14-102036 .2 0 • wE1G(It r1Ca1
Ci of Federal Way Permit #: 14-102036-00-E L
Community
&Econ.Dev.Services 1
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LEONARD �'�jt4 ci
Project Address: 32120 8TH AVE S Parcel Number: 150241 0100
Project Description: New 200-amp panel.
Owner Applicant Contractor
MARY LEONARD MARY LEONARD ALEX ELECTRIC
32120 8TH AVE S 32120 8TH AVE S ALEXE**985RJ(12/14/14)
i
FEDERAL WAY WA 98003-5916 FEDERAL WAY WA 98003-5916 191 SW PINE RD
PORT ORCHARD WA 98003
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 Sunday, November 2, 2014
Permit Issued on Tuesday, May 6, 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 agent: ,/(-,(42-fielDate: S�—6` /14
FINALED
THIS CARD IS TO ON-SITE
CITY OF •
Construction In ection Record '
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102036-00-EL Address: 32120 8TH AVE S
Project: MARY LEONARD FEDERAL WAY, WA 98003-5916
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) El 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By 14 Date SI 2..0 (%-
Rough Electrical Final Electrical
El
Right of Way
ElApproved El1%-f
Approved
By Date By Date By Date
E&CTRICAL
CITY OF ilk. MAY O 6 2.014
Federal Way FEDE��WAY PERMIT APPLICATION
CITY CDS
PERMIT NUMBER / 47 _ / 6 e, 6, - ��
SITE ADDRESS: SUITE/UNIT/SPACE#
21 Z0 MJ +€ �2, - .. d .
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# I CURRENT/PROPOSED USE
$ I060 , o LS 0 _L2-_ —4 - ° ( C) 0
PROJECT NAME I 6�
(Tenant or Homeowner Last Name) ,,.�91`y'/1 1d(/
PROJECT DESCRIPTION
Detailed description of work to NO,ki 2.t:-C: Pc �'t 0,,y kic t t L( TE 2.
be included on this permit only ✓�,%�
.. f
NAME PRIMARY PHONE
PROPERTY OWNER (1)--R L._E.Q N (` a)6>c5- -`9 Del
MAILING ADD E-MAIL
32i 2C, a'14 —" --._
CITY STATE ZIP FAX
fe.NO2 i-1-E,. N.t1A-L//" tn.�A cf atx= ( ) -
NAME j PRIMARY PHONE
4-LE x' Cl t C. X21 C__.. ( ) -
MAILING ADDRESS a E-MAIL
ELECTRICAL 1 E Lk) I(�(� 1Z i� � $Yn at12
CONTRACTOR CITY Alt) STATE ZIPFAXFAXLy`
?ok...:i 0i?t,4 I -) wi r 98003 ( ) -
WA STATE CONTRACTOR'S LICEN$gEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A-L EX6 4-4- 1 /0)y l' /7V
NAME PRIMARY PHONE
APPLICANT x. S'1'tlr (2-53)(29i - g1 20
MAILING ADDRESS 1 E-MAIL/) MA ek k
l.
CITY - STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT (25-3
) 2 -It,1 cit
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: J � DATE 5 �( 11
PRINT NAME: X lac"" � Li S `E iVi4
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application