14-103615r ' Electrical
City && Federal way Permit #: 14 -103615 -06 -EL
Community Econ. Mew. Services
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: ROBERTSON
Project Address: 32818 3RD PL S Parcel Number: 926871 0020
Project Description: Bathroom remodel, work includes adding extra outlet next to an existing, relocating sconces
in vanity, replace fan and light.
Owner
ARRlicant
Contractor
NANCY L ROBERTSON
NORTH POINTE ELECTRIC
NORTH POINTE ELECTRIC
32818 3RD PL S
3519 N BENNETT ST
NORTBPE901ML (7/13/16)
FEDERAL WAY WA 98003-6367
TACOMA WA 98407
3519 N BENNETT ST
TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fbdures'
Circuits - Residential ...................... 4
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Saturday, January 17, 2015
Permit Issued on Monday, July 21, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use in accordance with the laws, rules and regulations of the State of Washington
and t City of Federal Way.
Owner or agent: Date:
�Z
%046V�"Sl)
THIS CARD IS TO MAIN ON-SITE
CRY CP Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 14 -103615 -00 -EL Address: 32818 3RD PL S
Project: NANCY L ROBERTSON FEDERAL WAY, WA 98003-6367
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.
Service (4235)11
Feeders/Sub-panels13 (4045)
Rough Electrical (4225)
Approved
Approved
Approved
By Date
By Date
By Date
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
V-4 Date $ l4 t
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4 ^V
Federal Way
PERMIT NUMBER 1 �_
RECEIVED ELEC'T'RICAL
JUL 2120ER MIT APPLICATION
CITY OF FEDERAL WAY
CDS
—' L 5 -—Ob
SITE ADDRESS:
SUITE/UNIT/SPACE #
PPR CT VALUATION
00
W�
ASSESSOR'S TAR/ ARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
12 o>° }�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
_
C CZS j �!
PROPERTY OWNER
NAME
Ro �
PRIMARY PHONE
( ) -
MAILING ADDRESS
JV�
E-MAIL
CITY
STATE
ZIP
FAX
-
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADD
-5171? A). —5 %
E-MAIL
CITY
/SeTATTEE
ZIPS
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME (+
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY -
STATE
ZIP
FAX
PROJECT CONTACT
NAME
� Z
PRIMARY PHONE
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 focal, 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 apart of this application.
SIGNATURE:
PRINT NAME:
71.
Bulletin # 160 — January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application