17-103627 Electrical
City of Federal Way Permit #:17-103627-00-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: TEAL
Project Address: 31206 8TH AVE S Parcel Number: 858800 0120
Project Description: Install a new 200 amp service
' Owner Applicant Contractor
CHRISTINE TEAL KYLE WOLDEMERALD CITY ELECTRIC EMERALD CITY ELECTRIC
31206 8TH AVE S 317 S 120TH ST EMERACE901JZ(4/18/18)
FEDERAL WAY WA 98003-5301 SEATTLE WA 98168 317 S 120TH ST
SEATTLE WA 98168
Additional Permit Information
Is this an Online or O.T.C.application? Yes
9 „,
A,,, r, 1, E1eet>rical Fixtures
Alt. Serv./Feeder: 0 to 200 ami 1
PERMIT EXPIRES Saturday,28 July,2018
Permit Issued on Friday,July 28,2017
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: 5, L/416L- Date: 7/22 )/2 j 7
t
THIS CARD IS TO REMAIN ON-SITE
co:,OF ,-:v Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103627 00 Address: 31206 8TH AVE S
Project: KENNETH R TEAL FEDERAL WAY WA 98003-5301
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) Ill 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 By Date By Date
,1 Final-Electrical(4055)
Approved
%By .: Date i14I 1")
El Rough ElectricalElFinal Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date `By Date
A. RECEIVED ELECTRICAL
CITY OF ..,
Federal Way JUL 28 2017 PERMIT APPLICATION
CITY RAL WA
COMMUNOFITY FEDERAL DEVELOPMYENT 1 - + �� Z C_
PERMIT NUMBER ( _ c
SITE ADDRESS: 3/ •7 S'�"h flu C SUITE/UNIT/SPACE#
L J1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S iM w 5 6 53 v 0 _ 0 ( 2 0
PROJECT NAME
(Tenant or Homeowner Last Name)
d(*Pi SOU oc
s`ler4AA.,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER i'f, eN II ci ( wkift ( ) -
MAILING ADDRESS E-MAIL
I )%0(o It' owtx--
CITY STATE ZIP FAX
CITY"...
/VI 1 v%j7 i,.'A ii003 ( ) -
NAME PRIMARY PHONE
Efriro(i C4 C(tCffi L ( 2o ) Yoe- Y2®
MAILING ADDRESS E-MAIL
ELECTRICAL 31 7 S 'a.0 0-. S
CONTRACTOR CITY i"Skittiicl life ikc kr s-;C(C �
STATE ZIP FAX
C{t,AAL. A q,(6? ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# r
fV ,CL 0/0tI / / t
fl
NAME PRIMARY PHONE
APPLICANT Kl4- WO�d ( ) -
MAILING AD RESS E-MAIL
31,7 1. I ,(*)1.1" 51",
CITY STATE ZIPf �j FAX
c?.t,WA, Wft g91,�00 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT KI( - t i.�j 1 19.,P C. ) n`/ D
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 Fedcral Way regulations pertaining to the work authorized by the issuance of a permt. 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: i,ri - "4w DATE 7/A7/10/7
y(�
PRINT NAME: k _ .\00t.
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application