14-104726 III 0Electrical
City of Federal Way .{�
Community&Econ.Dev.Services. ,s..-at-1 t V t. Permit #: 14-104726-00-EL
33325 8th Ave S is: t -
Feder Way,WA 98003 " `' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 it
Project Name: NOH
Project Address: 915 S MARINE HILLS WAY Parcel Number: 515296 0220
Project Description: Adding(1)circuit for new outlet for associated covered patio
Owner Applicant Contractor
PETER H NOH PETER H NOH OWNER IS CONTRACTOR
915 S MARINE HILLS WAY 915 S MARINE HILLS WAY
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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 Wednesday, March 11, 2015
Permit Issued on Friday, September 12, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or age _ P_, ,� �� Date: q/.2-//1-71
r•
THIS CARD IS T MAIN ON-SITE
_- ',
CITY OF 1 • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-104726-00-EL Address: 915 S MARINE HILLS WAY
Project: PETER H NOH FEDERAL WAY, WA 98003-3189
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) ❑ 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) El Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) / '0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By _ Date 9 _. f it,_ I ,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
ELEC'T'RICAL
CITY OF
Federal Way PERMIT APP4TION
PERMIT NUMBER (4 _ 1 0 4 'Z2 6_ CC SEP 12 2014
CITY OF FEDERAL WAY
, I SUITt g/SPACE#
SITE ADDRESS: lJ- ti/W I�(, /.( C W V
OJECT�U�N ASSESSOR'S T�ARC�� � - Q � �p- CURRENT/PROPOSED USE
PROJECT NAME (:)/
�� N O
(Tenant or Homeowner Last Name) ���/!Z� C5� V
PROJECT DESCRIPTION TzL-I is ,G�/G4� /L '-/4th WA-7/ -'L4
Detailed description of work to G �r C �� / r-c /,�7&?
be included on.this permit only f (J
NAME PRIMARY PHONE
PROPERTY OWNER N6L (2,&)
MAILING ADDRESSE-MAIL
1/5- • 1/t-(fri-S-1' /--//1(<. Wicy
CITY STATE ZIP FAX
9G-3 ( ) -
NAME PRIMARY PHONE
1 r )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT G G1/2er ( ) -
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 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.
SIGNATURE=--P��fU/-`/ 7� " ' DATE u/ /!` /l Gj
PRINT NAME:C - /gam- -C'Ac' ) /4
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application