Loading...
13-104903 • Electrical City ay Community&Econ.Dev.Services Permit #: 13-104903-00-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: JOHNSON Project Address: 30900 44TH AVE SW Parcel Number: 112103 9009 Project Description: Installation of UFER ground only. Owner Applicant Contractor TIMOTHY W JOHNSON ARTISAN PREMIER ELECTRICAL INC ARTISAN PREMIER ELECTRICAL INC 5406 122ND AVE 718 GRIFFIN AVE PMB 342 ARTISPE893LT(6/30/15) EDGEWOOD WA 98372 ENUMCLAW WA 98022 718 GRIFFIN AVE PMB 342 ENUMCLAW WA 98022 • Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 1 PERMIT EXPIRES Tuesday, April 29, 2014 Permit Issued on Thursday, October 31, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agen - _ Date: /&' 3 / ' 2 G 3 V � � THIS CARD IS TO MAIN ON-SITE ���of Construction In ection Record ' Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-104903-00-EL Address: 30900 44TH AVE SW Project: TIMOTHY W JOHNSON FEDERAL WAY, WA 98023 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) Approved By V1Af j Date 1% ( 1 113 E Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date _ .. • EL! CTRICAL • CITY OF Federal Way PERMISAPPLICATION jL,FO PERMIT NUMBER / 3 - / D y .7 0 3 - cam, ocT 3 j 2a>g J O CDDEL,tq - SUITE/UNIT/SPACE# � Jr t SITE ADDRESS: ? i1.�f yc S Wqr PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ - 51k6 11 2-- t 613 - , ZS? az5 PROJECT NAME (Tenant or Homeowner Last Name) 3O%41J So ti e e ci-t e. . R.OVA It- id(AO lX-11 c+ PROJECT DESCRIPTION Detailed description of work to P- (A F )Z be included on this permit only � NAME PRIMARY PHONE PROPERTY OWNER Ti M 10 t4 i4 Sea P(r ( ) - MAILING ADDRESS E-MAIL &' CITY STATE ZIP FAX � -^ ,,t ( ) - .. .. _. , PRIMARY PHONE NAME Ag1�S[�d'& ?...f-1.0.% cA% F� ( ) 8Z 10 MAILING ADDRESS E-MAIL ELECTRICAL 1.17c (AIL1'FF-/N.) AVL PIA IS 3112-- \pi ata arI s.t Pe'04151v� CONTRACTOR CITY STATEZIP FAX EN(0 t� e LktA) wit- 5Uk2,z ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Al2-Tt SPE. ..2 LI- 4 / its�5 NAME .__._ u W- - . _ PRIMARY PHONE. APPLICANT �� Z�LA— ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE ... PROJECT CONTACT TRY[ e. 'ROA I.. IA.11/4 IJ (153) 3 21 a Li 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. SIGNAT '. : CI DATE is ' 3' zICL/3 PRINT NAME: J©i ' L £ L-- Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application