17-104380 Electrical
City of Federal
Community Development Dept. Permit #:17-104380-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CONACHAN
Project Address: 522 S 288TH LN Parcel Number:515293 0220
Project Description: Adding/altering(3)15A and(2)20A circuits for remodel.
Owner Applicant Contractor
JACK CONACHAN GREENTEK ELECTRIC LLC GREENTEK ELECTRIC LLC
522 S 288TH LN 34820 53RD AVE S GREENEL834KB(5/2/19)
FEDERAL WAY WA AUBURN WA 98001 34820 53RD AVE S
98003-3186 USA
AUBURN WA 98001
USA
Additional Permit Information
Is this an Online or O.T.C.application") Yes
Circuits-Residential 5
PERMIT EXPIRES Wednesday, 12 September,2018
Permit Issued on Tuesday,September 12,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancand a 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: C= il Date:A1I i r
• THIS CARD IS TO REMAIN ON-SITE
��� Construction Inspection Record
rederai vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104380 00 Address: 522 S 288TH LN
Project: JACK CONACHAN FEDERAL WAY WA 98003-3186
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date �,By Date By Date
ON
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
`By Date ••By W13 Date 10((i(I 7 By Date
El Final-Electrical(4055)
Approved
By 0, Date 1�c3,�1 g
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way SEP 12 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT 17- 1 0 f3&rC) _OQ
PERMIT NUMBER
SITE ADDRESS: ç22.
41 a
PROJET NAME ��
iJS `Z� LN
SUITE/UNIT/SPACE#
PROJECTVALUATION, ^
ASSESSOR'S TAX CEL it O O CURRENT/PROPOSED USE
$
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(Tenant or Homeowner Last Name) A 1-1 k)
PROJECT DESCRIPTION b3) Fi/PC.- +f Lf U(N Q, (R#4
Detailed description of work to 2. BieVTICIkk43(33 — 1 S` 2�� 211
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER JCoAc(4 IN ( ) -
MAILING ADDRESS E-MAIL
X22 s Z$a(tk L--
CITY STATE ZIP FAX
F-hg- l (id 77 00� c )
NAME ^ !� � ��� ��� PRIMARY PHONE
/SII 1� LEC 7� (2S- 33 V 9 7 7
MAILING DRESS E-MAIL
ELECTRICAL 3 2 0 SS 40 0
CONTRACTOR CITY ST TE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GREE AiEL 8321 40 �
NAME (� C\ M PRIMARY PHONE
APPLICANT U IM7I K f1�L \J'1" i .j tc-4 (273;3 ' ?7
MAILING ADDRESS E-MAIL
? A4'8 4UE
CITYSTATE ZIP FAX
�U u 1243 ui 1 S OD/ ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 9(4.�� (Z ) p 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 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 c1 im ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied o he ci as a part of this application.
C t f � r
SIGNATURE: C
Y DATE / ` 2-- ` 7
PRINT NAME:
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application