13-100422 E • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-100422-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: YADON
Project Address: 30605 21ST AVE SW Parcel Number: 416730 0010
Project Description: Adding(1)and altering(3)circuits
Owner Applicant Contractor
KENNETH YADON EASTLAKE ELECTRIC dba BANDERA EASTLAKE ELECTRIC dba BANDERA
30605 21ST AVE SW ELECTRIC ELECTRIC
FEDERAL WAY WA 98023-2375 PMB 7430 EASTLE*930PS(10/17/13)
9805 NE 116TH ST PMB 7430
KIRKLAND WA 98034 9805 NE 116TH ST
KIRKLAND WA 98034
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures'.
Circuits-Residential 4
PERMIT EXPIRES Saturday, July 27, 2013
Permit Issued on Monday, January 28, 2013
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: Date: 1/2..-P) ,..?
THIS CARD IS TO IN ON-SITE
CITY OF 1"'" • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-100422-00-EL Address: 30605 21ST AVE SW
Project: KENNETH YADON FEDERAL WAY, WA 98023-2375
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 LIFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 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 Date B .2 Date J z 9—/3Nab �� Date / — v2/--/S
❑ Final-Electrical(4055)
Approved
-.)_)-C7-:. ----->
Date — 2 c
Rough Electrical Final Electrical Right of Way
ElApproved CIFinal
•CIApproved
By Date By Date By Date
CEIVED
EL CTRICAL
CITY OF t :' 2 8 2013
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER l - I 0 v 4CC.� z - co
� SUITE/UNIT/SPACE/
SITE ADDRESS: 05 z(,1" AVE.:, �tV,V
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ 7ov 4- ( (‘) 3d - 00 / 0
PROJECT NAME �
(Tenant or Homeowner Last Name) ��IOD U V
Vi rk v zi 12"."06 — �I rls-F ( 12 cikey5 i n ti—qfic: n +- 10 CAns
PROJECT DESCRIPTION '`( ididnilrJD^n, 164140 I rh l'Cr2e,GOtAV'e_ c.- (Liu c-(; -e. foo t. vv, 1-
Detailed description of work to rapt I pI�C.G c1Cw i t , ZV� t 7 � o D4.3-Loi,-{-oc Y
v
be included on this permit only 3 Cj t(�ITS /
NAME PRIMARY PHONE
PROPERTY OWNER 1 tAZDO IV ( ) -
MAILING ADDRESS E-MAIL
3b bO 2-Is^i" 'Oat 50
CITY STATE ZIP FAX
e. era.( W(AH WA- 9S02,3 ( )_ -
NAME PRIMARY PHONE
fAIt"kAL 4,,i-ri'. (4 &) 8 -ci3°15
MAILINGADDRESS 'I� '1 ` EMAIL
ELECTRICAL 21630 P f''" V'�C„ J
CONTRACTOR CITY STATE ZIP FAX
V1,1041(iptivo AN
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
GPSTLE.93Q4s w / 4� / 3
NAME ,o�-�{� PRIMARY PHONE
APPLICANT f t�l4 eAedi "r.' (((Z') t B - 93Cl
MAILING ADDRESS E-MAIL
P0301 3(-Irk Aift 5
CITY STATE ZIP FAX
Viti`rILIA-ea WA- ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Serc.intl, (9v53).3- 5 t31,f
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: 41ACI,Rt,e ,.. DATE t Igiii 16
PRINT NAME: Yf t k._
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application