17-103725 , .
., ..
Electrical
City of Federal way Permit #:17-103725-00-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: SHERMAN
Project Address: 32210 46TH PL SW Parcel Number:873202 0440
Project Description: 0-200 amp panel replacement
Owner Applicant Contractor
TERRY SHERMAN TERRY SHERMAN OWNER IS CONTRACTOR
3221046TH PL SW 32201 46TH PL SW MOOREMV055M4(7/31/19)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 MARTY V MOORE
CERTIFIED INSTALLER
MOOREMV055M4(7/31/19)
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt. Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Thursday,2 August,2018
Permit Issued on Wednesday,August 2,2017
I hereby certify that the above info ation is correct and that the construction on the above described property
and the occupancy and the u will be in accordance with the laws, rules and regulations of the State of
`ashington and the City of Federal Way. c�
Owner or agent: /-tl Date: U/.9.- /9--o/ 7
( r
Ma
4 Pr
P fre
r `o.
r
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103725 00 Address: 32210 46TH PL SW
Project: SHELLY SHERMAN FEDERAL WAY WA 98023-2411
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.
0 UFER Ground(4295) - ❑ Ditch cover(4030) .Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date ••By Date By Date
® Pool Bonding(4195) D Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date . By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
El Final-Electrical(4055)
Approved
1114
Date ( U'
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
A. RECEIVED ELECTRICAL
CITY OF
Federal Way AUG 0 2 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 _ I b 3 7 2 5 _
SITE ADDRESS: � I° �l'61-1-‘ / �
�� a
/ 3UITE/UNIT/SPACE#
3 "2-'PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ lSam g 1 3 2 Z0 2 _ 0 L( 44 0
PROJECT NAME
(Tenant or Homeowner Last Name)
1—e9 r
N a`e/ci^" P
DetailedPROJECT description DESCRIPTIOof work to
be included on this permit only
NAME PRIMARY
PHONE
PROPERTY OWNER �� �/ Sr
�j3j
MAILING ADDRESS E-MAIL
3 as l a P/ 3 w �tr/%6 ,,..n eic1 ill'
CIr I 141 ✓ /414- ZIP FAX
f� 3 ( ) FAX Cc+"+L44)1
7
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
/!')
APPLICANT v bo 0--(--(' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PRIMARY PHONE
PROJECT CONTACT NAME --c,(`(>' 31�-C 1,...4. ( 4 ) 5-79i- S 'jiZ
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 a art of this application.
SIGNATURE:c----&-- DATE g1/472-69 ( 7
PRINT NAME: I -,r✓'y S(A,crvv..., n
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application