17-102960 Electrical
City of Federal Way Permit #:17-102960-00-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: EHLKE
Project Address: 28812 11TH AVE S Parcel Number:720580 0080
Project Description: Reconnect existing air handler and heat pump
Owner Applicant Contractor
DOUGLAS B M EHLKE ALWAYS CURRENT ELECTRIC ALWAYS CURRENT ELECTRIC
28812 11TH AVE S 720 N 10TH ST SUITE A403 ALWAYCE843QB(11/2/18)
FEDERAL WAY WA RENTON WA 98057 720 N 10TH ST SUITE A403
98003 USA
RENTON WA 98057
USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 3
PERMIT EXPIRES Wednesday,20 June,2018
Permit Issued on Tuesday,June 20,2017
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: %�� Date: . �.r".. '7---
THIS CARD IS TO REMAIN ON-SITE
cmrOF Construction Inspection Record
Federal Way - INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102960 00 Address: 28812 11TH AVE S
Project: DOUGLAS B M EHLKE FEDERAL WAY WA 98003-3705
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) Q Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
,
,� ..
By Date By Date By Date
•
® Pool Bonding(4195) s❑ Temporary Power(4275) Q Service(4235)
Approved Approved Approved
By Date By Date By Date
Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By L .� Date 4 - t 1,k--1
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF 411I. 1141111114...'lrOdr
Federal Way JUN 2 0 2017 PERMIT APPLICATION
COCITY FEDERAL WAY
M UNITY DEV 0 MENTI7
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PERMIT NUMBER _ _
_ _
_ _
SUITE/UNIT/SPACE#
SITE ADDRESS: / 1 f-i- M A
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7^ Ji322 8 la
PROJECT VALUATION � ASSESSOR'ST ARC
CURRENT/PROPOSED USE$ � � eO - QO �O
PROJECT NAME
_
(Tenant or Homeowner Last Name) // L k C
PROJECT DESCRIPTION ""` '"" P X%t s') �� 4.r- k_L,, e' 11-6-4.1`i LArl fJ
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER b p t—. S 6—A /K (c2r5)5) `j/4' 0700
MAILING ADDRESS E-MAIL
02f38 IZ iI /411 S
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
h.ILA)c„7s C.L<vv�.� f l' C_f-.t%` ( 206) 9-93 - "+1a0
MAILING ADDRESS 4 E-MAIL
ELECTRICAL 2 t1 AU /uµ- S•� • 9 0 3
CONTRACTOR CITY STATE ZIP FAX
R e44L)Pr- 9 S'Qs-4- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AL- LoAVCc-94/3 QII It / z /14
NAMES PRIMARY PHONE
APPLICANT R...a_ ne 'r.r.`-- ( Z"t, ) .4.`.3 - -3,OL
MAILING ADDRESS E-MAIL
-2u N. SOA- S�- # i4g63
CITY STATE ZIP FAX
!<IT-cn...-l-u^ GO IN- ' Sty )— ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT R a,cx_ Pt.
e A.r ( 20b ) 43)3 - '3-/7•u
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: /5eDATE Att7l6 <L o//
PRINT NAME: Re.e C L' Y'`<e,C/k H
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application