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15-104223
• • • Electrical City of Federal Way h Community&Econ.Dev.Services # Permit #: 15-104223-00-EL 33325 8th Ave ; Federal Way,wA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 P q (253)835-3050 Project Name: CLEMENS Project Address: 1123 SW 333RD PL Parcel Number: 926496 0560 Project Description: Adding/altering(2)circuits for new heatpump and A/C unit install Owner Applicant Contractor RYAN CLEMENS J P ELECTRIC CO LLC J P ELECTRIC CO LLC 1123 SW 333RD PL 21655 SE 33RD PL JPELEEC953OH(9/8/17) FEDERAL WAY WA 98023 SAMMAMISH WA 98075 21655 SE 33RD PL SAMMAMISH WA 98075 Additional Permit Information Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 2 PERMIT EXPIRES Tuesday, February 16, 2016 Permit Issued on Thursday, August 20, 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 laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Tie-2Date: 08 2Q 2 C/,'- eot;) fil0�' ,,;,..& THIS CARD IS TO RE IN ON-SITE ` . ' Federal Wa • Construction Ins ion Record INSPECTION REQUIL,'STS: (253)835-3050 PERMIT#: 15-104223-00-EL Address: 1123 SW 333RD PL Project: RYAN CLEMENS FEDERAL WAY, WA 98023-5315 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) ❑ Ditch cover(4030) 0 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 By Date O Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date O Final-Electrical(4055) Approved By 'wJ Date q l 11 i is-- , 0 ` Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date CITY of LECTRICAL Federal Way PERMIT APP V6FL ON PERMIT NUMBER ` J _ 1 0 4' ZZ �/`/3 _ AUG 2 0 2015 11 CITY OF FEDERAL WAY SUITE/Ui�67ASPACE# SITE ADDRESS: ( I 3 S 333rd 1� I..UUJJ PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ iso 9 z CTS cf Co_ © S � PROJECT NAME (Tenant or Homeowner Last Name) Rd ci n C e e 171 YY1 G Y7 S PROJECT DESCRIPTION Cc 0r\ r{ 7 110 C i- - t'c,-( )p-kir L'h , Detailed description of work to r� be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER �` �`n ��'`�'` �� ' 5 5c3)6'C3 - 011'g Z. MAILING ADDRESS E-MAIL 1123 . 1/1/ 333 PL CITY STATE ZIP FAX Fec cec' U �y LL/, 9gQZ3 ( ) - NAME d U ry PRIMARY PHONE JP CCccLric ccs tL,C ( Y23) 772 - 223.5 MAILING ADDRESS E-MAIL ELECTRICAL2.16_5-5- $ P L CONTRACTOR CITY STATE ZIP FAX .S'c rtii rn C ✓A i S h_ Wig 9Z0 73 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# JPCt6 C 9.5 30re I / 12_ /2cir- NAME PRIMARY PHONE APPLICANT c)-0tr-d C ri U i )LC(c tJ (`l Z,J-) 772- 2 235— MAILING ADDRESS E-MAIL 2(6 Tr se 22 PL CITY STATE ZIP C� �^ FAX b Co14/IV/1C 'VlS � WA- 990 7) ( ) - PROJECT CONTACT NAME PRIMARY PHONE 0 dc AV i k o IC L/ ( '12 r) 772- - 22 3 C- 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. ,may SIGNATURE: DATE 0 ` 20 it Alf J PRINT NAME: c JC r � W f k e,'( i/ Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application