15-106269 • 0 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 1 5-106269-00-EL
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253
) 835-3050Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PARRIS
Project Address: 30922 28TH AVE S Parcel Number: 092104 9239
Project Description: Mast repair
Owner Applicant Contractor
LYLE W PARRIS SCOTT CAMERON TRUE ELECTRIC LLC
ROSELLA L PARRIS TRUE ELECTRIC LLC TRUEEEL887R6(12/26/16)
30922 28TH AVE S 33450 38TH AVE SW 33450 38TH AVE SW
FEDERAL WAY WA 98003-5004 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Electrical Work Valuation? 450.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Mast or Meter Repair(Residential/ 1
PERMIT EXPIRES Wednesday, June 8, 2016
Permit Issued on Friday, December 11, 2015
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: 4&:;e;/1.- 7t�0' Date: g._//2/ IS
4 .i.i.r.,... ...J. ,
• THIS CARD IS TO REIN ON-SITE .
CITY OF � ` Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106269-00-EL Address: 30922 28TH AVE S
Project: LYLE W PARRIS FEDERAL WAY, WA 98003-5004
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.
® UFER Ground (4295) ❑ Ditch cover(4030) ❑ 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 CI
By Date By Q.)0Date Ira--k r
VS-
k.
L7 Feeders/Sub-panels(4045) Illy Rough Electrical(4225) .� Ceiling Cover(4020)
Approved Approved Approved
EBy Date Date By Date
® Final-Electrical(4055)
Approved
By Date t �I ,`S
r
•
[r] Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
1116. ELECTRICAL
CITY OF 11.1111
TIO N
. Federal Way PERMIT A �P�EICVED
PERMIT NUMBER {k,
_ 0 c _ DEC 10 2015
Cm OFstrik1t1NI'TIPAY;'E#
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SITE ADDRESS: `.. 09 2 2 2 3-01 Ave S recta l -way CDS
PROJECT VALUATION AS�SS�S TA7L,/,�ARC�L N� � _ 9. 7 �/7 CURRENT/PROPOSED USE
$ 1150. O09
PROJECT NAME
(Tenant or Homeowner Last Name) rarr1S
PROJECT DESCRIPTION Mari. repair Ceplaer,►y 4h€_ trn r+, yvied er se,,a no/ -14
Detailed description of work to Condvl-1 -to 44.- eif1M4n elee�ia.1 IOCu'4 I
be included on this permit only ✓ I
NAME PRIMARY PHONE
PROPERTY OWNER Laverne PGc"/s (253) 350 - 51251
MAILING ADDRESS 2 t 2 ,,.,4 Ave ,� E-MAIL
CITY Feder A / .• �� STATE ZIP!'8o� FAX
NAME-True. electri` , L L e (263 ) vel
P Y PHONE
q iq
MAILING ADDRESS 2 E-MAIL
ELECTRICAL 33%50 38 :4 f}ve SW -true.elecfn< 4 Qcktacorn
CONTRACTOR CITY STATE ZIP FAX
Federa/ Wal( IVA 980e3 (253 ) 878 - 5610)
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
TRVCECL 8J7 12C, 14 i24 16
NAME PRIMARY PHONE
Scott L'aoeivn (251)2/Ci _3qr r
APPLICANT MAILING ADDRESSt E-MAIL
331150 33.t/ Act, S'w -1-roe r e red? 6 lim a h
CITY F c/ rTn.l L1' t? ZIP tatt 612025
02 5 ( ) FAX
NAME l 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 as part of this application. l I//
SIGNATURE: `� �4i��/l G:� ` DATE i 2( 1`` / 5
PRINT NAME: .kO 4 LGMerO,i
M
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application 4