16-100785 - ` Electrical
un
CRY&Federal o .D Way Permit #: 16-100785-00-EL
Community 8 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 q
Project Name: TRAVIS
Project Address: 30334 9TH AVE S Parcel Number: 515365 0040
Project Description: 200 AMP UNDERGROUND SERVICE REPLACEMENT
•
wn Applicant Contractor
BRIAN K TRAVIS STEPHEN L MARX GLOBE ELECTRIC INC
HISAKO K TRAVIS GLOBE ELECTRIC INC GLOBEEII21TC(9/30/17)
3803 S 254TH PL 232 SW 43RD ST 232 SW 43RD ST
KENT WA RENTON WA 98057 RENTON WA 98057-4936
98032-9705
Additional Permit Information
Electrical Work Valuation? 1500.00 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
PERMIT EXPIRES Friday, February 10,2017
Permit Issued on Thursday, February 11, 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: X Date: //////
r
lir.cs. 7"y
v."7
L. L. •
!'
•
• THIS CARD IS TOOMAIN ON-SITE ..CITY OF Construction Inspection Record.
•
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100785-00-EL Address: 30334 9TH AVE S
Project: BRIAN K TRAVIS FEDERAL WAY, WA 98003-4101
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 in
p y y p the inspection sequence. On-going inspections are logged on the back of this card.
CI UFER Ground (4295) 0 Ditch cover(4030) - -❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
•
El Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date 2. i.S s b ,
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
Final-Electrical(4055)
Approved
.13,3, -- ..--- -------,7 Date _ Z. _ `6
r
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
r
•
►.
ELECTRICAL
CITY OF
Federal Way PERMIT APP actiN
PERMIT NUMBER ( ( _ 100 7 _ 00 FEB 112016
CITY OF q `K j, FEDERAL WAY
SUITE/UNIT/'S!kE#
SITE ADDRESS: 30 33 { - -v& S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ / ,.5 1 5 3 <o5 _ 001- 0
PROJECT NAME -�--j �(#'C�I
(Tenant or Homeowner Last Name) l /
gC p'E3 12 1,,er.P v f C�, Si?1W!GI=
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER f3A /A W lc A l c A KD T/ f• J/ (2-d ) 'S ( 0 137 !,)
MAILING ADDRESS E-MAIL •
CITY STATE ZIP FAX
G''N '1 ,M'r ?5'613 ( ) -
NAME 2' PRIMARY PHONE
C am. 6 L.�G1 - /4)C____ (y Z‘)
�tS- 7/ C'7'---'
MAILING 3 ADDRESS 3 E-MAIL
ELECTRICAL 5t4/ r ,3 •
CONTRACTOR CITY STATE ZIP FAX
1/�/\/�O� 1�/Pr ggo t7 ( -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FED WAY BUSINESS LICENSE#
Ct isa��� t21 7 3 3e /I 0 -O3�'(c12.T?3` 00-o i__
NAME PRIMARY PHONE
APPLICANT Fti (4z ) 2-77- 37C 7
MAILING ADDRESS E-MAIL 1
s eve,C�j/d6e&/Qdf'YcJnc •corm
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT 571- 6f /r4'A-12)< ( ) 7V- 4N 3lf-
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 •
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application