16-100327 4
0 Electrical
City of Federal Way , .//.��
Community&Econ.Dev.Services Permit #: 16-100327-00-EL
33325 8th Ave S
Federal Way,WA 98003 FILE Ins ection Request Line: (2
53)(253)835-2607 Fax (253)835-2609 P q 835-3050
Project Name: JONES III
Project Address: 30626 8TH AVE S Parcel Number: 091800 0060
Project Description: Replace 100 amp service and add(2)circuits for dishwasher and disposal
,
Owner Applicant Contractor
ADRIANNE JONES BEST BUILT INC BEST BUILT INC
30626 8TH AVE S 6947 COAL CREEK PKWY BESTBI*0871P(5/22/16)
FEDERAL WAY WA 98003-4115 NEWCASTLE WA 98059 6947 COAL CREEK PKWY
NEWCASTLE WA 98059
Additional Permit Information
Electrical Work Valuation? 2500.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 2
PERMIT EXPIRES Wednesday, July 20, 2016
Permit Issued on Friday, January 22, 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 Cityof Federal Way.
Owner or agent: I' ,— .6.4...-...„52—e-- Date: // Z 2._/ (6
(,.
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4
THIS CARD IS TO REWI 1 ON-SITE [ a ;,
CITYOF In ii n R - 1 ,
ConstructionspeZ� o Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100327-00-EL Address: 30626 8TH AVE S
Project: ADRIANNE JONES FEDERAL WAY, WA 98003-4115
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
E Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
'
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
A roved
Date t- ZS'`Cc.:7
Rough Electrical Final Electrical El Right of Way
®• Approved ❑ Approved Approved
By Date By Date By Date
ill 0
CITY pF ►• ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER _ ( 7 ' "' _ �l
JAN 2 2 2016
giAlcirTFTWAL
WAY
SITE ADDRESS: 3 06 4 S14N Pt-- $ 4re'0o3
PROJECT VALUATION ASSESSOR'S TAX/PAR L# „, ,, CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) I0 h 2_5
fi-c v\.a-s=ue_ -1:a.N.a-SNC'i-' =0-3--._ P d-vN.a9._ --- (.0 6 ,„ e
PROJECT DESCRIPTION 1A+2kb-- ®'*S kk..vr;s-1 L I ' e(5 s LohC.%A I:*-I
Detailed description of work to " --al--- (y_ t.Z.p V O l'E ZO A-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER A-at--%N't o.tr•v'- ,-1z3- v`-eS (2-1-.3) 114- I. -T3
MAILING ADDRESS E-MAIL S
ri
)o6 26 ,j L tAc-v� S. oah a..o t.2-3,16/2.`r)c— •G°
CITY STATE ZIP ISL VS 0 P,‹
-e91.-� 190 .- ( 2.13) 83 8 ?``00
NAME PRIMARY PHONE
gr...s-'t e3 t.%... l-11' lVC..._ ( y r) 644- y”?y3
MAILING ADDRESS E-MAIL
ELECTRICAL (r¶M'.? C4 Ci .P Kt.alt JE. .1 _5---p a ,...mop.. lsea!'lsmh}lwc..iktt
CONTRACTOR CITYSTATE ZIP FAX
►J 4e.........s. c�-s GA TcF30.1--, ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
$a-s.k B t AE C587I P / /
NAME PRIMARY PHONE
APPLICANT - \l L ( )
MAILING ADDRESS E-MAIL
C:3-41%,112._
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT t..` ao vkiZt.-s (2)-3) 11%-- I ic'3
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 Iocal, 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 ( ( Z,z( ( go
PRINT NAME: iA-`Rab t fQ-\ �
s
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application