17-105910 Electrical
City of Federal Way Permit #:17-105910-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: SHIMER
Project Address: 2876 SW 300TH PL Parcel Number:416660 0185
Project Description: Add circuit for vehicle charging station.
Owner Applicant Contractor
PETER SHIMER AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
2876 S 300TH PL 25314 45TH AVE S AZTECES021DT(3/30/18)
FEDERAL WAY WA 98023-2325 KENT WA 98032
25314 45TH AVE S
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.application? Yes
33 'a Electrical Fixturesa f1
Circuits-Residential 1
PERMIT EXPIRES Tuesday, 11 December,2018
Permit Issued on Monday,December 11,2017
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
ashington and the City of Federal Way.
Owner or agent: 'ti`�C_"Iv E-'(1 r"-t"'` Date: i
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105910 00 Address: 2876 SW 300TH PL
Project: LAUREL SHIMER FEDERAL WAY WA 98023-2325
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.
i
El UFER Ground(4295) ® Ditch cover(4030) ® 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
•ti__.
Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Ili Final-Electrical(4055)
Approved
By Date V))'' 1
i
111 Rough ElectricalEllFinal Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
DECEIVED ELECTRICAL
CITY OF .Federal Way DEC 11 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMERMIT NUMBER
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SITE ADDRESS:
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME Pe
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Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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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.
AVID. I jI
SIGNATURE: �M.,�/� / DATE
PRINT NAME:
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Bulletin/1160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application