15-102815 .� 0 ` . Electrical
City of Federal Way
FComtnunity&3325 Econ.8thAve Dev.Services Permit #: 15-102815-00-E L
•
Federal way,WA 98003 Line:Inspection
Ph:(253)835-2607 Fax:(253)835-2609 Ins pRequest (253)835-3050
Project Name: ROLLINS
Project Address: 30642 8TH AVE S Parcel Number: 091800 0070
Project Description: Installation of(6)circuits for outlets in garage& back porch.
,
Owner, Applicant Contractor
LYNN C ROLLINS SWEET HOME ELECTRIC SWEET HOME ELECTRIC
30642 8TH AVE S 3501 S 38TH ST UNIT 34 SWEETHE880KW(5/17/16)
FEDERAL WAY WA 98003 TACOMA WA 98409 3501 S 38TH ST UNIT 34
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 6
PERMIT EXPIRES Monday, December 7, 2015
Permit Issued on Wednesday, June 10, 2015
I hereby certify that the above information is c rrec nd that the construction on the above described prop-rty and
the occupancy and t6'u4-e will iri acord nce ith the laws, rules and regulations of the S -te of Was ngton
a d t e City Federal Way. �,
Owner or agent ' Date: ��<<r�. ���
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fINALED
THIS CARD IS TO MAIN ON-SITE
CITY OF
40A . Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050 ,
PERMIT#: 15-102815-00-EL Address: 30642 8TH AVE S
Project: LYNN C ROLLINS 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.
❑ UFER Ground(4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) Ei Temporary Power(4275) :- Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
. �Cc Date L— , — S
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
110ReceiveD
, ' ► E C'TRICAL
CITY OF f: J lJ N 10 2015
Federal Way PERMIT APPLICATION
CITY OF GGG ‘721 �I
FCEDERALDS WAY
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PERMIT NUMBER /5 _ � a( / 5 - E
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PROJECT NAME
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NAMEPRIMARY PHONE
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CONTRACTOR CITY STATE ZIP FAX
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WMTACONTRACTOR'S LICENSE# �� EXPIR¢,T�ATE� FEDERAL WAY BUSINESS LICENSE#
NAME ' r-- CPRIMARY PIaNE
APPLICANT ( �c�
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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 Wa as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and - - else of such claim),which ay b ma by any person,including the undersigned,and filed against the city,
but only where sue claim arises out of th reii nce o the city, incl ding its officers and employees, upon the accuracy of the
information supplie o the a/a p of is plica on.
SIGNATURE: A DATE ��11,/
PRINT NAME: 1 Audi c C C- _ 1 •-'0 u l/f-- tce_._
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application