16-103744 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-103744-00-EL
33325 8th Ave S
Federal Way,WA 98003 253ues
Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q ( ) 835-3050
Project Name: WEIS
Project Address: 413 S 289TH ST Parcel Number: 515298 0160
Project Description: Thermostat replacement for new furnace and A/C unit install
Owner Applicant Contractor
KURT R WEIS EAST HILL HEATING&COOLING EAST HILL HEATING&COOLING
413 S 289TH ST (MECHANICAL) (ELECTRICAL)
FEDERAL WAY WA 8114 114TH AVE E EASTHHC9800W (11/17/16)
98003-3609 PUYALLUP WA 98372 8114 114TH AVE E
PUYALLUP WA 98372
•
Additional Permit Information
Electrical Work Valuation 500.00 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional" No
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES Wednesday, August 2, 2017
Permit Issued on Tuesday, August 2, 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 Washington
and the City of Federal Way.
Owner or agent: � -'`. Date: E5-6- 1�
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF ,Z*,...._,,,,, Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-103744-00-EL Address: 413 S 289TH ST
Project: KURT R WEIS FEDERAL WAY, WA 98003-3609
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 9 Rough Electrical(4225) 9 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date j
0 Final-Electrical(4055) 1
Approved
By, v..) .<_\.., ., Date*._1 0 44.c...,
•
0 Rough Electrical1:1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
,A. ELECTRICAL
CITY OF
Federal Way AUG 02 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS — J 0 3 -- CO
PERMIT NUMBER
SITE ADDRESS: 44/3 s . / SUITE/UNIT/SPACE#
POJECT VALUATION AS OR'S TAX/PARCE - Q ' O CURRENT/PROPOSED USE
PROJECT NAME W f g
(Tenant or Homeowner Last Name), Ti 4 er MQ£7g4-r RP"ilece sok e _, t'
Ike Pi ' --ril e..v,Ano S4-r,
T ��[/
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER V r-r iei e > 5--. ( 2,53 ill - /go t,
MAILING ADDRESS E-MAIL
4413 5 , 289ri •
CITY STATE ZIP FAX
f cd, lAM 9g OO), ( ) -
NAME / PRIMARY PHONE
(4 s r /i` i-i /I. 4 r.' a - (2s3) 9 flit
-
MAILING ADDRESS /�4/41° E-MAIL
ELECTRICAL !/41 / .0 .
CONTRACTOR CITY STATE ZIP FAX
1/v4, , 0 P ) 4 9'3 72--- ( ) -
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAM.EE PRIMARY PHONE
/
APPLICANT " 'uv-r 40e IS-- ( )
MAILING ADDRESSE-MAIL
CITY STATE ZIPFAX
Fw . GOA- ZIP ,.
( ) -
PROJECT CONTACT NAME PRIMARY PHONE
t w¢ d fes--- (293) 9y/ - /6 zsg
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 46
PRINT NAME: \.A \- 11 C` S'
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application