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17-100206 Electrical City of Federal Way Permit #:17-100206-00-EL Community Development Dept. S Federal 33325 Way,8th WAAve 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: BURBACK Project Address: 510 SW 293RD ST Parcel Number: 119600 0306 Project Description: Adding 6.5 KW photovoltaic system to existing previously installed 4.8 KW system Owner Applicant Contractor MARY BURBACK SUNERGY SYSTEMS INC SUNERGY SYSTEMS INC 510 SW 293RD ST 4546 LEARY WAY NW SUNERSI905D4(4/9/18) FEDERAL WAY WA SEATTLE WA 98107 4546 LEARY WAY NW 98023-3537 SEATTLE WA 98107 Additional Permit Information Is this an Online or O.T.C.application? No Alt. Serv./Feeder: 0 to 200 ami 1 PERMIT EXPIRES Saturday,27 January,2018 Permit Issued on Friday,January 27,2017 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: 1N.i C_ ON' Date: /-2-3" " --2QE INSPECTOR 412E:S. AND T', PE 01I`eSPEC JO -- 'TA I Ic `1 1 MUdj ? t We tt. K1 Sys.E,�,. off 10 DIG THIS CARD IS TO REMAIN ON-SITE CITY OPConstruction Inspection Record Y.. Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 17 100206 00 Address: 510 SW 293RD ST Project: LARRY J BURBACK FEDERAL WAY WA 98023-3537 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) ''Q 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 By Date By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date • El Final-Electrical(4055) Approved By Com,`. Date 3_14,% rl , 0 Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ■ ELECTRICAL CITY OF 110. Federal Way JAN 12 2017 PERMIT APPLICATION aT'+r OF FAQ I � � 0 O 2 bro _ UCS PERMIT NUMBER _ _ SUITE/UNIT/SPACE# SITE ADDRESS: 510 SW 293RD ST PROJECT31 024 00 ASS?:SOR'S TAX/PARCEL� O - � 3 (0CURRENT/PROPOSED USE $ PROJECT NAM.E v7ll (�((n 0 \./ (Tenant or Homeowner Last Name) BURBACK ROOFTOP PHOTOVOLTAIC SYSTEM. ADDING 6.5KW TO EXISTING 4.8KW SYSTEM THAT PERMITTED AND INSTALLED IN 2011. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER LARRY BURBACK ( 206) 660 - 6398 MAILING ADDRESS E-MAIL 510 SW 293RD ST LJBURBACK@COMCAST.NET CITY STATE ZIP FAX FEDERAL WAY WA 98023 ( ) - NAME PRIMARY PHONE SUNERGY SYSTEMS ( 206 ) 571 - 4726 MAILING ADDRESS E-MAIL ELECTRICAL 4546 LEARY WAY NW JONL©SUNERGYSYSTEMS.COM CONTRACTOR CITY STATE ZIP FAX SEATTLE WA 98107 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# SUNERSi905D4 4 / 8 / 17 NAME PRIMARY PHONE APPLICANT JON LANGE ( 206) 571E 4726 MAILING ADDRESS 4546 LEARY WAY NW JONL@SUNERGYSYSTEMS.CON CITY STATE ZIP FAX SEATTLE WA 98107 ( ) - NAME PRIMARY PHONE PROJECT CONTACT JON LANGE ( 206) 571 - 4726 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 tot a city a part of this application. SIGNATURE: DATE 1/11/2017 PRINT NAME: JON LANGE PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609 + permitcenter@cityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application