15-105480 ,
Electrical
City of FederalWay Permit #: 15-105480-00-EL
Community&Econ.D rvic
ev.Sees
33325 8th Ave S
Federal Way,WA 98003
FILE Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: MCCOY
Project Address: 36112 14TH AVE SW Parcel Number: 218000 0760
Project Description: Adding/altering(2)circuits for bath fan and can lights replacement
wn Applicant Contractor
SEBASTIAN M MCCOY MILESTONE ELECTRIC LLC MILESTONE ELECTRIC LLC
DONNA D MCCOY PO BOX 2375 MILESEL869P7(10/27/15)
36112 14TH AVE SW LYNNWOOD WA 98036 PO BOX 2375
FEDERAL WAY WA LYNNWOOD WA 98036
98023
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Sunday, April 24, 2016
Permit Issued on Tuesday, October 27, 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: Date: (0/Z7 et
•
i
THIS CARD IS TO REMAIN ON-SITE -,,
'I"' Construction Inspection Record'
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-105480-00-EL Address: 36112 14TH AVE SW
Project: SEBASTIAN M MCCOY FEDERAL WAY, WA 98023-7283
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) El 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) ° El Service(4235)
Approved Approved Approved
By Date By Date By Date
v
ders/Sub-panels(4045) ° ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By CAL.)...._ Date s —z_ct...,l 1
Rough Electrical ® Final Electrical 0Right of Way
Approved Approved Approved
ry Date By Date By Date
ELECTRICAL
CITY OF
Federal Way PERMIT APPI1I EON
( 5 5 0 _ sc- OCT 2 7 2015
PERMIT NUMBER
— — — — CITY OF FEDERAL WAY
CDS
SUITE/UNIT/SPACE#
SITE ADDRESS: � l2 Pkv-
PROJECT
w
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ X75-- 0 o 2 I 0 0 0 -
PROJECT NAME
(Tenant or Homeowner Last Name) I G C j
lEnf�J(acL 13 TG C1 Cam 1� �- c,J/
PROJECT DESCRIPTION 1'4 i-L 1.2t. 610 C'1 Lt‘ /� (�
Detailed description of work to ge-�(K` I - , .-0-01" F�/ .Qkl f i u'� CXI �"l
be included on this permit only 2) CI
V---CA)
c > >/ T
PRIMARY PHONE
PROPERTY OWNER M� C 6 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
crk wA 1/44 9 l 23 ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS EMAIL
ELECTRICAL 0 (1 a x 23 7 &I;/F s •el Q//m{
CONTRACTOR CITY STATE ZIP FAX
PI+n w aoci 303 6 ( -- ) -
W ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
M I Le set_ e 9 P 1 /0 / 27 /6
NAME PRIMARY PHONE
fl-APPLICANT t D l / ( )
RESS E-MAIL
CITY STATE P FAX
ZI
Ly f i'-' el _ ir -
PROJECT CONTACT W, ( 1 ( r�11� )PRIMARY r/62_12
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:•"' DATE 10/2 2 7 2e/f
PRINT NAME: " 4-7t1—1 t k 1L1
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application