16-105089 . 4
I
Electrical
City of Federal Way Permit #:16-105089-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: BUTLER
Project Address: 32829 43RD PL SW Parcel Number:873201 0240
Project Description: 200 AMP LIKE-IN-KIND
Owner Applicant Contractor
MARK A BUTLER A E S ELECTRICAL CONTRACTORS LLC A E S ELECTRICAL CONTRACTORS LLC
32829 43RD PL S 10207 184TH AVE E AESELEC875DO(3/20/17)
FEDERAL WAY WA 98023-2625 BONNEY LAKE WA 98391 10207 184TH AVE E
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt.Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Thursday, 19 October,2017
Permit Issued on Wednesday,October 19,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occup9pcy and the use will be in - ordance "th the laws, rules and regulations of the State of
11 Washington a,i• the ty of Federal Way.
I 9
Owner or agent: 1c 1LL04;1 i i Date: ( !2/ 1 9 /6
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105089 00 Address: 32829 43RD PL SW
Project: CARRIE R BUTLER FEDERAL WAY WA 98023-2625
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
❑ 2
( ) Ditch cover(4030) • ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) Q Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) El Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
0 Final-Electrical(4055)
Approved
By P.44, Date iis 1'A ilid
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
�► RECEIVED ELECTRICAL
CITY OF
Federal Way OCT 19 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY ' r — / 05
/ V 71 5 ��
CDS PERMIT NUMBER �/ _
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 !� a '13- C .s L1l
PROJECT VALUATION� ASSESSOR'S TAX/PARCEL# - 0 Z /i f1 CURRENT/PROPOSED USE
C//wPROJECT NAME
(Tenant or Homeowner Last Name)
p � - a �.p �h t i �`t ,� -1.,=-•v-ck\
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
N E PRIMARY PHONE
le r`c. ('.� r.--c !rs ( 2s)) OW- `2
MAILING ADDRESS /fie E-MAIL
ELECTRICAL t`U?J - [0"4 \.1. �n 4-Gs.oiez y .5!,-? / ,
CONTRACTOR C Y STATE ZIP FAX
i / J
WA STATE CO RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L FL G s 0G 3 /' 0 / l-1
N E1• D '
�i� PRIMARY PHONE
APPLICANT E ( )RESS/ E-MAIL
CITY STATE ZIP FAX
( )
714
PRIMARY PHONE
PROJECT CONTACT � ll
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 •de by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of t -ty, including its officers and employees, upon the accuracy of the
information suppled to the city as a part of this application in/
SIGNATURE: l/ L'V . Ul DATE
PRINT NAME: / j ,�t ' ' ti2 .G Ce L7
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application