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16-103029 Ele'trical City of Federal Way Permit #• 16-103029-00-EL Community&Econ.Dev.Services • 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: OBERG Project Address: 30839 13TH PL S Unit 9 4L Parcel Number: 401540 0090 Project Description: Adding/altering up to(12)circuits for associated kitchen remodel,new powder room and reconfiguration of laundry room Owner Applicant Contractor SHARILYN C OBERG SHARILYN C OBERG OWNER IS CONTRACTOR DAVIS OBERG 30839 13Th PL S UNIT 9 30839 13TH PL S UNIT 9 FEDERAL WAY WA 98003-4749 FEDERAL WAY WA 98003-4749 Additional Permit Information Electrical Work Valuation? 800.00 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Multi-family 12 PERMIT EXPIRES Thursday, June 22, 2017 Permit Issued on Wednesday, June 22, 2016 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington / 4and the City of Federal Way. Owner or agent �'� / Date: /Z-1----//1 • s :1- 9 4,1 ay� C <c 109 ''Y THIS CARD IS TO REMAIN ON-SITE crnoi " Construction Inspection Record Federal Way INSPETION REQUESTS:(253)835-3050 PERMIT#: 16-103029-00-EL Address: 30839 13TH PL S Unit 9 Project: SHARILYN C OBERG FEDERAL WAY, WA 98003-4700 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 • • • ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date Bye Viers Date$ _3,t b By Date ❑ Final-Electrical(4055) Approved By 11,1r Date l ti(Ifs(Iv Rough Electrical Final Electrical •El of Way ❑ Approved ❑ Approved Approved By Date By Date By Date CITY OF RECEIVED ELECTRICAL Federal Way JUN 2 2 Zoos PERMIT APPLICATION CITY OF FEDERAL WAYPERbIIT NUMBER (CO _ / 0 0 29 Go CDS - +A 2 kSUITE/UNIT/SPACE# SITE ADDRESS:3o?3 ?3 ? eif C j / PROJECT VALUATION G l ASSESSOR'S TAX/PARCEL# 1!�' 7"/7 CURRENT/PROPOSED USE $9 eda y t 1 5 I/ i - U f 4 PROJECT NAME (Tenant or Homeowner Last Name) Ot er5 )Cr4e.hen re , edaidey• room /101 / lry PROJECT DESCRIPTION rc°-D!i ei1 failoh )2 C)Pct;/"T Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER II- 4%j lg.e.9141#1 Q� 5.�) - 5227 MAILING ADDRESS i E- / 3a�3 13 ?) , 5t/7 amt'sh4ri 4al1`i76 r CITY STATE ZIP FAX Fed 4- �a7 W4 9'S/&33 ( ) - I PRIMARY PHO NE 0 _NAME — - -- - _ _. - unt....QA ELECTRICAL :/©$ / ( /W Pi- E-MAIL • _ CONTRACTOR :r4IJ W,�'�77 418' FAx _ A" dC� ( ) - cJ` WP�•��`�'�•"""""""•• "�O'° EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT CJ 4)174.— ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME PRIMARY PHONE Ower (13 ).5:14( - 3.227 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 sue • aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplie • t/c as a of this lication. SIGNATURE: Ajja' f (IJ/ r DATE / .14, PRINT NAME: dr 'i) '�A 06 G Je G PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609 +permitcenteii cityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application