17-100858 •
Electrical
City ofFederal Way Permit #:17-100858-00-EL
Community Development Dept.
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ANDREWS
Project : S Parcel Number:515240 0110
Project Description:AddressInstall927 7.6294TH PL KW of solar voltaic system to existing single family residence
Owner Applicant Contractor
MICHAEL J ANDREWS ELLENSBURG SOLAR ELLENSBURG SOLAR
927 S 294TH PL PO BOX 1681 ELLENSL864RR(12/19/18)
FEDERAL WAY WA ELLENSBURG WA 98926 PO BOX 1681
98003 USA
ELLENSBURG WA 98926
USA
Additional Permit Information
Is this an Online or O.T.C.application9 No
Circuits-Residential 1
PERMIT EXPIRES Tuesday,3 April,2018
Permit Issued on Monday,April 3,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupanc and the use will be in accordance with the laws, rules and regulations of the State of
�W�asshhiingtonn and t e City of Federal Way.
Owner or agent: i(/(/GL✓t Date: / l
dv, ,,7 ,c—stv.ct
P./4641,. 0
O
t T THIS CARD IS TO REMAIN ON-SITE f
CITY Federal Way Construction Inspection Record
Fed
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100858 00 Address: 927 S 294TH PL
Project: MICHAEL 3 ANDREWS FEDERAL WAY WA 98003-3714
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) El Ditch cover(4030) p Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
v.® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Final-SKF&R(4060)
Approved Approved Approved
By Date By Date By Date
. V. ♦. .
•
El Ceiling Cover(4020) , El Final-Electrical(4055)
Approved Approved
By Date,S---IL-9
By Date
`---2-c-S-(-4 1 ( 4 cl—r` '1,_. 0 •------1.---c- --- 1\3_,......---D _vidi- "\—\ -ls) 4\-c-- k,\A.c.,\
0 Rough Electrical 0Final Electrical 0 Right of Way
Approved Approved Approved
.By Date By Date By Date
i 3/15//�- e2/
3///-
CITY
CITY OF
Federal Way FEB 22 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY iT I 0 O ' 3,S-'5.- 00
CDS PERMIT NUMBER _ _
SUITE/UNIT/SPACE#
SITE ADDRESS: 927 S 294th Place, Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 33,950.00 5 1 5 2 4 0 - 0 1 1 0 Single Family/Res
PROJECT NAME
(Tenant or Homeowner Last Name) ANDREWS
Install 7.6 kW of solar power on existing residential structure.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Michael Andrews ( 253)941 - 0531
MAILING ADDRESS E-MAIL
927 S 294th Place mandrews927(a)comcas .net
CITY STATE ZIP FAX
Federal Wim( _WA 98003 ( )
NAME PRIMARY PHONE
Ellensburg Solar LLC ( 509)929 - 2728
MAILING ADDRESS E-MAIL
ELECTRICAL Po Box 1681 ellensburgsolar@gmail.1 om
CONTRACTOR CITY STATE ZIP FAX
Ellensburg WA 98926 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ELLENSL864RR 12 ! 19 !18 20-17-100329-00-BL
NAME NAME PRIMARY PHONE
APPLICANT Ellensburg Solar LLC ( 509) 929 - 2728
MAILING ADDRESS E-MAIL
Po Box 1681 ellensburgsolar@gmail.c•m
CITY STATE ZIP FAX
Ellensburg WA 98926 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Ryan Wales, Ellensburg Solar LLC ( 509)929 - 2728
I 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 tp 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 p rt of this application.
SIGNATURE: `1 JC(+J DATE 2/9/17
PRINT NAME: Jefff Greear, Owner, Ellensburg Solar LLC
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 + permitcenter(ctcityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application