14-101449 • ` Ekectrical
City of FePermit #: 14-101449-00-E L
Community
&8 Econ.
n..Dev.v.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: ANDERSON • r);3y
VI
Project Address: 36407 12TH PL S Parcel Number: 292104 9121
Project Description: Replace 200-amp panel.
,
Owner Applicant Contractor
MARTIN ANDERSON STEWART ELECTRIC STEWART ELECTRIC
36407 12TH PL S 2638 SW 343RD ST STEWAE*894Q9(12/15/15)
FEDERAL WAY WA 98003-7453 FEDERAL WAY WA 98023 2638 SW 343RD ST
FEDERAL WAY WA 98023
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 27, 2014
Perm' Issued on Monday, March 31, 2014
I hereby certify that the above forrhatioryis correct and that the construction on the above described property and
the occupancy and the us- wi be i ag ordance with the laws, rules and regulations of the State of Washington
- and the City of Fe:- .1 Way.
1
Owner or agent: ` ; �i(/►i
r� �_ Date:c2 - , 26/
5
FINAL
ED
".& THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-101449-00-EL Address: 36407 12TH PL S
Project: MARTIN ANDERSON FEDERAL WAY, WA 98003-7453
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) C3 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. —
❑ Pool Bonding(4195) .0 Temporary Power(4275 ❑ Service (4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) ,❑ Rough Electrical (4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By (MO Date 41 1 I I I+
•
❑ Rough Electrical111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
_____
. . 41/46.
41113anval,
CITY OF =-,
ELEC'T'RICAL
Federal Way MAR 31 2014 PERMIT APPLICATION
J CJTY OF FERE Lry
/PERMIT NUMBER / 14 _ / 0 ( a �l y (-
/ 1 C�
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 ,77_/2,7-77' /, S72)
PROJECT V3ATIO�\ �,� AS O TAR C/# 0
V _ ? 1 CURRENT/PROPOSED USE
PROJECT AME ' �► /
(Tenant or Homeowner Last Name) 4i't �;�.,_ CCI)--
7v -- c4--C- Xjs/7/- _oma )41714P ,.. �
PROJECT DESCRIPTION /-) / 0-)A1/7-&b/- #/') 4-� //Ø / c.._
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER M/914;//e k).�i' cd') ( S 3 .)) -6 ',6W/
MAILING ADDRESSE-
? 4a 7 -� /2-.7 ./±,
CITY STATE ZIP
3 Y(e.in:3 ( ) - .
NAME o, p�--- PRIMARY PHONE
r %� % ii i- - (52(2-?- 2Z/-9s-- c)
MAILING ADDRESS,DRaE-MAIL
ELECTRICAL - 58 Si) 3 g „Tr,:
CONTRACTOR CITY STATE ZIP FAX
F-t-A- 1' 4%i4 23 ( ) _
WA STATECONTRACTOR' ,I ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-l6.Ce)ft&- `7171 lZ /) 72C,
NAME PRIMARY PHONE
APPLICANT ate/ - -/D ,J1�� ��` ,4 63 ) 2 21 --c-9 -2 /0
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
PROJECT CONTACT J � S� T
(25)1 2 ��5 )
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 remo ^'e owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmles e City, Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of • c clai which may be made by any person, including the undersigned, and filed against the city,
but only where such claim •j es o t,,, the reliance of the city, including its officers and employees, upon the accuracy of the
informa ..: ied to th-,,3 as a -.. of this application.
i PA& f _
SIGNATU' • DATE
°:-V3/9-e7/".
PRINT NAME:i R C 5-77-(mac.) '—
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application