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16-103478 y b Electrical City of FcrWay Permit #: 16-103478-00-EL Community 8 Econ.al Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Ph'(253)835-2607 Fax:(253)835-2609 p q est Line: (253)835-3050 s Project Name: LEE Project Address: 101 S 308TH ST Parcel Number: 339210 0370 Project Description: Adding/altering(2)circuits associated with basement remodel work Owner Applicant Contractor JOSEPH H LEE JOSEPH H LEE OWNER IS CONTRACTOR 101 S 308TH ST 101 S 308TH ST FEDERAL WAY WA 98003-4022 FEDERAL WAY WA 98003-4022 • Additional Permit Information Electrical Work Valuation 30.00 Is this an Online or O.T.C.application'? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 2 PERMIT EXPIRES Wednesday, July 19, 2017 Permit Issued on Tuesday, July 19, 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 -nd the City • Federal Way. / 1 V //6 Owner or agent: Date: OP' PIA/11 �F D THIS CARD IS TO REMAIN ON-SITE CITY OFConstruction In c tion Record Inspection Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16-103478-00-EL Address: 101 S 308TH ST Project: JOSEPH H LEE FEDERAL WAY, WA 98003-4022 Scheduled inspections may be failed if this card is not on-site. PO 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. o UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) ' 0 Temporary Power(4275) CI Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) CI Rough Electrical(4225) CI Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date CI Final-Electrical(4055) Approved Date —�-- Date, Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ,..„ ..4...... RECEIVED ELECTRICAL CITY OF Federal Way JUL LI2016 PERMIT APPLICATION CITY OF FEDERAL WAY I p 3 efg e CDS PERMIT NUMBER SUITE/UNIT/SPACE# SITE ADDRESS: /0 / y 3 C gild y /. 75,___,,,/eat 7iJj PROJECT VALUATION ASSSQAI(jTAJ4/fjAR / d- © r7 /^1 CURRENT/PROPOSED USE $ 3 �`jj//�. ((//��LL `/ PROJECT NAME .. :../ (Tenant or Homeowner Last Name) r��,-i�^//C p� fia// O( a .729(2f/ (e /4 Ory-/i't' & �.� PROJECT DESCRIPTION Sl>' 1114'5 /n s. '//,.,," J 2' 70 ever:-lP°I 'r Ail 0lil Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER (J©SSS{/ % /7 �.P€ (O�) (0;- -(7...1-02-- MAILING ADDREE-MAIL /62/ S 3 o g'7/4'7/4 ?1/ kesioIe�J....4-E-7.3014 i4o fi;CITY // / / STATE ZIPFAX . k. --cY•.e. /Zt/ WA cPao$ ( ) - E ( PRIMARY PHONE � LI- ( ) MAILING ADD E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) _ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME`.)_.. PRIMARY PHONE APPLICANT �J O Se(A 7.. 2_ _ ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ( ) 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. ! ri SIGNATURE: /DATE / (.J / /6 PRINT NAME. Bulletin#160—April 14,2016 Page I of 1 k:\Handouts\Electrical Permit Application