15-104917 7,74
' Electrical
City of Federal Way h `^
Community&Econ.Dev.Services Permit #: 15-104917-00-EL
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p Q 835-3050
Project Name: BARATHEON PROPERTIES LLC
. Project Address: 33049 22ND PL S Parcel Number: 241260 0090
Project Description: From existing panel in garage,create(4)dedicated outlets for use as temporary power
during construction.
Owner Applicant Contractor
BARATHEON PROPERTIES LLC PANAS ELECTRIC LLC PANAS ELECTRIC LLC
15220 18TH ST S 27621 119TH AVE SE PANASEL867RH(12/8/16)
• BELLEVUE WA 98007 KENT WA 98030 27621 119TH AVE SE
KENT WA 98030
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional9 No
Electrical Fixtures
Circuits-Residential 4
PERMIT EXPIRES Saturday, March 26, 2016
Permit Issued on Monday, September 28, 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 .e in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
g 5
Owner or agent: Date: e :; , . -
4"4141. ..,. • THIS CARD IS TO RE•N ON-SITE -
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104917-00-EL Address: 33049 22ND PL S
Project: BARATHEON PROPERTIES LLC FEDERAL WAY, WA 98003-6856
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
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By ` Date s_y By Date
▪ Feeders/Sub-panels(4045) '❑ Rough Electrical(4225) - ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
4 , ,
❑ Final-Electrical(4055)
Approved
By Date Li-f). I._%K ,
El Rough Electrical ,--- Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•ECEIVED
CITY OF A. SEP 2 8 2015 libLECTRI CAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER di 5 _ 7 0 (/ /c / 7 _ (-.--
SUITE/UNIT/SPACE#
SITE ADDRESS: Oe(-'"
I
1 u i 5
PROJECT V ATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT AME T • _ /
(Tenant or Homeowner Last Name) S/ A T-e� ix ___F s Q J �%/V (i c) J'c
Gt4 11 eu71 LGL a C'(-- f 1-e kJ- A p p ,,,,ede _
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME6
/ PRIMARY PHONE
PROPERTY OWNER < / , . r ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
RONAS E(ecf7-& /C (25A335 - 63$
MAILING� ADDRESS E-MAIL
ELECTRICAL oc 6 7 2 Ill v� S�^ pG:06--3 l/z.crxiCi.iy-rucc,/,
CONTRACTOR CITY STATE ZIP FAX O k.
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
POAi SEI L� ie 1 L / & / I6
NAME PRIMARY PHONE
A 1 d '
APPLICANT "`,1�i S ( ) -
MAILING ADDRE S E-MAIL
2 - 21 (MY"- Axis Sr.
CITY STATE ZIP FAX
I " r --`f1 `" f, ( ) -
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 suppliedt�lye-eity •- a part of this application.
A . •
SIGNATUREr DATE /
PRINT NAME: 4p/2F' i /�N R>
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application