14-102476 { j
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Electrical
City o&Econ.alD Way Permit #: 14-102476-00-EL
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 32
Inspection Request Line: 5
Ph:(253)835-2607 Fax:(253)835-2609 p q � ) 835-3050
Project Name: MCLAUGHLIN 02 {17,
Project Address: 29849 6TH AVE S Parcel Number: 515200 0170
Project Description: Replacing Fed Pacific panel& subpanel.
Owner Applicant Contractor
WILLIAM MCLAUGHLIN WILL RIEBER E R ELECIRICAL
29745 6TH AVE S E R ELECTRICAL ERELERE861 D8(3/28/16)
FEDERAL WAY WA 98003 807 S 10TH AVE 807 S 10TH AVE
MILTON WA 98354 MILTON WA 98354
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 Tuesday, November 25, 2014
Permit Issued on Thursday, May 29, 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 wi •be in accordance with the laws, rules and regulations of the State of Washington
n the of Federal Way.
Owner or agent: Date: C/2.7--Cpy
•
FINAL.ED__
• THIS CARD IS TO 'MAIN ON-SITE
CITY OF �t�' -�- ' II Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14-102476-00-EL Address: 29849 6TH AVE S
Project: WILLIAM MCLAUGHLIN FEDERAL WAY, WA 98003-3624
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
El Pool Bonding (4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ' ElrRough Electrical(4225) Ceiling Cover(4020) —.
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
��Approved
By A Date — /6-1
i
0 Rough ElectricalCI Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
,'�► Rel VED ECTRICAL
CITY OF `' ` MAY 292014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS `
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PERMIT NUMBER / V _ / O2 ( 7 /' EL C/ 11K��"' SUITE/UNIT/SPACE#
SITE ADDRESS: '..--7
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PROJECT VALUATION ASSESSOR'S TAX/PARCELA # U RR
CUENT/PROPOSED USE
$ z'tGG 5 I 5 Z 0 c - 1% ± 7 o i�� i n�(,��
PROJECT NAME ,UAV l A ^
(Tenant or Homeowner Last Name) i (( 6-1 Q`tAt j L 'I(
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PROJECT DESCRIPTION �e GSC e �G. , L, c7,V�Q d
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER (� ( � f ‘CO / I ISG,,,,� VY `IA A IA ( )
MAILING ADDRIISS E-MAIL
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CITY STATE ZIP FAX
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NAME ,-. PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL ;0 /6,-;IC\ / � t e.1&:-/-y:,e0,1 C' 6,(101,
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT > t'ec .G � �� .t��'- ,c' S ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT (AD f' i i 0 CV)- iv (zc ) q q- SZ Z\-)
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.
1
SIGNATURE: DATECA6,
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PRINT NAME: ---' r k.i \ \M m1L- , & P c2. --
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application