The URL can be used to link to this page

16-104417 t E1ect11 cal CitCommunity of&FEcon. alD Way Permit #: 16-104417-00-EL &Econ.Dev.Services 33325 8th Ave S deral , Inspection Request Line: (253)835-3050 Ph:(253)Fe8d3e 2607WayFaxw:(253)sao8o3 35-2609 p Q Project Name: DOLPH Project Address: 341 S 309TH ST Parcel Number: 667265 0220 Project Description: Adding/altering(1)circuit for A/C unit install Owner Applicant Contractor MARVIN W DOLPH STEELHEAD ELECTRIC LLC STEELHEAD ELECTRIC LLC AGNES R DOLPH 15526 26TH PL W STEELEL852N6(8/26/17) 341 S 309TH ST LYNNWOOD WA 98087 15526 26TH PL W FEDERAL WAY WA 98003 LYNNWOOD WA 98087 Additional Permit Information Electrical Work Valuation? 450.00 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 1 PERMIT EXPIRES Thursday, September 7, 2017 Permit Issued on Wednesday, September 7, 2016 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 A / 1 and the City of Federal Way. g / /' 7 Owner or agent: r" l Ie 7 /-41.-l Date: O/ — e%? )--- 2C/ FINALED cny OF THIS CARD IS TO REMAIN ON-SITE . Federal Way Construction Inspection Record INSPECTION REQ TS: (253)835-3050 PERMIT#: 16-104417-00-EL Address: 341 S 309TH ST Project: MARVIN W DOLPH FEDERAL WAY, WA 98003-4083 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. CI LIFER Ground(4295) U Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) ElService(4235) Approved Approved Approved By Date By Date By Date . 0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' Final-Electrical(4055) Approved Date q_9_,_ (c, 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4111/4. RIVED ELECTRICAL CITY OF Federal Way SEP 07 2016 PERMIT APPLICATION CITY OF FEDERAL WAY � � ) CDS q- 7- 00 PERMIT NUMBER SUITE/UNIT/SPACE# SITE ADDRESS: 2y 15 209, PROJECT �VALUATION AS�SSO�S T�RC� � �� _ © � � � CURRENT/PROPOSED USE PROJECT NAME (� ]� (Tenant or Homeowner Last Name) QV V 1 VL. 0 0 C.p �'1. A-)CU./ /3/C Lint PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAMEgg � PRIMARY PHONE PROPERTY OWNER /K A V' ti , IA- D O er (253 )qY/ - 27 g3 MAILING ADDRESS E-MAIL 3ke S 309 5-: CITY �p STATE ZIP- FAX ''P�e rWA 78'00_3 ( ) NAME PRIMARY PHONE 3-Ecee ecoid r 1 L (`P2 ) 772 2235 MAILING ADDRESS E-MAIL ELECTRICAL /552.6 26 PL CONTRACTOR CITY {{ STATE ZIP FAX �'tJ7'rn ioo d w/- 98087 ( ) - WA/9TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE ll ko(c. / /UI 'co ti ( ) - APPLICANT MAILING ADDRESS E-MAIL 155-2 6 v 26 PL CITY STATE ZIP FAX �Yl�l w c_o o • c.�d d� W 067 ( ) - NAM PRIMARY PHONE PROJECT CONTACT �1 k O N i n)-O V (vs-)) 77Z - ZZ 3 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. 41110, SIGNATURE: / DATE 017 0 7 C PRINT NAME: Ali 161:9 / /" ; 1(d Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application