13-104316 •
Electrical
City of Federal WayF ILE
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Community&Econ.Dev.Services Permit #: 13-104316-00-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: WENSVEEN
Project Address: 7018 JOHNSON RD NE Parcel Number: 322104 9058
Project Description: Remove/replace 0-200 amp service
Owner Applicant Contractor
JODY R WENSVEEN STEWART ELECTRIC STEWART ELECTRIC
7018 JOHNSON RD NE 2638 SW 343RD ST STEWAE*894Q9(12/15/13)
FEDERAL WAY WA 98002 FEDERAL WAY WA 98023 2638 SW 343RD ST
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 1 Circuits-Residential 7
PERMIT EXPIRES Wednesday, March 26, 2014
Permit I on Friday,September 27, 2013
I hereby certify that the above i is correct and that the construction on the above described property and
the occupancy and the use/ be',' cordance with the laws, rules and regulations of the State of Washington
• i•" ity of Federal Way.
Owner or agent z Date 411"'
f%NM0
• THIS CARD IS TO MAIN ON-SITE
Federal WayOF Construction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104316-00-EL Address: 7018 JOHNSON RD NE
Project: JODY R WENSVEEN FEDERAL WAY, WA 98003
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.
0 UFER Ground(4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 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) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By wYj Date 3l7i-CrI "_I
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• ELEC'T'RICAL
art OF ,.
Federal Way PERMIT APP i TION
PERMIT NUMBER _ 1 ' ( �(/ _ ()C) SEP 2 7 2013
CITY OF FEDERAL WAY
SUITJ1$T/SPACE#
SITE ADDRESS: 7 /
25? / 2 &)/(IE-
PROJECT
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME c
(Tenant or Homeowner Last Name) VA/�% WEEN
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PROJECT DESCRIPTION 0,4)//-76-
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Detailed description of work to /72,i.1. ,r>j9 e7%�� 6-7 efA)/xs /1-7S
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 3 t 1/ -� ( ) -
MAILING REBS E-MAIL
Tom tTh1 s?',e)/<j2
CITY STATE ZIP FAX
iii 4 • 0e-2- ( ) -
NAME PRIMARY PHONE
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MAILING ADDRESS �''�` EMAIL
ELECTRICAL 3't J 3/S✓ -S / PoP��,5.BGSnr ,a s�,,V 5,
CONTRACTOR CITY / STATE ZIP FAX
exee c-� 9023 ( ) -
WA STATE CONTRACTOR'S L ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N4% PRIMARY PHONE
APPLICANT ( )
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 • 'eder•l Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such •im), hic may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises o of 1, r lance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci'part , s application.
SIGNATURE: �� �410' DATE 007/7.og 3
PRINT NAME: `
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application