16-101385 • Electrical
•• City of Federal Way
Community&Econ.Dev.Services Permit #: 16-101385-00-EL
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: TALL FIRS CONDOMINIUMS
Project Address: 1721 SW 318TH PL Unit 48C Parcel Number: 856110 1880
Project Description: 1-20amp 120 volt circuit for jetted tub
Owner Applicant Contractor
•
MONIQUE TAYLOR D&A ELECTRIC LLC D&A ELECTRIC LLC
1721 SW 318TH PL UNIT 48C 11909 VICKERY AVE E DELEC*E897D5(4/5/17)
FEDERAL WAY,WA 98023 TACOMA WA 98446 11909 VICKERY AVE E
TACOMA WA 98446
Additional Permit Information
Electrical Work Valuation? 375.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Tuesday, March 21, 2017
Permit Issued on Monday, March.21, 2016
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, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 3- -/(
0 THIS CARD IS TO AIN ON-SITE .
CITY
OF Construction In ectiOn Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-101385-00-EL Address: 1721 SW 318TH PL Unit 48C
Project: MONIQUE TAYLOR FEDERAL WAY, WA 98023-5157
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
- 4
Feeders/Sub-panels(4045) El Rough Electrical(4225) °❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By ��...-\Psit...Jr DateilA (41_1 (.2. ,
Ci Rough ElectricalEl Final Electrical CI Right of Way —�
Approved Approved Approved
By Date By Date By Date
•
RECirD
CITY OF *..�-. ►. MaR 21 tots E C'TRICAL
Federal lti/ayCm QF FLDERAL.WAI� PERMIT APPLICATION
CDS �j
PERMIT NUMBER18 CO
SUITE/UNIT/SPACE#
SITE ADDRESS: 1-7 �( -31 452 /�j �i zi-i:1- C___
PROJECT VALUATION ASSESSOR'S TAX/PARCEL#L p CURRENT/PROPOSED USE
J75 `c � � 1 (��/
PROJECT NAME J
(Tenant or Homeowner Last Name) ►VG4"� �Y)(4/n ( (A�
PROJECT DESCRIPTION I 7C'`^ O ���i_ir, I /ir� -J1- �G+� TeP 1c1
Detailed description of work to 1
be included on this permit only
NAME ( � ( /r�/'� PRIMARY PHONE
PROPERTY OWNER /(,/ 1e. i Y)Glll M"�y "�U�' ' ' � L " C (ZS3 )L3 Z- - ex 3 S.--
MAILING ADDRESS E-MAIL
1 7 z.,I a,�1 3/a ,:eiy) PL ��
CITY STATE ZIP FAX
1 c J'�� ( 6(-/ v - gGZ� ( ) -
NAME 7 PRIMARY PHONE
i J /�c c;c- ( » ) 7 61 5445C)
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
04E14- 7(35
NAME PRIMARY PHONE
APPLICANT ti D SS CIC rvC :iI�. (z,-.3 62,:i:3 `37/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: LL DATE 3 -7/-/K, _
PRINT NAME: 4OJr°/l LG'rcy7c:-L a-
.
Bulletin#160—January 1,2013 Page 1 of 2 k:AIIandouts\Electrical Permit Application