15-105296 •
Elec is I
City of Federal Way (
Community&Econ.Dev.Services Permit #: 15-105296-00-EL
33325 8th Ave S r
Federal Way,WA 98003 . 3
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)835-3050
Project Name: MIN
Project Address: 30626 43RD AVE SW Parcel Number: 112103 9045
Project Description: Complete electrical rough-in and trim out of 4500 square foot house with 320amp
underground electrical service.
Owner Applicant Contractor
ESTHER E MIN MARVIN OWENS SOLARSIDE ELECTRIC LLC
30626 43RD AVE SW SOLARSIDE ELECTRIC SOLAREL865OQ(9/18/16)
FEDERAL WAY WA 98023 218 125TH ST S 218 125TH ST S
TACOMA WA 98444 TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:201 to 600 amps 1
PERMIT EXPIRES Wednesday, April 13, 2016
Permit Issued on Friday, October 16, 2015
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
a , e City of Federal Way.
Owner or agent: h!t, Date: 76
DATE INSPECTOR AREA AND TYPE OF INSPECTION
312111 7 Puvtitil Di1-44 Gayer - Dteive-witti Awl VJAlkw 1-Ci1tki LA
',kA. , Swviot Cowlui I. t) 4- 1tae 1,401- 13 , ivisretkeet.
+per - �_
THIS CARD IS TO REMAIN ON-SITE
op Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-105296-00-EL Address: 30626 43RD AVE SW
Project: ESTHER E MIN FEDERAL WAY, WA 98023-2123
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
... r* 42.410
By Date By C_l�-c�.! Date ```g n * .By, — Date -9- l k
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By l Date t—1a-n
13 Feeders/Sub-panels(4045) 'CI Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By C vi. Date _ , 4-\, R By Date
Final-Electrical(4055)
Approved
[1:1
y V14 Date 5131II1
Rough Electrical
Final Electrical 1 Right of Way
LiApproved ❑ Approved ElApproved
By Date By Date By Date
• ,r.. _.
RECEIVED
► ELECTRICAL
CITY OF OCT 16 2015
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER ! - 1 0 c., _ /�
SITE ADDRESS: 3,,, ,2 3 rd /1 il t SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
$ S a 5C). CO l l 2 1 0 - 9 0 q S
PROJECT NAME �/�/l /�/)�S
(Tenant or Homeowner Last Name) /f
PROJECT DESCRIPTION (o V/�C 1e C/e LT''�'e' / Rain Li " _T n 4r- 7r,:.,-1 o 1
Detailed description of work to 6 " ,S-co56 -r4 h oU �i Je T/, ,j zU A-)7
be included on this permit only (/t7 �� 1�
NAME l�,,yy ' J �/�i 1 PRIMARY PHONE
PROPERTY OWNER '!/_ �S/lie,/` !17,c'1Z.r3
( ) 3v2.- 0295--
MAILING ADDRESS
/ f,Z cd i. E-MAIL
IO 2 6 /(/
CITY (p STATE ZIP FAX
, -J& ( . J6/ t 4 98623 ( ) -
NAMEPRIMARY PHONE
So/ ac 'Je Pec/ii (20 ) 970 - 1V2-
MAILING ADDRESS
E-MAIL
ELECTRICAL S30 7 ?2 S-� 4 So f de%c 71/';Ck,9/4707'i
CONTRACTOR CITX - STATE ZIP FAX
iateUr-Y?& &in" ell ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SO/q,'e/ C Lc"-.0ar / /6 //6
NAME
PRIMARY PHONE
�a/ic,A - 4/ec7Y: 'L 0J-3) Flo- Eli z
APPLICANT MAILING ADDRESSE-MAIL
570 7 72 "' S7 ---"
CITY/r-1 eOer) Ct STATE1ZIP_l6 qq3 ( ) FAX
NAMEJ/ 1�� PRIMARY PHONE
PROJECT CONTACT ///�
(Z5-) ) 57o _ 8-l32
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: /6---/G‘-'/S
PRINT NAME: !4 DATE U o�er25
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application