16-103186 Etrrcal
City of Federal Way Permit #• 16-103186-00-E L
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: PINKHAM
Project Address: 2034 S 308TH ST Parcel Number: 053700 0290
Project Description: Adding/altering(5)circuits for associated kitchen remodel
Owner Applicant Contractor
EDWARD&SUSAN PINKHAM BOONE ELECTRIC CONST INC BOONE ELECTRIC CONST INC
2034 S 308TH ST 11409 58TH AVE E BOONEEC952BM (1/10/17)
FEDERAL WAY WA 98003 PUYALLUP WA 98373 11409 58TH AVE E
PUYALLUP WA 98373
•
Additional Permit Information
Electrical Work Valuation? 4000.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 5
PERMIT EXPIRES Saturday, July 1, 2017
Permit • es on Friday, July 1, 2016
I hereby certify that the above inf• %
4THIS CARD IS TO REMAIN ON-SITE `
CITY OR - Construction Ins ection Record
Federal Way INSPECTION REQUETS: (253)835-3050
PERMIT#: 16-103186-00-EL Address: 2034 S 308TH ST
Project: EDWARD & SUSAN PINKHAM FEDERAL WAY, WA 98003-4822
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 ByDate
O Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date LBy Date
O Feeders/Sub-panels(4045) - ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By0-- Date c-)`te.„IL, By Date
0 Final-Electrical(4055)
Approved
By� a�� Date G_ /(/,
O Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
1 A.
t RECEIVED
CITY OF JUL 01 2016
ELECTRICAL
Federal Waygym,OF FEDERAL WAY
PERMIT APPLICATION
CDS (& / 0 3 / 86 00
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: a 0-3 LI 5 . 30 814(i-1 .
PROJECL )VALUATION� �) , A S TAX/PAR C) 0 - 02 /'1� CURRENT/PROPOSED USE
PROJECT NAME `/J7 `I(/J
(Tenant or Homeowner Last Name) PI \ (‹.- (---1 A l'V ..__
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PROJECT DESCRIPTION it\--1 S
Detailed description of work to o— p.vct 'vt()(/Q) cG
be included on this permit only 1
NAME .— PRIMARY PHONE
PROPERTY OWNER 0u:21-a rr 1-)i rj N",.., a,- 3 3 2--74,&:7 L
MAILING ADDRESS E-MAIL c
STATE ZIP FAX
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NAM PRIMARY boonNE
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MAILING ADDRESS E-MAIL
ELECTRICAL v -fit {�j,�..- L't 0 b40GPl
CONTRACTOR CI ptA
STATE ZIPFAx
WTATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
�Ja Tial ifs',�'1 /i /o i/ tx
o- )-101 &34--(fit) BL
NAME PRIMARY PHONE
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APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME p - PRIMARY PHONE
PROJECT CONTACT 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 local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold %= less the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and def nse of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such c •im •rises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup• ed t th my as a_part this applicati
SIGNATU-4 •/ 1�/" DATE (Q- (4.—/
if
PRINT NAME: L-- 1e14 Alylit _
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