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16-105056 Electrical City of Federal Way Permit #:16-105056-00-EL Community Development Dept. .,,, ,, Federal w 8th 8003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: SORDAHL Project Address: 29203 13TH PL S - Parcel Number: 720560 0100 Project Description: Repair electricity wiring due to tree falling through the roof. Owner Applicant Contractor JEFFREY A SORDAHL VIRGIL(DOUG)JARVISD J ELECTRIC D J ELECTRIC AND CONSTRUCTION 29203 13TH AVE S AND CONSTRUCTION INC INC FEDERAL WAY WA 98003-3743 PO BOX 1008 DJELECI027L9 6/30/18 RAVENSDALE WA 98051 PO BOX 1008 RAVENSDALE WA 98025 Additional Permit Information Is this an Online or O.T.C.application Yes PERMIT EXPIRES Wednesday, 18 October,2017 Permit Issued on Tuesday,October 18,2016 I hereby certify that the above inf rmatiorl is corre«--nd that the construction on the above described property and the occupancy and th se w' • dance with the laws, rules and regulations of the State of //).,.. ' i nd the City of Federal Way. Owner or agent: /- /` 0 Date: /Z2/7197, o C:Z �-- o 8 5'7 5u Gas 1/1"-4-ik-- • THIS CARD IS TO REMAIN ON-SITE �. CITYOF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16 105056 00 Address: 29203 13TH PL S Project: JACQUELIN M SORDAHL FEDERAL WAY WA 98003-3743 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) " , ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date ® Feeders/Sub-panels(4045) „ $ Rough Electrical(4225) „ P ❑ g ❑ Ceiling Cover(4020) Approved Approved Approved `By Date By 4 C Date Id as By ' Date /e/ zs'-- El Final-Electrical(4055) Approved ByD%W Date t 2--ti5 1 b ❑ Rough Electrical 0 Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date ,A. RECEIVED ELECTRICAL CITY OF Federal Way OCT 18 2016 PERMIT APPLICATION CITY OF FEDERAL WAY j CDS PERMIT NUMBER 1 Y _ ) 0 5 &� 5 _ C- SUITE/UNIT/SPACE# SITE ADDRESS: Z.7i0 C7 3 0 es /31-, S . PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ a e' ` cv - 0 5 (o 0 _ 0 1 0 0 PROJECT NAME (Tenant or Homeowner Last Name) --S7PA-1>4tt L- PROJECT DESCRIPTION ,Fty,d" e c.1- � 1,'`�tC FR..904 T,?e - fie' / �/ Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Sre9A- 1 L- ( ) - MAILING ADDRESS E-MAIL a 'ZL. €.c /3 Az sr CITY STATE ZIP FAX 6'G 1>t M.-- ". l�� ( ) - NAME PRIMARY PHONE y/)T-Z_'" z&--r-7z/L (( '.c- ( ) - MAILING ADDRESS E-MAIL ELECTRICAL ,0 #80( /00e CONTRACTOR CITY STATE ZIP FAX ell 1 q / WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# I 1( x'7 G l� e_-`7e y eV //7 NMI PRIMARY PHONE APPLICANT `g6, `moi,-5 ( ) MAILING ADDRESS E-MAIL P©e/ /oaf /z4e ;. :r5.sziz% h.c4 na-U [J� CI��/7�"Gv-C el"6-' ZpySTATEi/ roily FAX NAME _._. PRIMARY PHONE PROJECT CONTACT C �`vxf (? ) 35 Z . 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 arty 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 o3zt of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city rto application. SIGNATURE: .' -•' �F DATE /�//7// PRINT NAME: < cJF�I c Bulletin#160-April 14,2016 Page 1 of 1 k:\l-landouts\Electrical Permit Application