18-100968 AL e
Electrical
Community Permit #:18-100968-00-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: SHERWIN
Project Address: 30218 30TH AVE SW Parcel Number:416660 0472
Project Description: Electrical connection for sewer grinder pump.
Owner Applicant Contractor
LAURIE SHERWIN MATT SHERWIN OWNER IS CONTRACTOR
30218 30TH AVE SW 30218 30TH AVE SW
FEDERAL WAY WA 98023-2319 FEDERAL WAY WA
98023
Additional Permit Information
Is this an Online or O.T.C.application/ Yes
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Circuits-Residential 1
PERMIT EXPIRES Saturday,2 March,2019
Permit Issued on Friday,March 2,2018
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
Washington and the City of Federal Way.
I\j(
Owner or agent: t ` Date: gs,--.\11
FINALED
THIS CARD IS TO REMAIN ON-SITE
F Way CU INSPECTION QUES SCtI011 050 rd
:(253)PERMIT#: 18 100968 00 Address: 30218 30TH AVE SW
Project: MATT SHERWIN FEDERAL WAY WA 98023-2319
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) 3❑ 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 e.By Date •`By. Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Q Ceiling Cover(4020)
Approved Approved Approved
By Date •By Date By Date
121 Final-Electrical(4055)
Approved
`B \ DateI(�1 (A •
_� l
•
Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
4""k
RECEIVED ELECTRICAL
art OF 110/1114\83001
Federal Way MAR 0 2 2018 PERMIT APPLICATION
CITY OF FEDERAL
COMMUNfl'(DEVELOP',PERMIT NUMBER
/ S - /fib 9 � - � �'
SUITE/UNIT/SPACE#
SITE ADDRESS: 3��,NAZI 51S->\/)
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ \ o - (o 6 Q - O _Y 7
PROJECT NAME
(Tenant or Homeowner Last Name) J��Q,n ,N,-1
PROJECT DESCRIPTION % `° Q >rx \, /
b
Detailed deedscription of work to
only be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 5\1-\ +s ( `fib
MAILING ADDRESS E-MAIL
\810 'f
CITY STATE ZIP FAX
NAMPRIMARY PHONE
T� )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
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.
SIGNATURE: DATE
PRINT NAME: l`l�C).qS
Bulletin#160—April 14,2016 Page 1 of 1 k:\I-Iandouts\Electrical Permit Application