17-101214 Electrical
City of Federal Way .4 .,. ttA
4 Permit #••17-101214-00-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: RAY
Project A : 1SW Parcel Number:873180 0190
Project Description:ddress3221 24T11.
Meer repair/replacemAVEent
Owner Applicant Contractor
JOAN RAY AFFORDABLE ELECTRICAL LLC AFFORDABLE ELECTRICAL LLC
32211 24TH AVE SW 30449 103RD CT SE AFFOREL842B2(01/22/18)
FEDERAL WAY WA AUBURN WA 98092 30449 103RD CT SE
98023-2506 USA
AUBURN WA 98092
USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mast or Meter Repair(Resider. 1
PERMIT EXPIRES Thursday, 15 March,2018
Permit Issued on Wednesday,March 15,2017
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.
4
Owner or agent: Date: / 1
1
THIS CARD IS TO REMAIN ON-SITE
CITYOF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101214 00 Address: 32211 24TH AVE SW
Project: JOAN M RAY FEDERAL WAY WA 98023-2506
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) El Ditch cover(4030) 0 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 ��,} Date 13--11—\�
•
•
0 Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF I.&
Federal Way PERMIT APPLICATION
O � ( � Co 'SUBMITTED
1
PERMIT NUMBER I _ l t _ MAR 15 2017
SITE ADDRESS: 3 70 I I 2f A1/ `_ GOMikit DEVEOPMAY
PROJECT�L, N ASS�SSO�TAX/PARCEL it � O - O 1 ^ O CURRENT/PROPOSED USE
$
0
PROJECT NAME t Ai
(Tenant or Homeowner Last Name) 1
/t4-e/-el-- 12e ct, 6 i- v-Qrla C-e1-t-e v,of
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME 1 <n PRIMARY PHONE
or
PROPERTY OWNER J a a (-2 53) g'3 o g q 1
MAILING ADDRESS E-MAIL
`322 11 2 `f 14116 5v
CITY TAT ET., FAX
NAME A f o dU 6"C 6 c i- xk L ( C C ( C 53) PRIMARY2 yi? z , "e
MAILING ADDRESS E-MAIL
ELECTRICAL ° V 7( 9 103 (--A au �1- f '
CONTRACTOR CITYAtt t�TA'IE ZIP /^���2 FAX
0u v TAT
!G ( )
WA ST TE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
0P C O8Zbz JRN/ , / re
NAME PRIMARY PHONE
(.AhC(reiY P->HIS.Kr/1 ( ) ?yq -3z 6 8
APPLICANT MAILING ADDRESS
E-MAIL
r3o y(f.61 Cum 4-d 69Lti-vi Se
CITY M %Ut.I/✓` S ZIP N. 7�9.2 ( ) FAX
NAME N ([{ PRIMARY PHONE
PROJECT CONTACT v P G y (7y7) 5g_ 09'4 I
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.
I r4ArAlh-IC—
SIGNATURE: /, DATE
PRINT NAME: l i d Jey P 2(t) S T/ Lf
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application