15-106320 Electrical
City of Federal wayF
II LE
Permit #. 15 106320-00-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: CLAY
Project Address: 28401 15TH AVE S Parcel Number: 720300 0435
Project Description: Adding(2)circuits,(2)switches,(1)cadet heater and(4)can lights for associated remodel
work. •
Owner Applicant Contractor
ERIN L CLAY KENNYDALE ELECTRIC LLC KENNYDALE ELECTRIC LLC
BRAD E CLAY 2201 NE 28TH ST KENNYEL866M9
28401 15TH AVE S RENTON WA 98056 2201 NE 28TH ST
FEDERAL WAY,WA 98003 • -
RENTON WA 98056
Additional Permit information
Electrical Work Valuation? 1100.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional No_
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Sunday, June 12, 2016
Permit Issued on Tuesday, December 15, 2015
I hereby certify that the abov: in..rma on i orrect and that the construction on the above described property and
the occupancy and the us- .0 bei ,acc ance with the laws, rules and regulations of the State of Washington
j and the City of Federal Way.
Owner or agent: / L, Date: / 2-Il Ji(
THIS CARD IS TO REMAIN ON-SITE -
cm/of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106320-00-EL Address: 28401 15TH AVE S
Project: ERIN L CLAY FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. % . ♦ .
El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
•
▪ Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By , , Date ., r� By Date
:.... ! 0., �E
o Final-Electrical(4055)
Approved
By e Date 41.21....".4._,N,6
`-� Rough Electrical • Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
► , ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
LIED
K/
PERMIT NUMBER - ( 0 320 _ C
— — — — DEC 1 5 2015
SITE ADDRESS: a t{ I / S r/7 r ye S. �C n6,A t„,'� (/" CITY( R/��` q '
Rou3CDS
$
PROJECT 6V ON ASSESSOR'S T PARC O _ N � CURRENT/PROPOSED USE
4- —
PROJECT NAME U
(Tenant or Homeowner Last Name) / nn n
00 1)(pidsti /4/1a;IL 1x(S1(A.G, L vrA.� /(c�C,'Y`1 . 2t.A/C
PROJECT DESCRIPTION C f nL(A 0 . Ofq-(2+-- b1,7 c_Frx 0 ONO- rue‘ CAP t T tr(e"?cy-►..
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME, PRIMARY PHONE
1 nn.1-#9;t-LELeCI c LLC (206 ) 7 c - 642`
MAILING ADDRESS ETAIL
ELECTRICAL ZZOI /Vd �.cs'7r .$ (, frwrentwee)h"1 c'(.CQv�
CONTRACTOR CITY() ZI ^OY' G 01,/ FAX
Ker/ .0� 1TAT;
J ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1Z�tn r,-7Lg-( b�l /a /I6
NAM
4/� PRIMARY PHONE
APPLICANT r (A(LC C6ItAl; S (2O1, ) 7 4 - 6124,
MAILING ADDRESS
tZ0( Are GZgn't ?< W,�ir`CCnrvt° P 07cMc,; et, ,
CITY STATE ZIP FAX
Peni-r4-- j�'A cl c(S -( ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT /I„ COM& J ( ) ?�i 612_6
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 a.•lication is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the wor.• •uthorized by the issuance of a permit.I understand that the
issuance of this permit does no em• e the o er's responsibi for compliance with local, state, or federal laws regulating
construction or environmental •w
I further agree to hold h• I S - City o Federal Way as •/any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defe e o sig claim which may be )•e by any person,including the undersigned,and filed against the city,
but only where such cl m 'j'e- out of he reliance of city, including its officers and employees, upon the accuracy of the
information supplied t the . y •• •of this applica-in.
SIGNATURE: DATE /2
h.S^/ )�
� p. C
PRINT NAME: .MaWt(j J
Bulletin#160—January 1,2013 Page 1 of 2 k:\I Iandouts\Electrical Permit Application