13-102967 •
• - 1lectr cal
City of Federal Way Permit }t. 13-102967-00-EL
Community&Econ.Dev.Services
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33325 8th Ave S
Federal Way,WA 98003 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p G
F ILE
Project Name: HARDY
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Project Address: 606 SW 362ND PL Parcel Number: 800200 0100
Project Description: Install 0-200 amp subpanel for 1152 square foot detached garage
Owner Applicant Contractor
OWNER IS CONTRACTOR `
AL T HARDY AL T HARDY
606 SW 362ND PL 606 SW 362ND PL
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 1
PERMIT EXPIRES Monday, December 30, 2013
Permit Issued on Wednesday,July 3, 2013
I hereby certify that the abov .nformation i- •rrect and that the construction on the above described property and
the occupancy and the use i I be i acc• d:nce with the laws, rules and regulations of the State of Washington
a d the Cly of Federal Way.
Owner or agent:
61". (
\it
,
Date: -7(3 ' 7
�_
THIS CARD IS TO MAINON-SITE
CITY��S • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102967-00-EL Address: 606 SW 362ND PL
Project: AL T HARDY 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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By 0_.\14...... Date 9n,� IA ..A:" . By Date
o Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By IAA45 Date 9/1311 3 By Date qs.�8....v.- By Date
O Final-Electrical(4055)
Approved
By V44a Date 10I2,rt 113
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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Ah6. ELECTRICAL
CITY OF
Federal Way PERMIT APPLkVAMN
PERMIT NUMBER 19 _ 10 2 6 _ 00 J U L 0 3 2013
CITY OF FEDERAL WAY
>✓� SUITE/UNIT/sem
SITE ADDRESS: I, $ 2 P
PROJECT VALUATION ASSESSOR'S�)PARCEL# � � - � � O � CURRENT/PROPOSED USE
$ 2 2
PROJECT NAME A-1>Y
(Tenant or Homeowner Last Name)
4 ST} t, l b c `e W.,,--)6-t- f\--1---
PROJECT DESCRIPTION . --1-1`x%1 7
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER (2-55) 24-1- 19 i.53
MAILING ADDRESS E-MAIL
CITY �C�p��� ^ / t STATE ZIP} �j( �y FAX
J
l C.�l 1 , '`_ \V V' I l V /� ( )
NAME .. ... . PRIMARY PHONE
( )
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
K. VJ
CITY STATE ZIP FAX
�eV-4\A--- \ivM tires e[ 't f72 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Ai, r fj0 p53) 241-- ®g5
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 gapplication.
SIGNATURE: rk °l'� " DATE -7(3 1 1
t
PRINT NAME: 1M, ' "4`` .21
,7n
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Bulletin#160—January 1,2013 Page 1 of 2 kaHandouts\Electrical Permit Application