15-101401 .. ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
ReceiveD
PERMIT NUMBER I S _ , 0 1 4 01 _ co
— — MAR 23 2015
I UNIT SPACE#
SITE ADDRESS: 2 c 14- et.
S Cll of FEDERAL WAY
CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /o BD ,OD 2 Co O ° _ ( (p (
PROJECT NAME l'A V/I g
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER tICAX, I)o (c ( ) -
MAILING ADDRESS E-MAIL
32.6 24 Rc
CITY STATE ZIP FAX
( )
NAME�" �- �C(_. 'y ,� ��� PRIMARY PHONE
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MAILING ADDRESS ci E-MAIL
ELECTRICAL 3'11t 5inkf 6-c2( c,.3-A\ vac
CONTRACTOR CITY STATE ZIP FAX (%‘-r(... 0:944V‘
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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.
la �/
SIGNATURE: I DATE 3
/ � S
PRINT NAME: 4.1( M Y'O(?4 g_
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
• Electrical'
City of FederaloWay Permit #: 15-101401-00-EL
Community&Econ.Dev.Services FILE
33325 8th Ave S
Federal way,wA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DAVIS 1747/1'61
Project Address: 32524 7TH PL S Parcel Number: 326070 1160
Project Description: 0-200 AMP panel change
Owner Applicant Contractor
BRIAN J DAVIS EDWIN PORTER AMPERE ELECTRIC
32524 7TH PL S AMPERE ELECTRIC AMPERE*916PF(10/6/15)
FEDERAL WAY WA 7823 E 203 ST 7823 E 203RD ST
98003-5913 SPANAWAY WA 98387 SPANAWAY WA 98387
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
PERMIT EXPIRES Saturday, September 19, 2015
Permit Issued on Monday, March 23, 2015
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
d the City of Federal Way.
Owner or agent: Date: a32/`"�
ONLINE
C uc T cocx.a NOT-eoryraTE rfrcizizs)
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F THISCARD IS TO MAIN ON-SITE
, of • 1
Federal WayConstruction In ection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-101401-00-EL Address: 32524 7TH PL S
Project: BRIAN J DAVIS FEDERAL WAY,WA 98003-5913
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) - 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
DI Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By 11,0 Date 1-l l ( I C ,
•
ID Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date