16-102050 • etitcal
City of Federal Way # (,
Community&Econ.Dev.Services F 1...E Permit #: 16-102050-00-EL
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: DUNCAN
Project Address: 35530 6TH AVE SW Parcel Number: 302104 9002
Project Description: Hard wire smoke detector
n r Applicant Contractor
JOHN DUNCAN JOHN DUNCAN OWNER IS CONTRACTOR
NAI DUNCAN 35530 6TH AVE S
35530 6TH AVE S FEDERAL WAY WA 98023-8110
FEDERAL WAY WA 98023-8110
Additional Permit Information
Electrical Work Valuation? 120 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Friday, April 28, 2017
Permit Issued on Thursday, April 28, 2016
I hereby certify that the above infor ation is -ct and that the construction on the above described property and
the occupancy and the u - ill b-/ acco •- with the laws, rules and regulations of the State of Washington
• he City of Federal Way.
Owner or agent: Date:
r7
•
4
THIS CARD IS TO MAIN ON-SITE '
"TYOP - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-102050-00-EL Address: 35530 6TH AVE SW
Project: JOHN DUNCAN FEDERAL WAY, WA 98023-8110
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.
El UFER Ground(4295) 0 Ditch cover(4030) -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By � J Date s ,_'q —1
1
Q' Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF
! 282016 ELtCTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER 1 ( _ I b Z 0 s
SITE ADDRESS: 35 5 30 (Q4 (�ARv ,"(7 ✓`kA) ,�de(r SUITE/UNIT/SPACE#
PROJECT VALUATION Lv ASSESSOR'S TAX/PARCEEL#` CURRENT/PROPOSED USE
-a o a2 k 0 - 9 0 0 2.
PROJECT NAME -tette
(Tenant or Homeowner Last Name) �J O (4 -k)
PROJECT DESCRIPTION vi t e &(\k04-e. 2 bC 0A
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (�4\N (261"e) 1 cc Cp a 43
MAILING ADDRESS E-MAIL
355 SuAl
CIT STATE ZIP FAX
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
CLAD
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
/� )
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 Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such ci•' ),w ich may be made by any person,including the undersigned,and filed against the city,
but only where such cla' arises out .f the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t he .ty • p• oft is application.
SIGNATURE: DATE
PRINT NAME: `'k)C
1
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application'