17-102490 f .1r:— '
•
Electrical
CommunityDevelopmentt Permit #:17-102490-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: AKINLOSOTO
Project Address: 3923 S 328TH ST Parcel Number:614360 0580
Project Description: Add circuit for grinder pump.
Owner Applicant Contractor
MATTHEW AKINLOSOTO SUPERIOR HVAC&ELECTRICAL SUPERIOR HVAC&ELECTRICAL
3923 S 328TH ST (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98033 14900 INTERURBAN AVE S SUPERHE869LQ(6/18/18)
SEATTLE WA 98168 14900 INTERURBAN AVE S
SEATTLE WA 98168
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 1
PERMIT EXPIRES Thursday,24 May,2018
Permit Issued on Wednesday,May 24,2017
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: ���� '"`�� Date: -5-Z /7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 1710249000 Address: 3923 S 328TH ST
Project: MATTHEW AKINLOSOTO FEDERAL WAY WA 98001-9654
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.
,ID UFER Ground(4295) „El Ditch cover(4030) .El Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date .� y B Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date tBy Date By Date
El Final-Electrical(4055)
Approved
By 0,Vit. v Date 1'11,_\--i.
0 Rough Electrical El Final Electrical Q Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF ELECTRICAL
Federal Way MAY X0'7 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT /
PERMIT NUMBER _ / 0 g , 0 - EL
SUITE/UNIT/SPACE#
SITE ADDRESS: S. Wg'
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# hh /� CURRENT/PROPOSED USE
C L e::2 Lf 3 (40 V - LJ S g V
PROJECT
(Tenant or Homeowner Last Name) l 41) /c2
PROJECT DESCRIPTION 0417-c, 1
F (�',YYin
Detailed description of work to U I
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER X0TTA ELt) 4611(: )-/6.)c ( (0)35c1-/315-S
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
� / a 98-0c-3
( ) -
NAME PRIMARY PHONE
• .,t�l (`C. /1I/W_. - c/PG cr., C (�fi ) Zea- 56/60
MAILING DRESS E-MAIL
ELECTRICAL / /W<> 4vr
CONTRACTOR CITY STATE ZIP FAX
l-tf/e- M 49' 745
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAME Jbein C ��` PRIMARY PHONE
7616 0
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.
SIGNATU'
DATE 17
PRINT NAME: /,. .►
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application