13-105579 Electrical
City of Federal
• Comm unity&Econ Devway Services " "
Permit #: 13-105579-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: TOLENOA
Project Address: 34208 34TH AVE SW Parcel Number: 536020 0012
Project Description: Install 0-200 amp service for permanent generator.Mechanical portion to be applied by
separate contractor
•
Owner Applicant Contractor
STEVEN JR-TRUST TOLENOA HANSEN ELECTRIC HANSEN ELECTRIC
34208 34TH AVE SW 11110 22ND ST SE HANSEEI012PA(10/1/15)
FEDERAL WAY,WA 98023 LAKE STEVENS WA 98258 11110 22ND ST SE
LAKE STEVENS WA 98258
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Saturday, June 14, 2014
Permit Issued on Monday, December 16, 2013
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: Date: 0 c /6' 2 1 t
FNA
r
--N,S. ._ 0 THIS CARD IS TO MAIN ON-SITE `
CITY of
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105579-00-EL Address: 34208 34TH AVE SW
Project: STEVEN JR -TRUST TOLENOA FEDERAL WAY, WA 98023-3007
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
.
El Pool Bonding(4195) 0 Temporary Power(4275) EI Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
7.-v.-:„ Date (2 zi (�
❑ Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• 0
CITY OF ELECTRICAL
Federal Way PERMIT APPLICATION
PERMIT NUMBER ( g _ 10 5 S 76i _ 00 RECEIVED
DEC 162013
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 Liz 0 ? 3 ¶/47 .9 V S t./ CFY OF FEDERAL(( ��CCWAY
PROJECT VALUATION ASSESSOR'S TAX/PARCEL//'�/ # //'�� /''� CURRE R ' OPOSED USE
$ 2 pop . ,90 5 (Q 0 Z b _ 0 0 1
PROJECT NAME
(Tenant or Homeowner Last Name) TO L1114 0 A
rni.S j/9 LG 2.0. .9"i P 6 6 n.,EM7-0il /D d,JC c-
PROJECT DESCRIPTION //-'K Or G N c/l,4-i o.--
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER A'1 A ,r-- /Y1 a 1 To Le"10,9- ( ) -
MAILIN..ADDRESS E-MAIL
3 2 .• d" 34% ,g v1 sw
CITY STATE ZIP FAX
rL�e49c- 06,9y W.4- 9to 23 ( ) -
NAME PRIMARY PHONE
W4,/1rc.r LEO-arc rNc (10.5-13-1V`- ???2-
MAILING ADDRESS E-MAIL
ELECTRICAL /11/a 22,J.D ST S6. t:LCc-M,c.0,B✓t,tie y,fNeo.l-".
CONTRACTOR CITY STATE ZIP FAX
t4/1'-iST-✓ErJ L,,/,/ 9(2c, ( ) - 4.1
WA STATE CONTRACTOR'S LIC ISE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/14/✓,SEro/2PA /o / 1 / /5
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT DA v ID
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 he city as a part of this application.
SIGNATURE: DATE /2/4/43
PRINT NAME: _D 4 V 0 7'9 NSE el
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application