13-102122 f
r' Electrical
City of
Community&Econ.raDelv.Services F " Permit #: 13-102122-00-EL
33325 8th Ave S , 74
Federal VVay,FwA 98003 LI W,,1, - Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 -, p q
Project Name: COOK
Project Address: 33041 38TH AVE S Parcel Number: 614360 0150
Project Description: Add solar PV system to new garage/ADU.
Owner Applicant Contractor
TIMOTHY M&ROBIN S COOK PRO-STAT ELECTRIC PRO-STAT ELECTRIC
33041 38TH AVE S 8122 NE 91ST ST PROSTE*8900N (9/15/13)
FEDERAL WAY WA 98001-9666 VANCOUVER WA 98662 8122 NE 91ST ST
VANCOUVER WA 98662
Additional Permit Information
Is this an Online or O.T.C.application? No Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Sunday, November 10, 2013
Permit Issued on Wednesday, June 5, 2013
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 Washington
and the City of Federal Way. /^
Owner or agent //(i` (�Date: " I "' 13
• • THIS CARD IS TO MAIN ON-SITE
41A,CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102122-00-EL Address: 33041 38TH AVE S
Project: TIMOTHY M & ROBIN S COOK FEDERAL WAY, WA 98001-9666
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.
o UFER Ground(4295) El Ditch cover(4030) 0 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
o Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
�-� Ls �tR—t3 ., .
El Final-Electrical(4055)
Approved
By Datec-1--k- j
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
.
•
4 tECEIVED
MAY 1 4 2013 ELECTRICAL
CITY OF FEDERAL WAY
Federal Way CDS PERMIT APPLICATION
PERMIT NIEMEER
SITE ADDRESS: 35'k -N*ic.kk. sm./maw.=
'5 PleAfry
PROJECT VALUATION hahasnoirs Thrtionacia.# CURRENT/PROPOSED USE
$ oF\ 1000 ° -I 5 12
PROACT NAME C(S404
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION / 75:1&tPILL-441-1.-4443
4'
Detailed description of work to
be included Oil thispermit only .3c1.04. . ottp...,:,
tt4 311)001411C1/41AN• SVIL4(COS
PRIMARY PRO
PROPERTY OWNER tYNN. 04 4 615.3' F.5 "" r12'
MAILING ADDRESS 441
fEMAIL
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PA X
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MAILING ADDRESS E-MAIL y.
ELECTRICAL 1*?‘ AC- ctls)51-0Va. (QA1A.403 ,Alar
1441k5er
CONTRACTOR
1413614 STAZIP FAX
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a STATE CONTRACTOE'S 914 EXPIRATION DATE FEDERAL EAT BUSINESS LICENSE
POS) / is /Pr t3' 10011-00-15L,
NAME PRThIARE PROBE
APPLICANT Armuti:004- E-tarin.
CITT STATE ZIP FAX
PROJECT CONTACTk6.4\e_
ALeL,4AA.47:1 Teo=
.603).531.11 1 1_1
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 mg knowledge,the information submitted in support of this permit application is true and correct I certify that I wilt comply with
an applicable City of Peden:I Wag 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.
/further agree to hold harmless the City of federal Way as to any claim(including costs,expenses,and attorneysfees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned and filed against the city,
bat only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied .the city as apart of this application.
SIGNATURE: DATE g k"3
(
PRINT NAME: fenh...em;
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application