14-100709 { e
+ i„.._
0 `Electrical
City of Federal Way /�
Community&Econ.Dev.Services `' L � r --J Permit #: 14-100709-00-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: FINLEY
Project Address: 29925 23RD AVE S Parcel Number: 768380 0208
Project Description: Install(7)t-stats for radiant floor heating to new single family residence
Owner Applicant Contractor
SHARON M FINLEY NW ELECTRIC SERVICES INC NW ELECTRIC SERVICES INC
6133 S 294TH ST 32419 3RD AVE SW NWELEES925DL(3/27/14)
AUBURN WA 98001 FEDERAL WAY WA 98023 32419 3RD AVE SW
FEDERAL WAY WA 98023
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional No
Electrical Fixtures
Thermostat 7
PERMIT EXP RES Tuesday, August 12, 2014
Per , Is d on Thursday, February 13, 2014
I hereby certify that the abov i '•rm on is cor ct and that the construction on the above described property and
the occupancy and the us w' 'be iaccorce with the laws, rules and regulations of the State of Washington 41
- d the City of Federal Way.
Owner or agent: / .'it Date:
THIS CARD IS TO MAIN ON-SITE 4;
•
"TY OF 1 •
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100709-00-EL Address: 29925 23RD AVE S
Project: SHARON M FINLEY FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) IDDitch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ` Ei Rough Electrical(4225) El Ceiling Cover(4020)
Approvedproved Approved
By Date Date (4_ By Date
0 Final-Electrical(4055)
Approved
By 000,_,.. Date (1— 16'~lL4.
D Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
III
ca; ELEC'T'RICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER II _ 1 0 0 709 _ do FEB 13 2014
CITY OF FEDERAL UNIT/SPACE#
SITE ADDRESS: qq ed 2,3 LID A-, tC CDS
PROJECT VALUATION ASSESSOR'S TAR/PARCEL## CURRENT/PROPOSED USE
$ 2 r)'- - - - —
PROJECT NAME I
(Tenant or Homeowner Last Name) )it)
PROJECT DESCRIPTION 77-i--ii (e )
Detailed description of work to
be included on this permit only
NAME�`' PRIMARY PHONE
PROPERTY OWNER c�t� ) ci...ze.....x.y.,
('. -- )20-=S-".S'
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
-
NAME PRIMARY PHONE
20(k) ' - ( 3Imo -lam 363%.
MAILING ADDRESS E-MAIL
ELECTRICAL 3 EP (e/ it
CONTRACTOR CITY STATE ZIP FAX
- g.4).,92,1-z_ (.14-1`( Q U drD3 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIPFAX
//
l )
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 a City of Fgderal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense o h claim), ich may be m by any person,including the undersigned,and filed against the city,
but only where such claim out of t reliance of t city, including its officers and employees, upon the accuracy of the
information supplied to the I a part this a lication
t
SIGNATURE: ( --- DATE l()) 1 1/
PRINT NAME:
z 53 3 3Z X87?
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application