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Community&Econ.Dev.ServicesFILE Permit #: 14-100837-00-EL
33325 8th Ave S �✓ V
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SIMUEL
Project Address: 1013 S 301ST ST Parcel Number: 515390 0300
Project Description: Electrical work for garage to bedroom conversion.
Owner Applicant Contractor
ROBERT SIMUEL ROBERT SIMUEL OWNER IS CONTRACTOR
PO BOX 4773 PO BOX 4773
FEDERAL WAY WA 98063 FEDERAL WAY WA 98063
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
CONDITIONS:
NOTE: Work was completed prior to permits.
PERMIT EXPIRES Wednesday, August 20, 2014
Permit Issued on Friday, February 21, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a e use ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of.r-der:1 Way.
Owner or a ent: _ r Date: ",PZv/jli
IIIW
THIS CARD IS TO MAIN ON-SITE'
«�YOF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100837-00-EL Address: 1013 S 301ST ST
Project: ROBERT SIMUEL FEDERAL WAY, WA 98003-4110
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) Cl Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
`By C'f � Date 13,11—‘1.\
Rough Electrical Final Electrical `El
Right of Way
1:1Approved ElRough
Approved
By Date By Date By Date
•
FEB 21 2014 ELECTRICAL
RICA,
Federal Way CITY OF CDS FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER / / - ( 0, O C� 3 7- EC
SITE ADDRESS: )0) 3 SOj1 .T'c_I 7) L r` 4�>� NA surd$/Darr/SPACE t
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
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PROJECT NAME _
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PROJECT DESCRIPTION p
Detailed description of work to L)C.1 A� /o1-tT( -r.—
be included on this permit only l/
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WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
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NAME
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APPLICANT MA/LING ADDRESS ( ) -
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I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 whe ch claim ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
info supplied to the ty as a part of this applica
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SIGN TIME:
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Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application