17-100750 r . -ti
Electrical
City of Federal Way tPermit #:17-100750-00-EL
Community Development Dept. t
33325 8th Ave S _"'1
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NASH
Project Address: 30623 28TH AVE S Parcel Number:092104 9195
Project Description: Adding/altering(1)circuit from fire damage
Owner Applicant Contractor
MICHAEL&ROBIN NASH DENKO ELECTRIC LLC DENKO ELECTRIC LLC
30623 28TH AVE S 19303 75TH ST E DENKOEL898JK(6/24/17)
FEDERAL WAY WA 98003 BONNEY LAKE WA 98391 19303 75TH ST E
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 1
PERMIT EXPIRES Thursday,15 February,2018
Permit Issued on Wednesday,February 15,2017
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 -- in accordance with the laws, rules and regulations of the State of
A jilt;on and the City of Federal Way.
Owner or agent: �- f " Date: d
9 4 7 /23 /7
9
THIS CARD IS TO REMAIN ON-SITE
rroF Construction Inspection Record
Federal wail INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100750 00 Address: 30623 28TH AVE S
Project: MICHAEL&ROBIN NASH FEDERAL WAY WA 98003-4803
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.
00 UFER Ground(4295)
"4/ 'V
Ditch cover(4030) "El Slab/Concrete Floor(4255) 'V
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 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 t. s Date ,—,2;)..1',
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF `► FEB 112017 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER 1 0 O Z6 c
SUITE/UNIT/SPACE#
SITE ADDRESS: 306 ;,- ;•1a377/ U 5
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3CO o4 - 9 [ 9
PROJECT NAME
(Tenant or Homeowner Last Name) /T S f-I
gF4,40Q D•94,7/46 .
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 7111k /1/AS// (.5-05 - /q 7
MAILING ADDRESS E-MAIC.
3a6?3 C9cf) 1
CITY STATE ZIP FAX
FED EA - k-1A -
NAME � PRIMARY PHONE
J /VVk(oT, C to25 ) 33 - 62 �3
MAILING ADDRESS E-MAIL
ELECTRICAL 73 ' -3,
s T
CONTRACTOR ITY STATE ZIP FAX
oN 4 L- `✓� 1.i)' cfz@l (?)-3 ) 2- 37375-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
LC DE A/Kb E e.-1k / /
NAME PRIMARY PHONE
APPLICANT 1./ ; ii'i'.S p1/v .4 ,Zc 3) - 4�0a,
MAILING ADDRESS E-MAIL
/93 0 3 -7 5 s i - Pinv6v ci 4,96.cia,0
gTY STATE ZIP FAX
D/1/1A 1.7 GI1 gd93 9 / ( ) -
E PRIMARY PHONE
PROJECT CONTACT EZVA/ 19c )33 Did
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-prises out of the reliance o lie city, 'ncluding its officers and employees, upon the accuracy of the
information supplied to e city as a part of this applic
SIGNATURE: _ _ C-4(///// —S
_s- ,� DATE 0
PRINT NAME: C— ►(/1//-S /
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application