15-104636 RECEIVED
CITY OF
-1,1*,....„. SEP 11 2015 ELECTRICAL
Federal Way CITY FEDERAL PERMIT APPLICATION
PERMIT NUMBER /5
_ / 0 (if "] 6 - 6,
,.� � SUITE/UNIT/SPACE#
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SITE ADDRESS: t/03/1 / p . $ ���
PROJECT VALUATION / ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5--°D
77 3 °L Li X - a i,2- `? 0
PROJECT NAME / ' /
(Tenant or Homeowner Last Name) G r I ( /7 ci o
PROJECT DESCRIPTION C "t0AA"k m`' 4,-r (a fl4-/-
Detailed description of work to
be included on this permit only
NAME � �qq /'J PRIMARY PHONE
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PROPERTY OWNER g r/ r Q 1'"1 (z53) 4c3 -7,55 7
MAILING AJ2DRESS E-MAIL
(03b( /4t t s ji-cA,
CITY r 1 1 STATE ZIP 912',3FAX
NAMEPRIMARY PHONE
iti�t /%c'74-i C (Zak) 73°-3z/7
MAILING ADD 2 E-MAIL
ELECTRICAL 0 � ( 331 7
CONTRACTOR CITY " STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATIONDATE FEDERAL WAY BUSINESS LICENSE#
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NAME(71-'
�4 PRIMARY PHONE
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APPLICANT ` (? )7
MAILING ADDRESS E-MAIL
ro> 1332 7
CITY STATE ZIP FAX
QES(A 1QI` Mfg ( ) -
N PRIMARY PHONE
PROJECT CONTACT
Ky (_53 )6.5-3 - 7$37
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.::7,
/
SIGNATURE: :(2 i DATE 7 (/ (5—
PRINT NAME: G" l/1' / / / KiuJ I
Bulletin#160—January 1,2013 Page 1 of 2 k:Mandouts\Electrical Permit Application
Electrical
City of Federal Way
Community Permit #: 15-104636-00-EL
8 Econ.Dev.Services
33325 8th Ave S
Federal Way,axssoo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:: ecq
(253)835-2609 p
Project Name: HERITAGE CONDOMINIUMS
Project Address: 34034 1ST PL S Unit G Parcel Number: 325945 0270
Project Description: Change out 100 amp panel.
Owner Applicant Contractor
BARRY WILLIAMS M S E ELECTRIC M S E ELECTRIC
III
DEBBIE WILLIAMS PO BOX 13327 MSEELE*874L8(7/2/17)
315 SW 293RD ST DES MOINES WA 98198 PO BOX 13327
FEDERAL WAY WA 98023-3536 DES MOINES WA 98198
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical Fixtures
Alt. Serv./Feeder:0 to 200 amps(11 1
PERMIT EXPIRES Wednesday, March 9, 2016
Permit Issued on Friday, September 11, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent F Date:
T z
• THIS CARD IS TO AIN ON-SITE . . ..
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-104636-00-EL Address: 34034 1ST PL S Unit G
Project: BARRY WILLIAMS FEDERAL WAY, WA 98003-6614
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.
ID UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
.
0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.
El Feeders/Sub-panels(4045) El Rough Electrical(4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By \A"' Date as-2.A-u.
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date