15-102299 016.
• Electrical
City of FederalWay Permit #: 15-102299-00-EL
Community&Econ.Dev.Services
33325 8th Ave S '
Federal Way,WA 98003 Inspection Request Line: (253)8
Ph:(253)835-2607 Fax:(253)835-2609 Q835-3050
Project Name: PEDERSEN
Project Address: 29874 MARINE VIEW DR SW Parcel Number: 515320 0150
Project Description: Replace rodent-damage wiring; upgrade several switches&outlets,replace/rework wiring
by previous owner/occupant.
•
Owner Applicant Contractor
ERIK PEDERSEN ERIK PEDERSEN OWNER IS CONTRACTOR
SANDY PEDERSEN 29874 MARINE VIEW DR SW
29874 MARINE VIEW DR SW FEDERAL WAY WA 98146
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 12
PERMIT EXPIRES Monday, November 9, 2015
Permit Issued on Wednesday, May 13, 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 •- in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: i Date: 51/3 // S
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vxtstr'•
THIS CARD IS TO IN ON-SITE r '
CITY
OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-102299-00-EL Address: 29874 MARINE VIEW DR SW
Project: ERIK PEDERSEN FEDERAL WAY, WA 98023-3436
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) `
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ' El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By 4 Date 1 l (t L( r
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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ANS- ELECTRICAL
CITY OF Rea
Federal Way MAY 13 2015 PERMIT APPLICATION
CITY OF FEp RA
PERMIT NUMBER /5_ I. Y V / / - EL
C�Q-�7 f"EOF y SUITE/UNI /SPACE#
SITE ADDRESS: 2 6 C> / i/ I1'2 /4/E O cui To C�,S,(�Li h� J �a I+
9 23
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME r c t i< .TA/
(Tenant or Homeowner Last Name) C
PROJECT DESCRIPTION �� L T 'oG lb l�J//27A)6-
Detailed description of work to (416-iev 91 'D i E V2,1 t4 L S w t rca S i n OT1-27 S
be included on this permit only REP` n C.E On n OL----.
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NAME PRIMARY PHONE
PROPERTY OWNERCS) E2Ig - S'AJUY PF/»/QS&OJ (2 )8?9 -750 a
MAILING ADDRESS E-MAiL
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CITY STATE ZIP FAX
FEI9E24C V/
y C . 9802-3 ( ) Al - 0
NAME N/4S14/ 16' ( )PRIMARY PHONE
MAILING ADDRESSp fv.4 /' E-MAIL
ELECTRICAL 6-4®c'£ J'04'Oy "60 EKS t )('o t)wtos T
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT E2I� PEOFR- N) (Z°CO) 858- 75o2_
MAILING ADDRESSE-MAIL
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CITY ST TEZI AX
FEbE(zc4£ 6014Y 4 1802, ( ) Alf
NAME _ PRIMARY PHONE
PROJECT CONTACT �//K PEP E iec" j (0O6 ) 898- 7$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 toes 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 arise a t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of this application.
SIGNATURE: C;/( J DATE 61/S 4 NAME: &f / !� PED SE/7 )
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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