16-104774 - Electrical
City of Federal Way Permit #: 16-104774-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
:
Project Name: LEONARD
Project Address: 31241 8TH AVE S Parcel Number: 858800 0030
Project Description: Upgrade electric panel from a 100AMP to a 200AMP.
•
Owner Applicant Contractor
MARTY LEONARD MARTY LEONARD OWNER IS CONTRACTOR
31241 8TH AVE S 31241 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Electrical Work Valuation? 2500 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Saturday, September 23, 2017
Permit Issued on Friday, September 23, 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 w' be in accordance with`l -ws, rules and regulations of the State of Washington
and the City • -.- al Way.
Owner or agen _ ! Date:
. 4tA.
THIS CARD IS TO REMAIN ON-SITE ,
F�eira� � Construction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104774-00-EL Address: 31241 8TH AVE S
Project: MARTY LEONARD FEDERAL WAY, WA 98003-5301
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) - 0 Ditch cover(4030) - 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) E Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
(,\ Approved
BY ` Date k I —20'1
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OFA RECEIVEDSEP 2 3 2016 ELECTRICAL
Federal Waycmr OF FEDERAL WAP ERMIT APPLICATION
( j� CDS
PERMIT NUMBER i �rn _ k \J '"17 7 ( _ 2- (----
SUITE/UNIT/SPACE#
SITE ADDRESS: 1 act 1 8 i\J
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ( s10 c c-2_5c-2_52---_ _ Se 5 C) 0 _ b 0 `> 0
PROJECT NAME
(Tenant or Homeowner Last Name) -W;!NQ. ` \
9 1--,..As. - -t._ . C. \Of,IN i- .C_ ?c,.NN.04„.,
PROJECT DESCRIPTION �`N \ U 0 ayv\ \O ---00 kyv\f3
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER N\U.+ c / ,. L-e.o-t-NN•4 (BGG) /a - 93 96
MAILING ADDRES E-MAIL
3 I .,4"-I I 8 -0' S \
L sv.r- r^ar� s\i'N�
CITY STATE ZIP FAX in S VI e ecj}��
S ���0. meq(/ wA 9g 0t ( ) - „
NAME PRIMARY PHONE
C Lo(t - ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
) a
APPLICANT ���G�Xt/ L-e_Q`'�d v'\� ( ) -
MAILING ADDRsS k E-MAIL
tgd0 (-1 S C - / - ����
CITY 1 STATE ZIP FAX
5gr/Nr\OkYA r\ t„ 9,96-73- ( )
NAME \ L PRIMARY PHONE
PROJECT CONTACT y `r �Q�� Y, ( )
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 ciincluding its officers and employees, upon the accuracy of the
information supplied to the city asart oft•is application.
IllkSIGNATURE: ) lourilli - DATE _ I
PRINT NAME: \�\Ck r / L T./-.�A r
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application