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17-101733 Electrical City nityDe Federal Development Permit #:17-101733-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: BATSON Project Address: 35806 1ST AVE S Parcel Number:292104 9042 Project Description: Replace existing knob&tube wiring with romex.Bring all modified circuits up to current code, replace split buss panel with new main breaker panel,install new ground rods and ground wire. Owner Applicant Contractor DORMAN BATSON MARK ROACH2 2 2 ELECTRIC CO 2 2 2 ELECTRIC CO 35806 1ST AVE S 11806 221ST AVE E 222ELEC859RN(12/15/17) FEDERAL WAY WA 98003-8604 BONNEY LAKE WA 98391 11806 221ST AVE E BONNEY LAKE WA 98391 Additional Permit Information Is this an Online or O.T.C.applications Yes Alt. Serv./Feeder:0 to 200 amt 1 Circuits-Residential 7 PERMIT EXPIRES Tuesday, 17 April,2018 Permit Issued on Monday,April 17,2017 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: (1///<7 j P111/41 kitz:0 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 101733 00 Address: 35806 1ST AVE S Project: DORMAN BATSON FEDERAL WAY WA 98003-8604 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. • ElUFER Ground(4295) 4 0 Ditch cover(4030) "El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • ® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date ` By Date .1=1 I O Final-Electrical(4055) Approved Bell. 5 Date 3-: z- 1`7 , , E3Rough Electrical D Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVE( CITY OF ' ilii. ELECTRICAL Federal WayAPR t 7 2ot7 PERMIT APPLICATION CITY OF FEDERAL WAY 0 COMMUNITY DEVELOPMENT / PERMIT NUMBER 1 1 - l 1 5 3 - (- SITE ADDRESS: 35 O( . .-I- 4,,m `6 e>L l (.< cy / 9 3 SUITE/UNIT/SPACE# PROJECT OJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE O/ ©oc.7 2 1 0 ti_ - O_ _ -! _ PROJECT NAME /, (Tenant or Homeowner Last Name) ` c.y i3,- Ur c.r- e_ .cc._ e_X3-S 1, • �vi0 j -4- ---11-,.6-r- � .7 nth,—i•nt-,...-i' PROJECT DESCRIPTION rC X ' �°`-'n, � 1 mm4.1?--) 'e----9 G rLw°-1-s vI.D -1--c, Detailed description of work to Lvy-r---c-f4..4- c c. oe J, late 14C _5r)(,,•.1lb;.i55 p 4 fr,e, I be included on this permit only I nit 1'1-GA-.---' !�Y-'c,_- J Y'C'C.5$ Crkt-CJ �i^C9c..wtG1 c�a..->',_c- NAME �.J PRIMARY PHONE PROPERTY OWNER lc.1 13-•,,4-5c,:. (Z53)317 - 96)3 Li MAILIN ADDRESS E-MAIL-35 00 :,( 54-- 5 y:7 k, &-/CJ e n0-rrv`cj i,CG: CITY STATE ZIP I FAX r J-c.Pc.1 LA-/4,47 1A A- creta _ ( ) - NAME PRIMARY PHONE zzz E lrC.,4- 3C- CC ( � 3) Z a_ zzG 615 MAILING ADDRESS Z�Z G �[c....4-�Es t G� (F� ELECTRICAL til es(2 -7__ -1 3# er"V.Cw I` Lc,"-� CONTRACTOR {CITY STATE ZIP FAX ` �v e /..-c-1J.-e- Ut-,-.4- c..' -3 Cr/ ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Via- E lc c-e 5 ci 11l`l 1 Z /LS / 17 0c,1-ovvc,-- icer 3? -6,0--6-v 1 NAME PRIMARY PHONE APPLICANT r1r~r�- )2 brcC � CE-Z- �_ ) ttG SL ("Z53) c2Z- 1-16,0_5 MAILIINNG ADDRESS E-MAIL I1 r-7-?--- ZZl.ryJ- 4 _ Zcc-.1; G.tee--4-v,.1/4- •e o CITY STATE ZIP FAX Lae,61t-F--7 L.a-t(.e-e- L,,,----4- 'T ' I ( ) - NAME PRIMARY PHONE PROJECT CONTACT N-1,,,, lZvc,cid (Z�3 )ZZZ - LiG-C'5 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 �( l 7/'/'7 PRINT NAME: I\/IGf-te- T face L Bulletin#160-January 1,2013 Page 1 of 2 k:\Flandouts\Electrical Permit Application