17-102394 CITY OF4,,,,.._ _ilk RECEIVEDELECTRICAL
Federal Way MAY 1 8 2017 PERMIT APPLICATION
CITY OF FEDERAL i-w
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IT NUMBER
SITE ADDRESS: 3IOy ( 4 n �� SUITE/UNIT/SPACE#
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PROJECT VALUATASSESSOR'S TAX/PARCEL# J I/�/- CURRENT/PROPOSED USE
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PROJECT NAME C , 1 i
(Tenant or Homeowner Last Name) �A )4.t} i E \_,,,-) J /E, R �J 1 C E C-j
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PROJECT DESCRIPTION n. ,-L.) tS wile-i--3
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER FAR K. U i L'V S .i✓' CES ( ) -
MAILING ADDRESS E-MAIL
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR C Y � ������� �
STATE ZIP FAX
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WA STATE CONTRA TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME
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APPLICANT `-) i& /4,va 6.4` ,, ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP / FAX
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PROJECT CONTACT NAME PRIMARY PHONE
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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: 44-----z DATE
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PRINT NAME: 5- -- - Add- f<V\
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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Electrical
City
nityDe Federal Development
Permit #:17-102394-00-EL
Community Development Dep[.
33325 8th Ave S
Federal Way,WA 98003 Inspection
Ph:(253)835-2607 Fax(253)835-2609 p Request Line: (253)835-3050
Project Name: PARKVIEW SERVICES
Project Address: 33402 33RD PL SW Parcel Number:954280 0710
Project Description: Remodel of back bedrooms to include adding(3)circuits and installing new outlets.
Owner Applicant Contractor •
PARKVIEW SERVICES STEVE ANDERSONSJA ELECTRIC/BB B B ELECTRIC
33402 33RD PL SW ELECTRIC BBELEBE950P1(10/22l17)
FEDERAL WAY WA 98023 PMB 274
17404 MERIDIAN AVE E SUITE F 17404 MERIDIAN E
PUYALLUP WA 98375 PUYALLUP WA 98375
Additional Permit Information
Is this an Online or O.T.C.application? Yes
. "
Circuits-Residential 3 � ,,
PERMIT EXPIRES Friday, 18 May,2018
Permit Issued on Thursday,May 18,2017
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: 4KDate: ! " ,--)
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102394 00 Address: 33402 33RD PL SW
Project: PARKVIEW SERVICES FEDERAL WAY WA 98023-2753
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.
® UFER Ground(4295) ® Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) ® Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By t Date By Date
Final-Electrical(4055)
Approved
l< Date r? Z aCj. /
LI Rough Electrical El Final Electrical IIIRight of Way
Approved Approved Approved
By Date By Date By Date