14-101388 • ' Electrical'
City &Federal Way Permit #: 14-101388-00-E L
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
Project Name: BOHM
Project Address: 4902 SW 330TH ST Parcel Number. 802951 0120
Project Description: Adding/altering(1)circuit
Owner Applicant Contractor
ROBERT D BOHM NORTH POINTE ELECTRIC NORTH POINTE ELECTRIC
GEORGIA BOHM 3519 N BENNETT ST NORTHPE901ML(7/13/14)
5934 E CALLE DEL NORTE TACOMA WA 98407 3519 N BENNETT ST
PHOENIX,AZ 85018 TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
s
PERMIT EXPIRES Tuesday, September 23, 2014
Permit Issued on Thursday, March 27, 2014
I hereby certify that the abo ormation is correct and that the construction on the above described property and
the occupancy and the , I be in accordance with the laws, rules and regulations of the State of Washington
and the '. of Federal Way.
Owner or agent: Date: 0 7/)
• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins s ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101388-00-EL Address: 4902 SW 330TH ST
Project: ROBERT D BOHM FEDERAL WAY, WA 98023-3328
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.
UFER Ground (4295) Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concreteo
By Date By Date By Date
Pool Bonding(4195) Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date Date 2 2 / By Date
Final-Electrical(4055)
Approved
By Date 5 -20.411
Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELLCTRICAL
CITY OF
Federal Way PERMIT APPLEM ,TION
1 PERMIT NUMBER O _ M H R 2 7 2 014
CITY OF FEDERALCC- WAY
SUITE/G1^ SPACE/
SITE ADDRESS: / 77Z 330 5/- 5T9,-t�
, /
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# �6 � CURRENT/PROPOSED USE
PROJECT NAME , /
(Tenant or Homeowner Last Name) 1f
PROJECT DESCRIPTION Q/tes- ' 7i f(DOrz (e CL►ter G/ r
Detailed description of work to
be included on this permit only
d 0 Jv a,�,7("y
NAME PRIMARY PHONE
PROPERTY OWNER ih o 44-n ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
_ - �
NAME ... PRIMARY PHONE
fiDire: 01)1 e 04-e C ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL '5 519 A), /5e0g7ta047"' �J—
CONTRACTOR CITY
/��,, (STT TE ZIP 0'`/� FAX
Cv i _ __ 1 / )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
__ _ oe \1.1 pE• 0) in L. i �
NAME � PRIMARY PHONE --.
APPLICANT (Z.53 )759
MAILING ADDRESS E-MAIL
/U. 6cv4w
CITY STATE ZIP FAX
wa 76R-76>44- ) -
NAME PRIMARY PHONE
PROJECT CONTACT 0/' 253— ( )
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 ••m), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises,,,44 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of this application.
SIGNATURE:, . DATE ,/.., -;-7/.//7
PRINT NAME: :► -/ (S!C?
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application