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16-104820 Electrical City of Federal way Permit #:16-104820-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 .' , 3=1 , ' Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 a Project Name: WILLMORE Project Address: 28944 11TH PL S Parcel Number:720570 0080 Project Description: REP-Service change meter and panel for kitchen remodel. Adding(5)circuits Owner Applicant Contractor DAVID HERRING J R ELECTRIC CONSTRUCTION DESIGN J R ELECTRIC CONSTRUCTION DESIGN 28944 11TH PLS INC INC FEDERAL WAY WA 98003-3706 1813 58TH ST NE JRELECD007D7(4/1/18) TACOMA WA 98422 1813 58TH ST NE TACOMA WA 98422 Additional Permit Information Is this an Online or O.T.C.application? Yes '�.,1 �l;✓�E€€� a. ��p��.��;€E� ��✓-',, .,,t � €EECF�I f� -�¢'�`ss£,�/_y�� E€' %�r`':�Yi-res j'r� �,�� # ..�, EN€�` „!'ru€✓,�r'`.,?�';,,,,.;%,.�a:,,:: .3�sA � "s. �kF. w'a �- ,Y 9 RtFt ` Ev.,.Cyl,;,N'`/�rv,'r., ',k:✓�„� � „i/„r, Alt. Serv./Feeder:0 to 200 am} 1 Circuits-Residential 5 Mast or Meter Repair(Resider. 1 PERMIT EXPIRES Saturday,30 September,2017 Permit Issued on Friday,September 30,2016 I hereby certify that the above information is correct and that the construction on the above described property and the occ y and the use will be in accordance with the laws, rules and regulations of the State of 1000 / Was' gton and the City of Federal Way. C?/i674.Owner or agent: ' — c i/� — Date: I , _- i THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record Fed y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 104820 00 Address: 28944 11TH PL S Project: DAVID HERRING FEDERAL WAY WA 98003-3706 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. f .4 0 UFER Ground(4295) ® Ditch cover(4030) El Slab/Concrete Floor(4255) UFER Ground(4295) Ditch cover(4030) Slab/Concrete Floor(4255) •By Date • •By Date By Date • . •• Pool Bonding(4195) ..0 Temporary Power(4275) ••® Service(4235) Pool Bonding(4195) Temporary Power(4275) Service(4235) By Date By Date .. - -� Date �d 1 cam'((p . • . 1 I® Feeders/Sub-panels(4045) „® Rough Electrical(4225) "® Ceiling Cover(4020) Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020) By Date B• y ......1646.3.- Date t%�.,1 ,,By Date Final-Electrical(4055) Final-Electrical(4055) C5' Date— 0'7 El Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY of A RECEIVED ELECTRICAL Federal Way SEP 30 2016 PERMIT APPLICATION CITY OF FEDERAL WAY CDS � Y� — lo I 6 C/v co — PERMIT NUMBER SITE ADDRESS: Zgcl I l rfv SUITE/UNIT/SPACE S PROJECT YALUATIO ASS R'S TAX/PARCEL f O CURRENT/PROPOSED USE ° eb PROJECT NAME (Tenant or Homeowner Last Name) `k\t'��'� PROJECT DESCRIPTION S - \ CGQ- C-- AQ', W1/49--\-RS to vim..\ Detailed description of work to K1-k--64,..Ql.. cc2.41. A.6 5. C tr L,(9s -6 be included on this permit only N PROPERTY OWNER © Wto 053)632- vL t o2 MAILING ADDRESS E-MAIL X894- [V kN- ( 4 < CITY STATE ZIP FAX C r (c&Ut,C ‘0413‘. 12003 ( ) - NAME _ PRIMARY PHONE .J i. �ckeC2Mt( ClOcoci ( ) - MAILING E-MAIL ELECTRICAL L7jDRESS bflk-t- /\I rq t,N.4 l uers©2 Ap1L1aLe CONTRACTOR CITY STATE FAX '-reg.Goi,e-coca 701.1 - ( ) WA STATE CONTRACTOR'S LICENSE iEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Sclele c.A 7di NAMEPRIMARY PRONE `` APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PRIMARY PRONE PROJECT CONTACT NA L r.\ 2 e r f ‘3)moi/ S Zge I certify under penalty of petjury 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 Federal Way regulations pertaining to the work authorised 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 ma made by any person,including the undersigned,and filed against the city, but only where su laim arises of the relia �f the city, including its officers and employees, upon the accuracy of the information supe the city as, art of this • ,• ation. SIGNATURE: 1,'.i%`i.I` //fir DATE ?A2//e‘ PRINT NAME: �GLGCy elS PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609+ permiteenter@cityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application