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15-102778
electrical City of EcoFedn Permit #• 15-102778-00-EL Community 8 Econ.f�ev.ServicesFILE. • 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: DEVORE Project Address: 5154 SW 311TH PL Parcel Number: 321020 0145 Project Description: Adding/altering circuits for new lighting with associated kitchen remodel • Owner Applicant Contractor TIMOTHY A DEVORE TIMOTHY A DEVORE OWNER IS CONTRACTOR LORI A DEVORE 5154 SW 311TH PL 5154 SW 311TH PL FEDERAL WAY WA FEDERAL WAY WA 98023-2029 98023-2029 Additional permit information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential PERMIT EXPIRES Sunday, December 6, 2015 Permit Issued on Tuesday, June 9, 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 an e City of Federal Way. Owner or agent: Date:Date: 6 Nq 4F� THIS CARD IS TO REMAIN ON-SITE _. CITY OF - Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-102778-00-EL Address: 5154 SW 311TH PL Project: TIMOTHY A DEVORE FEDERAL WAY, WA 98023-2029 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. 0 UFER Ground(4295) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • • • • O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ' O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date ByoA"'r_ Date Q.-.. `,,v By Date ❑ Final-Electrical(4055) Approved /By-- Date 4 __l_Q Rough Electrical Final Electrical •El Right of Way ElApproved ElApproved Approved By Date By Date By Date k. ELECTRICAL CITY OP U� Federal Way PERMIT APPIdJIO.N PERMIT NUMBER l 1 0 2 7-cc3 _ )UN 0 9 2015 CITY OF FEDERAL WAY SUITE/TM/SPACE/SPACE# SITE ADDRESS: 1�...LvJ.J� 5"l sq s. (,\_) z1/V-1- P LC F-e.DiA4L Wilt PROJECT UA' -- ASSESSOR'S TAX/PARC L# ��aU - �7 t 0 ° - G ( �I CURRENT/PROPOSED �1�t _ PROJECT NAME G� V `�' (Tenant or Homeowner Last Name) 'sba_J1©RQ____ PROJECT DESCRIPTION 147C .,.i e6 bYZo,`�5.-L — ADO 1 L C t �'ZC I t 175 `r ) Detailed description of work to Lc 6fl7i•v t., be included on this permit only NAME \ PRIMARY PHONE PROPERTY OWNER 1.--- ( wkp� -y `(--- tog , (\ t /o (2-O6)37.5'_ d4'e6j MAILING ADDRESS E- 1kx g1r� Deisff POtti7 R_ 87 f-i$416/.4 x deticARee CITY STATE ZIP PEDE— A� 1�—)AY liJ� qSa a-3 ( ) S Pc-rr/e. aoV- NAME PRIMARY PHONE © 3 f2 ( ) - w e` MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANT E-2_ ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ( ) 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: er _ __ .,../A., DATE e! "--C947"0-01 PRINT NAME: 1 1 IVj p 7K)1 bfVa. 6 Bulletin#160—January 1,2013 Page 1 of 2 101-landouts\Electrical Permit Application