15-100223 , ,
• ` Electrical
I City of Federal Way F I LE Permit #: 15-100223-00-E L
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 96003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 p a
Project Name: FINEMAN
Project Address: 30835 13TH PL S Parcel Number: 401540 0110
Project Description: Rewire of existing unit due to fire damage
`
Owner Applicant Contractor
JAIME B FINEMAN FULL SPECTRUM ELECTRICAL FULL SPECTRUM ELECTRICAL
30835 13TH PLS CONTRACTOR CONTRACTOR
FEDERAL WAY WA 98003 11515 83RD AVE SW FULLSSE972QE(11/5/16)
LAKEWOOD WA 98498 11515 83RD AVE SW
LAKEWOOD WA 98498
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, July 14, 2015
Permit Issued on Thursday, January 15, 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, rul&s and regulations of the State of Washington
an he City of Federal Way.
Owner or agent: y''--� . f + � Date: /-/S-----o/S
L0603o x cope pe . 074'$ 4, :„.A,...SL...D
THIS CARD IS TO IN ON-SI?E
•
CITY OF S...._' Construction Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100223-00-EL Address: 30835 13TH PL S
Project: JAIME B FINEMAN FEDERAL WAY, WA 98003-4700
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.
El 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) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date B 1<7 Date LS— By Date
El Final-Electrical(4055) J
Approved
By CL N Date 4.v 2e-4,S
U Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
E CTRICAL
CITY OF ..
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER l S _ 1 0 0 Z- _ `✓U JAN 15 2015
CITYSQEFRM WAY
SITE
SITE ADDRESS: 13
PLS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ gico `)° 40 1 5- 4 0 - 0 ( ( o
PROJECT NAME
(Tenant or Homeowner Last Name) *j r
PROJECT DESCRIPTION «/AXI ee:0 1 4/2.0Q C. 12.<.rA.r-4��
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER J(J.r � P f',I„1Q�1� VO 1/ 3-3
MAILING ADDRESS E-MAIL
3a 1z WSJ
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
f
Sp-gr ��r.�> i ILL ( Z 3)lZt, - gK3y
MAILING ADDRESS E-MAIL
ELECTRICAL I i<_/{ 4." 1=±.1 1k z,u
CONTRACTOR CITY STATE ZIP FAX
(Ai�Conno Lw4 (9( )c</ - 13/9
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FLA„' �: > : _ II /OS />& Offc / 5 ,17
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ) E-MAIL
CITY STATE ZIP ( FAX
t )
NAME PRIMARY PHONE
PROJECT CONTACT 5 C7-Ar (z S?)z z.Z -1933
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.
SIGNATURE: 7d ? DATE I /j, ?O/6--
PRINT NAME: (3r e. 6'`- V '/�
Bulletin#160—January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application