16-104869 s i
Electrical
City of Federal Way •
Community Development Dept. Permit #•16-104869-00-EL
33325 8th Ave S _ r3
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BREIER
Project Address: 28924 8TH AVE S Parcel Number: 515292 0280
Project Description: Electrical updates in kitchen to include new wiring,new outlets,(5)new circuits and updates to
the lighting.
Owner Applicant Contractor
BEN BREIER CESAR GARCIANORTH POINTE NORTH POINTE ELECTRIC LLC
28924 8TH AVE S ELECTRIC LLC NORTHPE901ML(7/13/16)
FEDERAL WAY WA 98003 3519 N BENNETT ST
TACOMA WA 98407 3519 N BENNETT ST
TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 5
PERMIT EXPIRES Thursday,5 October,2017
Permit Issued on Wednesday, October 5,2016
I hereby certify that the -.a v; information is correct and that the construction on the above described property
and the occupanc, and e use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: Date: /az
ti
THIS CARD IS TO REMAIN ON-SITE •
Federal Wa Construction Inspection Record ' ,
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 104869 00 Address: 28924 8TH AVE S
Project: REGINA BREIER FEDERAL WAY WA 98003-3702
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) E Ditch cover(4030) E 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 By Date
R
DI Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
By Date .,By c\,*> 1 Date ts,4 (t„`b By Date
In Final-Electrical(4055)
Final-Electrical(4055)
By 0.41....s, Date 1 — t 01...$h
El Rough Electrical 12 Final ElectricalElRight of Way
Approved Approved Approved
'By Date By Date By Date
RECEIVED 1 �a. 2___.ill. ELECTRICAL
CITY OF ,f r OCTO 11 2016
Federal Way CITY OF FERE RAL WAY APPLICATION
�j�CDS Y
PERMIT NUMBER l _ i 'CD LI g. K.° e I%
SITE ADDRESS:
L/ g•fil AlF- Sf SUITE/UNIT/SPACE#
PROJECTVALUATION ASSESSOR'�T PAR S _ D -\ CURRENT/PROPOSED USE
/P ois
PROJECT NAME . Q2(LE 1.' , e/ /
(Tenant or Homeowner Last Name) _ _
PROJECT DESCRIPTION tZ j' t k-1_- _ , 1-d S Ci l/I-C-
Detailed description of work to
be included on this permit only -- ,' x-
-/5 Cie/-(v/74-
NAME
f(v/t
--f�j /I� of/10( 121(V
NAMES PRIMARY PHONE
PROPERTY OWNER 3( i?( C>r ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEJOC PRIMARY PHONE
P62/4 '--e--/a ,--t--fl,‘ G ( ) _
MAILING ADDRESS q �j E-MAIL
ELECTRICAL 7 S/C7 4 • 6 6-lite v 7 S 7- /. ' Le G''/t 'C e)ms it/' 'CO
CONTRACTOR CITY��- STATE ZIP4.�cy 71.-___‘
� FAX
1 }-i° 41,f CV q �(iiLL// ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
oIy41 pogo, Mt_
NAME/"N PRIMARY PHONE
APPLICANT '-e- ,ee 64,/C4 Q' ( )
MAILING ADDRESS E-MAIL
37 ? XII' 6e We', 74 "37-
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
4253 )-75`- 07(/),
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 defen of ch claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such cla' anis out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to he city • a part of this application.
SIGNATURE: / DATE ``�/U5' " 6
PRINT NAME: _�
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application