16-105654 Electrical
City of Federal Way Permit #:16-105654-00-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: BATEMAN
Project Address: 620 S 301ST ST Parcel Number:515200 0090
Project Description: Replace existing meter&panel with a new 200 AMP meter& panel.
Owner Applicant Contractor
BRANDI M BATEMAN MICHAEL PAXTONM C ELECTRIC LLC M C ELECTRIC LLC
620 S 301ST ST 27313 135TH AVE SE MCELEL*990KC(05/03/17)
FEDERAL WAY WA 98003 KENT WA 98042 27313 135TH AVE SE
KENT WA 98042
Additional Permit Information
Is this an Online or O.T.C.application? Yes
�.��EEI:9I€€E1��f ; 6;., �� �E�€�� �' €�� s 1F(a� �;- �� s:�r��% »..., £ s. ✓ �F I i r �, ;� �n
Alt. Serv./Feeder:0 to 200 ami 1 Circuits-Residential 1 Mast or Meter Repair(Resider. 1
PERMIT EXPIRES Thursday,30 November,2017
Permit Issued on Wednesday,November 30,2016
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
W shington a d ity of Federal Way.
Owner or agent: C Date:
/vgv 30
FINA L .:. 1•10
THIS CARD IS TO REMAIN ON-SITE
Federal Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105654 00 Address: 620 S 301ST ST
Project: BRANDI M BATEMAN FEDERAL WAY WA 98003-3656
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.
,0 UFER Ground(4295) •/❑ Ditch cover(4030) ,� 3
Approved ❑ Slab/Concrete Floor(4255)
Approved Approved to place concrete
By Date �.By Date Date
By
'® Pool Bonding(4195) ,,0 Temporary Power(4275) ..El Service(4235) '
Approved Approved
Approved
By Date By Date t
By Date I'Y 1101 I!. .
P ( ) „❑ Rough Electrical(4225) l
Feeders/Sub-panels 4045 $ g ❑ Ceiling Cover(4020)
Approved Approved Approved
‘By Date ��By •• Date ,..By Date
•
't® Final-Electrical(4055)
Approved
By •'•l Date V>41(9 1
❑ Rough Electrical ❑ Final ElectricalRight of Way
Approved Approved ❑
Approved
By Date By Date By Date
�� RECEIVED ELECTRICAL
CITY OF
Federal Way Nov 30 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDSPERMIT NUMBER 1 (0 _ 1 0 5 V 5 _
SUITE/UNIT/SPACE#
SITE ADDRESS: j(//„ i 3 // 5 / 5,7s
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
3 OO 0( 5 2 D 0 _ 0 0
PROJECT NAMEp
(Tenant or Homeowner Last Name) /c� /�Q (1 ah-'
PROJECT DESCRIPTION i/�' /G�'C eg/‘-'1.5/L7', . /1f14-6.-r `"63/ /` J4 4'
Detailed description of work to d0 .!%y �'✓� "L1e/- �— i"rze/
be included on this permit only 1.4?-4_, /�
NAME PRIMARY PHONE
PROPERTY OWNER / L /`4 /j77A?� �� (���)�7�7U� 7
MAILING ADDRESSE-MAIL
/9 5 .3eW s7`' ,5
CITY STATE Z FAX
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NAME _, PRIMARY PHONE
fry LSC %�c .G,C WS)3,75 2dz b
MAILING ADDRESS i E-L
ELECTRICAL 7.3/3/3 f /9-eve jiice Pe,'/�i iz./ i0fy
CONTRACTOR CITY_ 1 S�'A X. ZIP7,y d �� ( ) FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ G4- 6 9P*/r / / i
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY cn ` STATE ZIP FAX
( )
PROJECT CONTACT ' / / (2)A335-:PHONE
N 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 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 o this application.
(----Y77)
SIGNATURE: fir DATE ,0S 1/.../A
PRINT NAME: ./7 /.' G�/ft'fe� / �/ ez-X ."---
Bulletin
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Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application