14-103454 W
a t
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-4 � 0 11ectrfrical
CCommunity
&Federal D Way Permit #: 14-103454-00-EL
&Econ.Dev.Services
33325 8th Ave Sf
Federal Way,WA 98003 LE
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: PICH
Project Address: 29865 MARINE VIEW DR SW Parcel Number: 515320 0055
Project Description: Sub-panel in garage.
•
Owner Applicant Contractor
WALTER C PICH WALTER C PICH OWNER IS CONTRACTOR
29865 MARINE VIEW DR SW 29865 MARINE VIEW DR SW
FEDERAL WAY WA 98023 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
Alt.Serv./Feeder:0 to 200 amps(F I
PERMIT EXPIRES Wednesday, January 7, 2015
Permit Issued on Friday, July 11, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be i accorr ce ith the laws, r es and regulations of the State .f W. shington
II,
thOwner or agent: A / Date: l7 r/
ftlitil 'Is-Eilli)
411:401L •
0 THIS CARD IS TO MAIN ON-SITE i
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103454-00-EL Address: 29865 MARINE VIEW DR SW
Project: WALTER C PICH 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.
O UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By (AS Date -7 ( 1r i y By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Ind Date $ (Di (ii- By Date By Date
O Final-Electrical(4055)
Approved
By Date b Fri IGt
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CTRICAL
CITY OF itenfED EL
Federal Way JUL 11 2014 PERMIT APPLICATION
CITY
76,)OF FEDERAL WAY �s
PERMIT NUMBER _ Apv S _ Y C� SUITE/UNIT/SPACE#
SITE ADDRESS: se,6
eJ' �44 Q -AJ L' k(� v TC1,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL#
CURRENT/PROPOSED USE
$ SoO 5iS 3 2.- 00 SS
PROJECT NAME P I `
C
(Tenant or Homeowner Last Name) I"i
PROJECT DESCRIPTION
V� Cij &RI
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER kC+el( C in C 1 ( .9(6- 9-5 c
MAILING ADDRESS E-MAIL
9
4-4. 0,A1 m bw PR 5 iv
CITY /�/� STATE ZIP FAX
E;Ve I Wb /4 _ g 07-3 )
NAME "i PRIMARY PHONE
MLS )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAMEPRIMARY PHONE
',610/1i/
�
PROJECT CONTACT 'Y/1 ( )
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 ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci p r. is applicati•
SIGNATURE: DATE `�� ft
PRINT NAME: L ' tC J L//
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application