
98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2667 Fax.(253)835-2609
Project Name: SHAW
Project Address: 32744 33RD AVE SW Parcel Number. 951090 0310
Project Description: Adding(1)dedicated circuit for stairway chair lift
Owner Applicant Contractor
ROBERT F G III SHAW GO2 ELECTRIC LLC GO2 ELECTRIC LLC
SANDRA SHAW 422 TACOMA AVE S SUITE 409 GO2ELEL919JA(5/8/17)
32744 33RD AVE SW TACOMA WA 98406 422 TACOMA AVE S SUITE 409
FEDERAL WAY WA TACOMA WA 98406
98023
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential I
PERMIT EXPIRES Wednesday, June 21, 2017
Permit Issued on Tuesday,June 21, 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 accordan ith the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: - Date: 2/1-Z0/G
.p.... ..Livici..23:)
I '
THIS CARD IS TO REMAIN ON-SITE
car-Sr-1A Construction Insp
Federal Way ection Record
IlY S PE CTION REQUESTS: (253)835-
3050
PERMIT#: 16-103004-00-EL Address: 32744 33RD AVE SW
Project: ROBERT F G Ill SHAW FEDERAL WAY, WA 98023-2732
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) -❑ Slab/Concrete Floor(4255) `
Approved Approved Approved to place concrete
By Date By Date By Date
. . .
Pool Bonding 41
g( 95) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) • '0 Rough Electrical(4225) Ceiling Cover(4020)
IApproved Approved Approved
By Date By Date By Date
•
O Final-Electrical(4055)
Approved
By Date 1.—f'1--l` 1 ,
Rough Electrical
Final Electrical
g ectnca
ILght of Way
❑ Approved ❑ Approved ❑ Approved
By Date By Date By Date
ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
rw / O 30 0 4 eb RECEIVED
PERMIT NUMBER /G _ ( _
- - - - JUN 212015
CITY OF FEITU /S]P "e
SITE ADDRESS:323_ y y 3y/d ve SO CDS wAY
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ADO. aO _Cr l o q n - 0 3 ! c?
PROJECT NAME
(Tenant or Homeowner Last Name) S Q r d y )hk f ` A1,k
j
Pe 1 ca1ed
oc&# Far siaiifw&y Lift
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER .kYtc:I (-Chaco' ( LOS) 9Y0 - 96W
MAILING ADDRESS E-MAIL
y2 7 ( y 7..7 rd Ave, s(A)
CITY STATE ZIP FAX
Fdera A LU/ 48oz3 ( ) -
PRIMARY PHONE
• ( 253 ) 26?- 17f
MAILING ADDRESS E-MAIL
ELECTRICAL Li 21- 1 acork,e4 Ave. S, 11, CM? djea go2elecir(c."""
CONTRACTOR FAX
( 25)) 267 - ,?o/Ft
1 WA STATE CONTRACTOR'S LICENSE# v• - • FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT D0.v F_. h/cn�•e1hi (2S3 )50S - ?W3
MAILING ADDRESS E-MAIL
4 z 2 (4 cocks& /hve S. i9yt go? d je ii)9olelec1#'ii •c,°%-'
CITY STATE ZIP FAX
T�Co r n W f 9 9 8 5 y 0 2 ( Z5) ) 267 - /01,
NAME PRIMARY PHONE
PROJECT CONTACT 0 ®a#i Ehticw Ae•.M (�S3 ) 90r - yyi3
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 supplie e city as a part of this application. `
SIGNATURE. ----4°."- DATE G�� 2d
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application