15-104982 n
Electrical -
. FederalWay
[ ommunaY&EcoftDevServices Permit #: 15-104982-00-EL
I.
33325 8th Ave SFILE
Federal Way,WA saoo3 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: MACLAREN
Project Address: 36128 3RD PL S Parcel Number: 113780 0090
Project Description: Extend(2)circuits,add(4) circuits and alter(5)circuits for addition of bedroom,laundry
and den
Owner Applicant Contractor
KENNETH C MACLAREN ACCEL ELECTRIC LLC ACCEL ELECTRIC LLC
LAURA L MACLAREN 802 4TH AVE SW ACCELEL982RE(12/14/16)
36128 3RD PLS PUYALLUP WA 98371 802 4TH AVE SW
FEDERAL WAY WA 98003-8644 PUYALLUP WA 98371
• Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 11
PERMIT EXPIRES Monday, March 28, 2016
Permit Issued on Wednesday, September 30, 2015
I hereby certify that the above ihformation is correct and that the construction on the above described property and
the occupancy and the use will be in accordanc ith the laws, rules and regulations of the State of Washington
an e Cicty, of Federal Way.
Owner or agent: +� Date: '
THIS CARD IS TO RE/UN ON-SITE
C oF- ,:,� 0 Construction Insp&Rion Record y
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104982-00-EL Address: 36128 3RD PL S
Project: KENNETH C MACLAREN FEDERAL WAY, WA 98003-8626
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding (4195) .El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
,
Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By �l X29. _, Date �`S�i -� By Date .
.® Final-Electrical(4055)
Approved
By Cli. ti Date st2--9-2-1 ,
Rough Electrical
Approved
El
Final Electrical Right of Way
—� CI
Approved Approved
ByBate By Date By Date
0
Z PLECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER ! 5 _ 1 08 2_ 00 SEP 3
9 0 2015
. ,,.,,i?,. 3 Ii) Sr fq0i/14/ curl QC ss Tclul�i l WAY
SITE ADDRESS: Pi:36(
PROJECTVALUATION__ ASSESSOR'S TPAR N € O _ 0 0 ^ CURRENT/PROPOSED USE
s
PRdJECT NAME l ,(,/�(
CIAra
(Tenant or Homeowner Last Name) l_I�1
x5frvvi D e .I, ,'1-5 (Z
PROJECT DESCRIPTION (-PP I� C 1 n _! U �7 i�rP
Detailed description of work to n 0 L��+ I`�/�b :17-4 .)
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
ke_ I £IiCfiiiIG L,4C (- 1) 4/v 1gg1
MAILING ADDRESS / ` E-MAIL
ELECTRICAL 6" � elf
CONTRACTOR CIT224e STATE ZIP FAX
ii/ � � x'3'7 1 (;� �.� -y/ ll r
WA ST CONT TOR'S ICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME �� PRIMARY PHONE
APPLICANT b'` /> P1e1Ls (Z57$7 l
MAILING ADDRESS //�j - E-MAIL
;1/11 t
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT 312-)9P (25) L��p5")8q)
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 relianc of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this app tion.
/ ,....,
SIGNATURE: ` ., ! J DATE / �� ( J
PRINT NAME: 44 e-P g; II r
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application