17-100434 Electrical
City of Federal Way Permit #:17-100434-00-EL
Community Development Dept. (,
33325 8th Ave S ti t
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MORRIS
Project Ad : 305TH AVE SW / Parcel Number:416660 0660
0
Project Description:dressSewer07 gri26nder/pump installation work to include 240 A,and replacing a 30 AMP DP
circuit. Z�,,(_o
Owner Applicant Contractor �"
KIM A MORRIS QUENTIN J MORRIS OWNER IS CONTRACTOR
30507 26TH AVE SW 30507 26TH AVE SW
FEDERAL WAY WA 98023-2364 FEDERAL WAY WA 98023-2364
•
Additional Permit Information
Is this an Online or O.T.C.applications Yes
Alt. Serv./Feeder:201 to 600 a 1 Circuits-Residential 1
PERMIT EXPIRES Tuesday,30 January,2018
Permit Issued on Monday,January 30,2017
I hereby certify t e abov- ' formation is correct and that the construction on the above described property
and the occ t pancy and the se will be in accordance with the laws, rules and regulations of the State of
Washi gton :nd the City of Federal Way.
Owner or agent: �,A� , r j,�,,,�, Date: JO ziA 0(7/
THIS CARD IS TO REMAIN ON-SITE
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Federal WayConstruction Inspection Record
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INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100434 00 Address: 30507 26TH AVE SW
Project: QUENTIN J MORRIS FEDERAL WAY WA 98023-2364
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.
.El UFER Ground(4295) ,�E Ditch cover(4030) , 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•By Date ��By Date By Date
.11. Pool Bonding419 �( 5)
.0,, •I
Temporary Power(4275) „® Service(4235) '
1 1
Approved Approved Approved
By Date By Date By Date
•
CI Feeders/Sub-panels(4045) El Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.♦ .
,10 Final-Electrical(4055) ,
Approved
By Date ' (`-�
o Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF D ELECTRICAL
Federal Way jaN g 0 Ki1,7 PERMIT APPLICATION
PERMIT NUMBER _ 0 0 li 3 Y _
SITE ADDRESS: z k1 Ave 5\_ ( ` fix-G-AW Ay SUITE/UNIT/SPACE#
.305'0 7 W F
PROJECT VALUATION o ♦7 ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5O0 tap -1 - Q - 0- ---° 12E5015E1411 AL-0
PROJECT NAME �/�
(Tenant or Homeowner Last Name) P .0..Rt 6
PROJECT DESCRIPTION —' iP n f-'V TZ \ . .,a
�.
Detailed description of work to .-.� 3-0 Act P J)P Crtvt9 c \ 417 Hp ,(Q,est...,
be included on this permit only t"" `�
NAME PRIMARY PHONE
PROPERTY OWNER UV J r1 til J 12?-4-C i \g (204 f. - q€62 .
530b7. c.. fir& �I gi ne s �, t -
STATE � FAX
Woke WA' 16072 ( )
NAME PRIMARY PHONE
top OWN &(Zi ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT -`"' n t S J , ''""r`.as, ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEA_� _ _�,."l`/(js� PRIMARY PHONE
•W M
PROJECT CONTACT AB
( )
I certify 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 will comply with all
applicable City of Fede.• Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this - it doe • remove the owner's responsibility for compliance with local state, or federal laws regulating
construction or e • ronmental s.
I further ag e to hold harm ss the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigati• and defense o such claim),wh may • made by any person,including the undersigned,and filed against the city,
but only whe such claim a s out of the 7, ace the city, lading its officers and employees, upon the accuracy of the
information su•plied to the as a part o '• •. •n.
�
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SIGNATURE: / DATE 30 jitl3 2.49 17
PRINT NAME: 00 T i t to �e „_
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederaiway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application