16-104904 Electrical
City of Federal Way Permit #:16-104904-00-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: LUND
Project Address: 32106 32ND AVE SW Parcel Number:873190 0620
Project Description: Install dryer home run.Replace aluminum wire
Owner Applicant Contractor
JACK W BURKE C M E ELECTRIC LLC C M E ELECTRIC LLC
13625 18TH AVE SW 30262 225TH AVE SE CMEELEL865QE(11/5/16)
SEATTLE WA 98166-1046 BLACK DIAMOND WA 98010
30262 225TH AVE SE
BLACK DIAMOND WA 98010
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 1
PERMIT EXPIRES Friday,6 October,2017
Permit Issued on Thursday,October 6,2016
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
Wa ington and the City of Federal Way.
Owner or agent: (igDate: ld tf `/6
FINA LEO
THIS CARD IS TO REMAIN ON-SITE
�n~� THIS
Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 104904 00 Address: 32106 32ND AVE SW
Project: JACK W BURKE FEDERAL WAY WA 98023-2206
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.
CI UFER Ground(4295) El ,
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) . .
❑ Temporary Power(4275) ® Service(4235)
Pool Bonding(4195) Temporary Power(4275) Service(4235)
.
By Date By Date By Date
,0 Feeders/Sub-panels(4045) .• .•
Rough Electrical(4225) ,•El Ceiling Cover(4020) '
Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
By Date By Date By Date
El Final-Electrical(4055)
Final-Electrical(4055)
/31"------ Date IO— c /tom
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ELECTRICAL
Federal Way PERMIT APP R 'EION
PERMIT NUMBER I (0 _ I o ` g d 4- _ 00 0 C T 0 6 2016
CITY ITTE FEDERAL
/.SWAY
#
SITE ADDRESS: 3 Z L� 32'x- j� . LAY �•LJJ
PROJECT VALUATION ASSESSOR'S TiAR t L# 9 0 2-O CURRENiR,OPC SEED USE
PROJECT NAME �Q
(Tenant or Homeowner Last Name) LtA►1 i s! C e
"moi fl dyh.tutuLtillev, v vt. r rLe 4.1. L- ✓p .
PROJECT DESCRIPTION J 1
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Eirkt c.. 1.,144 (Zoto)4.04 - Ts5 27--
MAILING
MAILING ADDRESS E-MAIL
32101, 32-Pitt. Sc../
CITY STATE ZIP FAX
c1 c,..ae.A) 1..k 150 z ? ( ) -
NAME ,n PRIMARY PHONE
C--44 10S Y 1‘t.� 1 ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL P.0 . o x 7 o
CONTRACTOR CIT STATES ZI t D ( ) FAX
l)laLIC- DSA,.,, -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C-145ELELIsLP cLQ E / f-1 / I ) (Co-too0 953
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT CAMS Cl._ __f, C2Otc )L�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.
SIGNATURE: DATE l C/A'('
PRINT NAME: e hY/s {r v�-N e-JA
t/ !!! !!!
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application