15-100219 • Electrical
City of
Commuri &Econ.FedeDel W.SSayervices Permit #: 15-100219-00-EL
FILE
33325 8th Ave S
Federal Way,WA 98003
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
:
Project Name: STRONG
Project Address: 29810 23RD AVE SW Parcel Number: 012103 9156
Project Description: Service&wiring for new single family residence.
Owner Applicant Contractor
ROBERT STRONG J R ELECTRIC CONSTRUCTION DESIGN INC J R ELECTRIC CONSTRUCTION DESIGN
SUSAN STRONG 1813 58TH ST NE INC
33120 42ND PL SW TACOMA WA 98422 JRELECD007D7(4/1/16)
FEDERAL WAY WA 98023 1813 58TH ST NE
TACOMA WA 98422
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Tuesday, July 14, 2015
Permit Issued on Thursday, January 15, 2015
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 ofFederalWay.
Owner or agent: X11 NT * Date:
4
THIS CARD IS TO MAIN ON-SITE
CITYs . Construction In ection Record . , ..
Federal Way INSPECTION REQUE TS: (253)835-3050 .,, ,
PERMIT#: 15-100219-00-EL Address: 29810 23RD AVE SW
Project: ROBERT STRONG FEDERAL WAY, WA 98023
IMMI
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) ❑ Ditch cover(4030) 0Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By DateBy cl_..) Date g,r By Date
'
'0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By QkliL, Date 11.4 Q"bs-
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) •
Ceiling Cover(4020)
Approved Approved Approved
By Date By l' V(\',....i Date e pf:.i - By Date
o Final-Electrical(4055)
Approved
By nh�..,� Date It 5..,�
C
ID Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY 1110
OF moi, R aim) E C'TRI CAL
Federal Way JAN 15 2015 PERMIT APPLICATION
_ (� OF2D ` WAYf
�PERMIT NUMBER / J✓ �
SUITE/UNIT/SPACE#
SITE ADDRESS: 2, �® z:3 v- -\ LS` - C,_j
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
atv- �^
D--
(Tenant or Homeowner Last Name) I V ►'
PROJECT DESCRIPTION „ , , _ _
Detailed description of work to
be included on this permit only - -
NAMh PRIMARY PHONE
PROPERTY OWNER d 3'i-re GL-� ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
&(_c--r liC Cs). ti' 't— ( ) -
MAILING ADDRESS / E-MAIL
ELECTRICAL IS(3 5 47
81' (
CONTRACTOR CITY STATE ZIP FAX
„e)a/1.-Q' G ? Z—'— ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
3)3-)ELE 10074 7
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS E-MAIL
CITY - STATE ZIP FAX
( ) -
N PRIMARY PHONE �y �
PROJECT CONTACT � ��/ 0;5) W f- � -6
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 ap ication.
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SIGNATURE: GZ� DATE //1i
PRINT NAME:
�' -n,� 1' (5 c.
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Bulletin#160—January 1,2013 Page 1 of 2 101-Iandouts\Electrical Permit Application