13-105370 r _Electrical
Community of&Econ.Devv..Services Permit #: 13-105370-00-Et
33325 8th Ave S
Federal way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GORANSSON
Project Address: 32524 8TH AVE SW Parcel Number: 926492 1020
Project Description: Install thermostat.
Owner Applicant Contractor
ANITA GORANSSON M M COMFORT SYSTEMS(GENERAL) M M COMFORT SYSTEMS(ELECTRICAL)
32524 8TH AVE SW 18103 NE 68TH SUITE C-200 MMCOMMC925C5(2/25/14)
FEDERAL WAY WA 98023-4903 REDMOND WA 98052 18103 NE 68TH SUITE C-200
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES Sunday, June 1, 2014
Permit Issued on Tuesday, December 3, 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 wit be in accordance with the laws, rules and regulations of the State of Washington
-nd the City of Federal Way.
Owner or agent: io% Date: (? r �^ (7
AU: • • THIS CARD IS TO AIN ON-SITE
�� OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105370-00-EL Address: 32524 8TH AVE SW
Project: ANITA GORANSSON FEDERAL WAY, WA 98023-4903
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.
El UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
#El Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ' El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
y Date 2 ( � 1
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED .ti
, ELECTRICAL
CITY OF
Federal Way DEC 0 3 2013 PERMIT APPLICATION
-7 CITY OF FEDERAL WAY
PERMIT NUMBER / ij - /0 5 3 P O CDS s
SUITE/UNIT/SPACE#
SITE ADDRESS: ' 2� ` r-1/41, .._ cN 1 c)702,C„ ,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1DbI00 l2L[ 01 Z - tU2C
PROJECT NAME �� f0 I)C f l S t C�Y.t CQ
(Tenant or Homeowner Last Name) J
PROJECT DESCRIPTION . r1.54-G 1.\ a i 1 9f rnC)5
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ern 1 &1 01 Ctrisson (-2-FA 731- PO 7-1'0
MAILING ADDRESS E-MAIL
ct VIA9L Ct s -sir-fie. _
CITY STATE ZIP FAX
nide rot 1 `�Uct.q w l�- G sU Z`3 ( ) -
NAME- �.` `CO 1 c - S` �, ern S 4%)
%) PRIMARY PHONE
MAILING ADDRESS _ ,-( ) � E-MAIL- ���
ELECTRICAL 1 6 l(2 lQC(jTh i C--(2i-DD
CONTRACTOR CAd ( l O V !�' ( ) FAX
,/1 a 0 L r WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�.1 �/ M\A 1kk(A29 C) /-2' / V) / 2-1 7.0-U"1-1(o7 01-00)3L-
NAME PRIMARY PHONE
APPLICANT (E)Cr.-e n firacAi r ( ) -
MAILING ADDRESS E- L
C STATE ..„ZIP/--'' �
\ ' FAX'.,,/
( ) -
NAME _
PRIMARY PHONE
PROJECT CONTACT ( h 1, ,T r,Q S (42,$) n i - 7G
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 clai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t i city 54 a-part of/ is applicati
SIGNATURE: teris...--...a4L—,4*
n DATE 17-- / !/ /
PRINT NAME: illi ;- /1,?/ (S [-
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application