16-101917 4 Y ..
Electrical
City of Federalay
Community&Econ.Dev.Services Permit #: 16-101917-00-EL
33325 8th Ave S
1111
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835 2609 Inspection Request Line: (253)835-3050
Project Name: FICHTNER
Project Address: 28143 24TH PL S Parcel Number: 326080 0150
Project Description: Install a 30-amp circuit for heat pump and receptacle in garage for work bench light.
,
Owner Applicant Contractor
THOMAS FICHTNER BECKER AND SONS ELECTRIC BECKER AND SONS ELECTRIC
28142 24TH PL S 7215 1901'H AVE E BECKESE855BM(1/14/17)
FEDERAL WAY WA 98003 BONNEY LAKE WA 98391 7215 190TH AVE E
BONNEY LAKE WA 98391
•
Additional Permit Information
Electrical Work Valuation? 500 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Friday, April 21, 2017
Permit Issued on Thursday, April 21, 2016
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: 4 121 I 16
0 THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101917-00-EL Address: 28143 24TH PL S
Project: THOMAS FICHTNER FEDERAL WAY, WA 98003-2966
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) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. • 4
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 111Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 5-\r)-"Oda By Date
❑ Final-Electrical(4055)
Approved
By C',G - Date 5-_21--L 6
) ' , . ,
Rough Electrical Final Electrical
El
Right of Way
ElApproved ElRough
Approved
By Date By Date By Date
f • RECEIVED
CITY •
of EeECTRICAI
APR 21 2016
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / /„ _ / 0 ( / ? _
CY SUITE/UNIT/SPACE#
SITE ADDRESS: IA< Tl P L. 5 .
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 500 . — 3 a (P t so _ O I s-- O
PROJECT NAME P,
corTico-
(Tenant or Homeowner Last Name)
tNS4-41R A 3 o ANT a iteebtF=oe 14•Ca+ Pt4bUr 4
PROJECT DESCRIPTION F1/444r"FAGIL h" ( 6V* G Fav W(11A4 Ile 4C'" L�5k4-'
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Thou *S Ftt.144-c. ( ) -
MAILING ADDRESS E-MAIL
2$14.3 7.-4''t ?L• C.
CITY STATE ZIP FAX
FeAele4( (N c W4 RT'OO? ( ) -
NAME �J PRIMARY PHONE
(aeGLrev t 'ons &t cc+vi c- (253) - 2. (o g'
MAILING ADDRESS E-MAIL
ELECTRICAL 1'7 %(5 I gi Off' AVG. .• 131.K E.1 0416 c a,Coluc4sA
CONTRACTOR CITY STATE ZIP FAX
flowhc+i L . Wt4 S83 c ( ( ) -
WA STATE c6NTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
RSC EseSssc$rn / '4 / i-7
NAME PRIMARY PHONE
Nra
APPLICANT 1� i-tn�.o -go ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT VW WV T (•-2,53) S 2
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.
C.
SIGNATURE: Y�~� DATE , M 4.
PRINT NAME: V L ffl4 E{N 9 4E4v—is-
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application