16-105111 1
Electrical
City of Federal Way y._
Conununity Development Dept. :. t Permit #•• -
5111-00-EL
33325 8th Ave S t$
Federal Way,WA 98003 _ r, Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 -
Project Name: MUNDY
Project Address: 29530 1ST AVE S Parcel Number: 543721 0010
Project Description: Add can lighting and(2)kitchen receptacles for kitchen remodel.
Owner Applicant Contractor
ELDON R MUNDY SAMUEL BYESUN VIEW ELECTRIC LLC SUN VIEW ELECTRIC LLC
29530 1ST AVE S 17102 E 20TH AVE SUNVIVE845MO(7/20/18)
FEDERAL WAY WA 98003-3670 SPANAWAY WA 98387
PO BOX 15124
TACOMA WA 98144
Additional Permit Information
Is this an Online or O.T.C.application Yes
Circuits-Residential 4
PERMIT EXPIRES Saturday,21 October,2017
Permit Issued on Friday, October 21,2016
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
Washi on and the City of Federal Way.
�Owner or agent: / " Date: o j
4 ;*
Federal WaTHIS CARD IS TO REMAIN ON-SITE '` . '"
FedConstruction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105111 00 Address: 29530 1ST AVE S
Project: SUSAN L MUNDY FEDERAL WAY WA 98003-3670
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.
44 4
UFER Ground(4295) Q Ditch cover(4030) El 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) ® Ceiling Cover(4020)
Approved Approved Approved
By Date Date ID- 2..(0— l(D By Date
El Final-Electrical(4055)
�+ Approved
\
By Date\ 0..-' L ft
0 Rough Electrical D Final Electrical Right of Way
"' Approved Approved Approved
By ,e" w Date By Date By Date
ilih. RECEIVED ELECTRICAL
CITY OF
Federal Way OCT 212016 PERMIT APPLICATION
CITY OF FEDERAL WAY /
CDS PERMIT NUMBER �, _ / C/ 5 / / / _
SITE ADDRESS: Z7 ` ?3 /5-
'� /9 vie C dr-+"'� J SUITE/UNIT/SPA #
PROJECT VALUATION ✓ ASSESSOR'S TAX/PARCEL# J CURRENT/PR POSED USE
$ 2 v �5 LI `3 `? 2- ( _ 0 0 l 0
PROJE T NAME � nC
(Tenant or Homeowner Last Name) ►V t U t 1
PROJECT DESCRIPTION nad C &lf-\ I t J 1/"\'r." ci irwo K tkt,-e.,
Detailed description of work to rrc pg- 9- --9-c- l� i �;. (-err 6.�
be included on this permit only 1
NAME PRIMARY PHONE
PROPERTY OWNER U c (\ frl M .),r• ( 7<3 71/0- Q V65--
MAILING
)$MAILING ADDRESS E-MAIL
Z9 s30 /'reF
✓( S
CITY STATE ZIP FAX
r �- a ( ) -
NAME PRIMARY PHONE
. �yC 5�OV, VietA) £/C7 4 c&T 2S: 8W- o ds
MAILING ADDRESS E-MAIL
ELECTRICAL \{U 11-S 12'2--/ .SZv)V1 Cc.)eeet1t 1 rvf�
CONTRACTOR CITY_ STATE ZIP FAX
A(cfri-,a� 1.-I, 'i ,Kce ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATTIOON DATE�j'/ FEDERAL WAY BUSINESS LICENSE#
SV V t �e lir 7 / 26 /�'z 8
NAME //�� a PRIMARY PHONE
APPLICANT s� m `�S °i O vim' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAM PRIMARY PHONE
(U u '- ( Z-s x;ti uy&S
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: / --- -------. DATE Z/—/
PRINT NAME: - (...e ay
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application