15-103338 0 • Electrical
City of Federal WayFILE
Permit #: 15-103338-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
erl Way, A8)03 Inspection Request Line: 25
t 'Ph:(253)Fed835-26a07 Fax:(2953)835-2809 p q � 3)835-3050
Project Name: SLEEMAN
Project Address: 31017 22ND AVE S Parcel Number: 053700 0575
Project Description: Replace(2)subpanels. Add/relocate outlets and some kitchen lighting.
Owner Applicant Contractor
RONALD L SLEEMAN GO2 ELECTRIC LLC GO2 ELECTRIC LLC
31017 22ND AVE S 422 TACOMA AVE S SUITE 409 GO2ELEL919JA(5/8/17)
FEDERAL WAY WA 98003 TACOMA WA 98406 422 TACOMA AVE S SUITE 409
TACOMA WA 98406
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 2
PERMIT EXPIRES Wednesday, January 6, 2016
Permit Issued on Friday, July 10, 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 -ws, rules and regulations of the State of Washington
and a- - of Federal Way.
Owner or agent:/vim•• Date: "/D -204,5-
y THIS CARD IS TO RE1N�ON-SITE
CITY OF Construction Inspe'tion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103338-00-EL Address: 31017 22ND AVE S
Project: RONALD L SLEEMAN FEDERAL WAY, WA 98003-4922
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.
o UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
`By Date 'By 4. -- Date _�4„ t s `By Date .
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date `By(\, likA By ~ c l s ,, By Date
0 Final-Electrical(4055)
Approved
By Date %-Arl—%5
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
'1► ELECTRICAL
CITY OF <, x
Federal Way JUL ale 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER / 5 _ ` o .3CD
( J JJJ SUITE/UNIT/SPACE#
SITE ADDRESS: 3(01-
r 2 Z ha Aye S.
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 2 s'o o °O 05- 3 70 O - OS— 7
PROJECT NAME
(Tenant or Homeowner Last Name) 1M e l s f fp w%
Reply ce 2. sub bane IS / cc dd Iwo e iti'/Ij Io ki')cAei.
PROJECT DESCRIPTION an 4. w►oue 2 o u i leas ,'n I6S4(1(r. . / d d Q.'c A w a tA e✓
Detailed description of work to q Ca n S fQ K j ,C den
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER R.ora)d (�o4 ).Re -
MAILING ADDRESS E-MAIL
31014' 2 2nd /4 ve 5.
CITY STATE ZIP FAX
Ie.4 l ki y W,i 98003 ( ) -
NAME PRIMARY PHONE
God EL ELM an Go.? EIeth'c LLC ( 2S� ) 241 - G.i4G}7.9
MAILING ADDRESS E-MAIL
ELECTRICAL 2-2, T eiC o w.a (ate Ave S. yo 9 dje 9o2 elec./ft c, (do,
CONTRACTOR CITY STATE ZIP FAX
7l to vv.e., W K1 9 9'0 Z ( 252 )267 - ? f
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Got ELEL41g5\ 19 / 1?
NAME PRIMARY PHONE
APPLICANT (O rd est t 4O V Dan E h v en h c l'►., ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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: '`" DATE ?10 GO/C-
PRINT NAME: Da" E Ivey,he I'r✓`
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application