15-105043 _ • Electrical
Communi
Ci hof&FedeEcon.ralDev.SWayervices 4111
Permit #: 15-105043-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: JOHNSON
Project Address: 1036 S 286TH PL Parcel Number: 515296 0270
Project Description: Bathroom remodel-Add (3) Circuits and moving around (24)devices
Owner Applicant Contractor
ERIK D JOHNSON DANA MERRITT INFINITY CONSULTING INC
JENNIFER T JOHNSON INFINITY CONSULTING INC (ELECTRICAL)
1036 S 286TH PL 2915 184TH AVE E INFINCI998PP(10/19/17)
FEDERAL WAY WA 98003 LAKE TAPPS WA 98390 2915 184TH AVE E
LAKE TAPPS WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 3
PERMIT EXPIRES Wednesday, March 30, 2016
Permit Issued on Friday, October 2, 2015
I hereby cert a ove information i 'correct and at t e construction on the above described property and
the occup cy and the use will be in accordanc ith I , rules and ulations of the State of Washington
Ind C f ed ral W
Owner or agent: Date:
.4-77 6 �
4
• THIS CARD IS TO RE - .
N ON-SITE
cart,OF Construction Inspe ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105043-00-EL Address: 1036 S 286TH PL
Project: ERIK D JOHNSON FEDERAL WAY, WA 98003-3173
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) EI Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
n Pool Bonding(4195) D Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date S Date k G id ( S By Date
® Final-Electrical(4055)
Approved
l� Date I\ ,e,
-, Rough Electrical ❑ Final Electrical ❑ Right of Way
-•J Approved Approved Approved
By Date By Date 1 By Date
RECEIVED
4......,„
LEC'T'RICAL
, 41110
' CITY OF OCT 02
Federal Way 2015 PERMIT APPLICATION
rYOFFEDERALWAY
PERMIT NUMBER 15 _ J O 5 V �g9 3 _ £,. l
SUITE/UNIT/SPACE#
SITE ADDRESS: / ® G, g'' f'�j 127 tJq,8
PROJECT VALUATION `�/ ASSESSOR'S TAX/PARCEL# l— CURRENT/PROPOSED USE
PROJECT NAME � ` , l
(Tenant or Homeowner Last Name) V `U 'j-�j.J
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME �•=%tt) I.) PRIMARY PHONE
PROPERTY OWNER # I-NIA) y�) 3�-6.e ) r , ( ) -
^�� � ' MAILING DRESS E-MAIL
V-) l C S , S �71')• �5� p Z,
, i 5 Cl ) CITY STATE ZIP FAX
u ( ,r6 J)(2J l to r)-:). Cv,' ` g` 3 ( ) -
NAME PRIMARY PHONE
. Q /fv/'? % N✓SbLT)vV Svc- ( ) -
MAILING ADDRESS //.J jr I?f CC3{'it 0-Z
ELECTRICAL G9/ S / 6 e? l'�it-J C F Dilicki2/77- ' U$
CONTRACTOR CITY _ STATE ZIP FAX
I--K. / 4l i'P; 79 9ff 36'/ (25) g4.7,- e 21(
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
� V7)67 _7ii,U /711 -Z-: 't
96,? ' / /
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 t best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will compwith
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand th t 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 th city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy f the
information supplied to the ciii as a part of this application.
SIGNATURE: ` 1/ DATE 2 _//
..s
PRINT NAME: _ �i�1/v,)'9 /J/I✓J e)Z I'z-)--)---r _
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application