16-103689 Electrical
ay
Commu ty&Econ Deof Federal v.Services �., , Permit #: 16-103689-00-EL
33325 8th Ave S c r
Federal Way,WA 98003 '1,M.:7. ' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 r
.fie
Project Name: MEERDINK
Project Address: 613 S 298TH ST Parcel Number: 515190 0310
Project Description: Installation of a 3.835 kw new solar panel photovoltaic system.
Owner Applicant Contractor
PETER J MEERDINK JESSE ANDERSON A&R SOLAR(ELECTRICAL)
OTONICAR JAYNA C A&R SOLAR RSOLAS*903JM(5/20/18)
613 S 298TH ST 2444 1ST AVE S 2444 1ST AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98134 SEATTLE WA 98134
•
Additional Permit Information
Electrical Work Valuation .2850 Is this an Online or O.T.C.application No
Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Thursday, August 24, 2017
Permit Issued on Wednesday, August 24, 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
an the City of Federal Way.
Owner or agent f o�2 � Date: i - ZL/-ZO/4
• THIS CARD IS TO REMAIN ON-SITE iv. - -
CITY Or WayConstruction Inspection Record
FINSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103689-00-EL Address: 613 S 298TH ST
Project: PETER J MEERDINK FEDERAL WAY, WA 98003-3630
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.
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
O Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
By 0.54.1/4", Date r 4.,i Sa
t
E Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
II •
RECEIVED ELECTRICAL
CITY Of
Federal Way JUL 2 9 2015 PERMIT APPLICATION
CITY OF FCEDDSERAL
WAY
PERMIT NUMBER 1 r _ 1 0 I A/1 O G
9 _ e
SUITE/UNIT/SPACE#
SITE ADDRESS: 613 S 298th st, Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# !� CURRENT/PROPOSED USE
$ 2,850 S t 5 i -l 0 _ 0 J / 0
PROJECT NAME
(Tenant or Homeowner Last Name) M ee rd i n k
Installing a 3.835kW Residential Photovoltaic System
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Peter Meerdink ( 2064455-5438
MAILING ADDRESS E-MAIL
613 S 298th st peter@a-rsolar.com
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME PRIMARY PHONE
A&R Solar ( 206-707-9937
MAILING ADDRESS E-MAIL
ELECTRICAL 2444 1st Ave S info@a-rsolar.com
CONTRACTOR CITY STATE ZIP FAX
Seattle WA 98134 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
RSOLAS*903JM 05/ 20 /2018 20-15-102370-00-BL
NAME PRIMARY PHONE
APPLICANT Jesse Anderson ( 2064707-9937
MAILING ADDRESS E-MAIL
2444 1st Ave S info@a-rsolar.com
CITY STATE ZIP FAX
Seattle WA 98134 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Jesse Anderson ( 360)310-0260
I certify under penalty of perjury that I am the property owner or authorised 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 withlali
applicable City of Federal Way regulations pertaining to the work authorised 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 7/29/2016
PRINT NAME: Jesse Anderson
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application