13-104585 •
Electrical
City of Federal Way Permit #: 13-104585-00-E L
uty 8 con. ev. ervices
33325E8th Ave S
Federal niWay,axDs6003SInspection
Ph:Comm(253)835-2607 Fax:: Ins tiRequest Line: (253 835-3050(253)835-2609 p
Project Name: YESULAITES
Project Address: 30038 6TH AVE SW Parcel Number: 039600 0140
Project Description: Replace 0-200 amp meter
Owner Applicant Contractor
RAYMOND YESULAITES CRANE ELECTRIC CRANE ELECTRIC
30038 6TH AVE SW 6243 PARK ST E CRANEE*965MK(8/6/14)
FEDERAL WAY WA 98023 FIFE WA 98424 6243 PARK ST E
FIFE WA 98424
Additional Permit Information
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
PERMIT EXPIRES Monday, April 14, 2014
Permit Issued on Wednesday, October 16, 2013
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 a nce with the laws, rules and regulations of the State of Washington
nd the City of Federal Way. L
Owner or agent: Date: /0y
r
'� THIS CARD IS TO AIN ON-SITE
�n OF 6 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104585-00-EL Address: 30038 6TH AVE SW
Project: RAYMOND YESULAITES FEDERAL WAY, WA 98023-3520
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.
O UFER Ground (4295) E Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By t..4,15 Date (0 (21 1 13
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Q Final-Electrical(4055)
Approved
By (i4 Date (0 121 I I)3
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
0 • '
•
CITY OFAELECTRICAL
Federal Way PERMIT APPJEIVATION
117ED
PERMIT NUMBER 1 3 _ ( 0 4 55 S.. co____
0 C T 1 6 2013
...._
CITY OF FFOERAL Kew
SITE ADDRESS: SUITE/elfTSPA
d o C AtVe Sl()
UUJJ
PROJECT VALUATION ASS PARCELSOB' # CURRENT/PROPOSED USE
$ !300 0. S T 3Ca 00 _ O ( 40
PROJECT NAME
(Tenant or Homeowner Last Name) 4 Me-f-eIr di0 *7(7,f
PROJECT DESCRIPTION C n C h�Q WO 4- M-fer
Detailed description of work to `
be included on this permit only
NAME
PROPERTY OWNER Rc M of j d Yex u c /i e s PRIMARY PHONE
MAIL ADDRESS E-MAIL
300 (f
6V.4 Ivo J`-U
CITY STATE ZIP FAXe
z3 ( )
4
FAME C R K ,t-e (fe c'"I'^` { PRIMARY PHONE w
MAILING ADDRESS )6 E-MAIL
ELECTRICAL 619:3 P SI
CONTRACTOR CITY ' n STATTE ZIP � � FAX
`/�p � glee2. ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CtCc,iee x 94'S 1�Ik oT //e //y
NAME / . - ._ ..
PRIMARY PHONE
APPLICANT le k Scud,- F114-t/'ct-ri / (m)c77 73 7
MAILING ADDRESS _
E-MAIL
CITY STATE ZIP FAX
NAME ( )
PROJECT CONTACT �� PRIMARY PHONE
{2,3�) 677- tie ?3?0
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 clai ,which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises o t - reliance of the city, including its officers and employees, upon the accuracyof
information supplied to the city the
•`;"� his application.
, .
SIGNATURE: DATE /6/(105
PRINT 4/eL s ,�n�� 9' -h r&,/Jev
Bulletin JanNAME:uary 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application