17-102785 Electrical
Commmunnii'Ty Federal
Permit #:17-102785-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BRYANT
Project Address: 406 SW 356TH ST Parcel Number:302104 9102
Project Description: 0-200 amp panel install and re-wire
Owner Applicant Contractor *
SCOTT BRYANT SCOTT BRYANT OWNER IS CONTRACTOR
406 SW 356TH ST 406 SW 356TH ST
FEDERAL WAY WA 98023-7303 FEDERAL WAY WA 98023-7303
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Other(Resident 1 New Service:Residential 1
PERMIT EXPIRES Saturday,9 June,2018
Permit Issued on Friday,June 9,2017
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
Wa hington nd the City of Federal� V Way. /
Owner or agent: / ' Date: '9 /7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102785 00 Address: 406 SW 356TH ST
Project: SCOTT BRYANT FEDERAL WAY WA 98023-7303
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.
1=1 UFER Ground(4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) I E Temporary Power(4275) I ® Service(4235)
Approved Approved 1A ove
By Date I By Date � By . , , Date 1 ..Q_
ID Feeders/Sub-panels(4045) ; ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved I 42T.Approved Approved
By Date By Date X.d,. 1 By Date
El Final-Electrical(4055)
Approved
4 By CA§1.�.. Date Ela—2�5.v.s
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
„ ►►. ELECTRICAL
CITY OF
Federal Way PERMIT AFEWATION
PERMIT NUMBER - 1 o 77-8 5 _DO JUN 0 9 2017
CITY OF FEDERAL WAY
COMMUN1 I Y-j 'ail M ACE#
SITE ADDRESS: C/Q 5 vv 35-6 ' .5
PROJECT VALUATION ASSESSOR'S TAX/PARC1 # y
- f 2_ CURRENT/PROPOSED USE
VG� 3 2 - V (/PROJECTt.
NAME 2d(i�Ar
(Tenant or Homeowner Last Name) �'V I
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 5'G68✓Y4 n ( 2OC) 'FF- /3,7,V
MAILING ADDRESS E-MAIL
/106 -S w 3 54
CITY STATE ZIP FAX
re t ,c.I 1/ &>i 1 9g0Z3
NAME e'lG/A0C PRIMARY PHONE
( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT SCS-'Vi— s-
MAILING ADDRESS E-MAIL
G Sw 35-6Th 57-
5- Th57
CITY1 V STATE ZIP FAX
FccJ.er-Cc ("c, F3 ( )
NAME /f \\/ PRIMARY PHONE
PROJECT CONTACT /� �y ( ZGC.')
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.
►viAie
� 7
SIGNATURE: � DATE Q
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PRINT NAME: SC0 y
Bulletin#160—January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application