17-103341 111110P
w
Electrical
City of Federal Way Permit #:17-103341-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: RUSH
Project Address: 533 S 323RD PL Parcel Number: 132151 0030
Project Description: Installation of one circuit for heat pump.
•
Owner Applicant Contractor
CALEB RUSH CHRISTY MONTENEGROTHE JUICE THE JUICE COMPANY INC
533 S 323RD PL UNIT 9-C COMPANY INC JUICECI933BP(1/17/19)
FEDERAL WAY WA 98003 11407 SE 326TH PL
AUBURN WA 98092 11407 SE 326TH PL
AUBURN WA 98092
Additional Permit information
Is this an Online or O.T.C.application? Yes
Circuits-Multi-family 1
PERMIT EXPIRES Thursday,12 July,2018
Permit Issued on Wednesday,July 12,2017
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: / ��� //fa/J/' AJ>r►j�r Date: 7//o?// 7
THIS CARD IS TO REMAIN ON-SITE
F� deral Wa
Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103341 00 Address: 533 S 323RD PL Unit C
Project: ASHLEY RUSH FEDERAL WAY WA 98003-5807
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
•
. *1,—,
Pool Bonding(4195) Q Temporary Power(4275) ® Service(4235)
Approved Approved Approved
.By Date By Date 1�By Date
•
® Feeders/Sub-panels(4045) ® . Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By $4 Date 1( 1 11
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
JULCITY ofA V 1 2 2017 ELECTRICAL
Federal Way CITYOFFEDEf AL ;• ))ERMIT APPLICATION
COMMUNITY DEVELO
PERMIT NUMBER 1 7 - 1 0 '5 S el / SUITE/UNIT/SPACE#
SITE ADDRESS: &' 3S �� 3 44, 9c
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 9010 I 3 z / S f - 0 0 3 0
PROJECT NAME
(Tenant or Homeowner Last Name) �G,\C)
PROJECT DESCRIPTION '�'V -tka+ b— 04- Del c- C-1,10..1A-1+ 't-t7✓
Detailed description of work to 1--)«-r f a yyy10
be included on this permit only
NAME i II,^� PRIMARY PHONE
PROPERTY OWNER C ,( p_ Lit 5 h ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
'MAC- J U•i(� c.cwN Pan of-ivi c� ( ) -
MAILING ADDRESS 1 E-MAIL
ELECTRICAL • ),x,"17'' i e Jv i cc c ap-,,,c n9gs. ,An,c
CONTRACTOR C TY STATE ZIP Ag • /144
441.4( CA,Vin NA- v'! 8' a— ( ) -
WA STATE CONTRACTOR'S LICENSE#
3 UICECT'�33 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
bl / 13 "oi'
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
Nil*E1PRIMARY PHONE
PROJECT CONTACT v^l M U n-kh e- rcD (&t )'15 - D;(-1-
V
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: !'ir -Ita DATE 7 / 12-1 ')v 7
�/�
PRINT NAME: CO r 1 / 1\,t On f--Y1*AI.v%
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application