16-105021 .4 _ A
Electrical
City of Federal way Permit #:16-105021-00-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: YUNKER
Project Address: 28707 11TH AVE S Parcel Number:515296 0400
Project Description: Installation of new breaker box,run new can lights,switches and outlets.
Owner Applicant Contractor
SCOTT YUNKER SCOTT YUNKER OWNER IS CONTRACTOR
934 S 295TH PL 934 S 295TH PL
FEDERAL WAY,WA 98003 FEDERAL WAY,WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes ,
''0,f07,'1, 1,-.0070000 t 'No Futures Associated With E 201
PERMIT EXPIRES Saturday, 14 October,2017
Permit Issued on Friday, October 14,2016
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
I/ j lWashington and the City of Federal Way. gX
Owner or agent: / �' !' Date: ! u ! f H C
FINALED
•
4_1111.. THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105021 00 Address: 28707 11TH AVE S
Project: SCOTT YUNKER FEDERAL WAY WA 98003-3141
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.
® UFER Ground(4295) ® Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4155)
Approved
1ate0 4;
/ •-
Rough ElectricalLI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date ‘By Date
„~oF ` RECEIVED ELECTRICAL
CFederal WayOCT 1 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY PERMIT NUMBER L
CDS �D - � 0 / -
i 1, ¢ SUITE/UNIT/SPACE#
SITE ADDRESS: � 7C0 7 1 I 4/6---. S ; ✓��i)i�l�4i 98oO3PROJECT VALUATION ASSESSOR'S TAX/PARCEL# j'� CURRENT/PROPOSED USE
$ 2/ C6G - )/50t--`' — — — — - —
PROJECT NAME
(Tenant or Homeowner Last Name) A4-1W-JC-
.
Tug;&u.- 1,..11-,-; tSizi--P1 6Z- igoX
PROJECT DESCRIPTION lj /VP-1Ni ii i.-' L-T-. t4 ).5 � P i `'d C t f `
Detailed description of work to '^;`' ' L 1�•-iNi Stf,--T r 73 17 t. `-
r f1 L 1. r
be included on this permit only
NAME - PRIMARY PHONE
PROPERTY OWNER C 5 t Yvolz(-L'- (Z55) Z6 I— �L 1
MAILING ADDRESS E-MAIL
cIT.Y STAT ZIP FAX
f=.� t,/o + ' ' . ( -
NAMEPRIMARY PHONE
11Im6-: (
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAME SezT1
PRIMARY PHONE
YvP"ve--fa, ( ) 3) c7_6!- Z(*".; 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 Iocal, 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: j4;ó r DATE 9/[—/IC
PRINT NAME: c54:4 I \/ v.,�'x._
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application