16-100097 s • 11111 Eltal
Econ.Dev.Services
City of Fe 0ev. y
Community Permit #: 16-100097-00-EL
ity
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2809 Q
Project Name: UMLAND
Project Address: 29123 9TH PL S Parcel Number: 515330 0210
Project Description: Install wiring for 20 kw generator
Owner Applicant Contractor
M SUE UMLAND BRENNAN HEATING&A/C LLC(GENERAL BRENNAN HEATING&A/C LLC
LOWELL H UMLAND 01) (ELECTRICAL 01)
4601 S 134TH PL BRENNHA962DU(3/31/16)
TUKWILA WA 98168 4601 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Electrical Work Valuation? 300.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Wednesday, July 6, 2016
Permit Issued on Friday,January 8, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: � - 1 ZD/fo
• THIS CARD IS TO RE ON-SITE ,.
CITY - Construction Insp ion- Record `
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100097-00-EL Address: 29123 9TH PL S
Project: M SUE UMLAND FEDERAL WAY, WA 98003-3784
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) "El Ditch cover(4030) 'Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date . By Date By Date
•
o Pool Bonding(4195) El Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045)
•LI Rough Electrical (4225) '0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
o Final-Electrical(4055)
Approved
By 1Ll Date,t_2.i_i s El •
Rough Electrical Final Electrical
Right of Way
Approved Approved Approved
By Date By Date By Date
4 •
C,noF ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER I 1 ,.� _ f C 0 0 1—_ CO
�Y l JAN 08 2016
CeVI?EX iNirk .WAY
SITE ADDRESS: cp q I a ts q�1., 17 S CGS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 00 5_ / S i b - 0 02. I b
PROJECT NAME
(Tenant or Homeowner Last Name) 0 m t&v
I n s 1.a.t l 4,32 o )1,,o q 4,A.A_A- r-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L p w-t_l` v vin \ o V J (253)c ci(P- /.. Q'1.
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
1c 1_L--- .r•-ci (at:b) Q 4 S- 1 D
`MAILING ADDRESS 4 EMAIL
ELECTRICAL �C k. b 1 3 13 N�` ''L J"""' 4, b( '
�-l..v� • to W1
CONTRACTOR CITY STATE ZIP FAX
- , ._- W a- Q'6 1 to S („20‘.1 024 S- IA O S
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
' (4,, Kia.i te2._ 3 x-31 / 14-
NAME PRIMARY PHONE
�t A.-t-1 w ( 1 Ste.
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( 1SAa -
NAME PRIMARY PHONE
PROJECT CONTACT
O ( _
MI-4- AL\ __
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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
informations plie to the city as a part of this application.
SIGNATURE: DATE 1 I (-P
PRINT NAM O'4 rn'%- - '.
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application