17-101600 r t
Electrical
City of Federal way Permit #:17-101600-00-EL
Community Development Dept
33325 8th Ave S t
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 F -
Project Name: JOHNSON
Project Address: 33403 33RD PL S Parcel Number:614360 0280
Project Description: Install 5.22 KW photovoltaic system to existing single family residence
Owner Applicant Contractor
CHRIS BERNARD JOHNSON PROSTAT ELECTRIC PROSTAT ELECTRIC
33403 33RD PL S 8122 NE 91ST ST PROSTE*8900N (9/15/17)
FEDERAL WAY,WA 98001 VANCOUVER WA 98662 8122 NE 91ST ST
VANCOUVER WA 98662
Additional Permit Information
Is this an Online or O.T.C.application? No
Circuits-Residential 1
PERMIT EXPIRES Tuesday,8 May,2018
Permit Issued on Monday,May 8,2017
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 City of Federal Way. �7 /
Owner or agent: Date: St/g/ 12
"t
THIS CARD IS TO REMAIN ON-SITE
� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 101600 00 Address: 33403 33RD PL S
Project: PATRI JOHNSON FEDERAL WAY WA 98001-9647
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) 0 Ditch cover(4030) �•0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ••By Date
•0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
•By Date By Date By Date
•• •
•• •• •
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
.By Date _•By Date ••By Date
•
10 Final-Electrical(4055)
Approved
By 0—'1'4—I-Date 55-3 L-1`7
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved _ Approved Approved
By Date By Date By Date
cirr OF A .
SUBMITTED ELECTRICAL
APR 0 7 2017 PERMIT APPLICATION
COMMUNITY DEVELOPFEDERAL ME:hT lr EMBERY I ` v `� V
SITE ADDRESS: surra/uNlr/sPACE•
PROJECT VALUATION A38E$SOR T1 ARCSL O �I:* CORRSII'[/PROP08$D'US$.
a,fr\vi:
PROJECT NAME YA
(Tenant or Homeowner Last Name) ,,- Iii
PROJECT DESCRIPTION
Si�
al
(LAIN$ l WiAI'
Detailed description of work to
be included on this permit only
N ,,�( PRIMARY PHONE
PROPERTY OWNER S �.=N� ► DA-$3g - 447,
NAILING AD S ffinD.
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CITY STATE ZIP FAX
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iillASThr c–tfwirCSittC (5°3)5341'1 71V
MAILING ADDRESS ,��! {_ E-MAIL .i
ELECTRICAL I�1 t 1 6- Q apie. w a covf.
CONTRACTOR
V&A(SNA VA-- a. 18-1.2t„( 3k.v.,..7...1/44.- -v4(.4
WA STATE CONTRACTOR'S LI NSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
fel. SYt 9O D13 ''7i PC/ !f 1 Q1 ®`t7
NAME PRIMARY PHONE
APPLICANT { }
CITY /'� (Us�. i ZIP / FAX
r.
+ PRIMARY PHONE
PROJECT CONTACTjut—. .,' 5341-~ 17 T 2.-
I cent(jy under penalty of perjury that I am the property owner or authorised 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 willcomply 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 pederal 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 cm arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to a city as a of this application.
1 tti�s
SIGNATURE: DATE J
l i I
PRINT NAME: . ► t MC--
PERMIT CENTER+33325 8t Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenterisciltyofl'ederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application