18-100297 t f
Electrical
City of Federal Way Permit #:18-100297-00-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 F ILE
Poject Name: BUDNICK
Project Address: 4461 SW 313TH ST Parcel Number:211650 0070
Project Description: Electrical permit to disconnect and reconnect existing heating unit.
Owner Applicant Contractor
ROBERT J BUDNICK ROBERT J BUDNICK OWNER IS CONTRACTOR
4461 SW 313TH ST 4461 SW 313TH ST
FEDERAL WAY WA FEDERAL WAY WA
98023 98023
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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PERMIT EXPIRES Friday, 18 January,2019
Permit Issued on Thursday,January 18,2018
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
Was ' gton and a City of Federal Way.
Owner or agent: Date:.,/A0v /F
4 THIS CARD IS TO REMAINOON-SITE N
� � Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100297 00 Address: 4461 SW 313TH ST
Project: QING XIU JI-BUDNICK FEDERAL WAY WA 98023-2146
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.
E UFER Ground(4295) ❑ Ditch cover(4030) I Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) 5❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date • By Date
•
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By 0 ,Ar Date ['p 2...x....i g'
❑ Rough Electrical ❑ Final..Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By . . Date
CITY of RECEIVED ELECTRICAL
Federal Way JAN 1 8 2018 PERMIT APPLICATION
CITY OF FEDERAL.WAY
COMMUNnTY DEVELOPMENT
PERMIT NUMBER , ( C/�
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SITESUITE/UNIT/SPACE#
ADDRESS:
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PROJECT ATIO , ASSESSOR'S TAX/PARCEL# � � - � � � ` CURRENT/PROPOSED USE
PROJECT NAME 1 /b �1J
(Tenant or Homeowner Last Name) bi��u�.
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
N PRIMARY PHONE
PROPERTY OWNER MT" 2;,[t 1C W 53 yV(- 1719,8
MAILING DR S E-MAIL
9/. S, )/1( 3/3 ' -
CITY ,, IP
STATE ZIP FAX
1414
•
SF/r-- NAMES �
- l i 4 0 14).44
�4/ a ( ) PRIMARY PHONE
MAILING AADDDDRRESS'(, E-MAIL
ELEC CAL
C RACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHLO
APPLICANT ��9?ii _ 02 3) /( ! % �
MAILIN A,ZSS E-MAIL
PC3-stowite)c--01,4)./
CITY STATE ZIP \FA]�, LQ�_ l
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N E PRIMARY PHONE
PROJECT CONTACT VVV ( )
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 -• he ci'• • a part of this application.
SIGNATURE: .//2 ! � DATE // Jl
PRINT NAME: 'I 4/ , q `—
Bulletin#160–April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application