13-100737 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-100737-00-EL
33325 8th Ave S
Federal Way,W'(29583)735-26
98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: GANS
Project Address: 1012 S 286TH PL Parcel Number: 515296 0310
Project Description: Installation of transfer switch and standby generator.
Owner Applicant Contractor
PETER GANS RUSS HOHN SMART HOMES ELECTRIC INC
1012 S 286TH ST SMART HOMES ELECTRIC,INC. (ELECTRICAL)
FEDERAL WAY WA 98003-3173 6412 FAIRLAWN DR SW SMARTHE948D1(3/21/14)
LAKEWOOD WA 98499 PO BOX 98861
LAKEWOOD WA 98496
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional9 No
Electrical Fixtures
Alt.Serv./Feeder: 0 to 200 amps(F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, August 13, 2013
Permit Issued on Thursday, February 14, 2013
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
N9A-)
r` d th i ► Federal Way. ' iOwner or agent: 4 I Date: `-II13
V/
Zig t3
.�� 0 THIS CARD IS TO MAIN ON-SITE
F'ederl WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100737-00-EL Address: 1012 S 286TH PL
Project: PETER GANS 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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By- ----
j Date-0.._(,s—,.7 3 • .By Date .
0 Pool Bonding(4195) 'El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Citi Date A_�.�„ 13
0 Feeders/Sub-panels(4045) '❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
. .
•
El Final-Electrical(4055)
Approved
By att..........
j Date ,Q- V,)->.1
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
ECEIV
ED ELECTRICAL
CITY OF
Federal Way FEB 14 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS ^�
PERMIT NUMBER /3 _ / 6 o 7 3 /_ �A
SUITE/UNIT/SPACE#
SITE ADDRESS: I
I t I, G E , ���`t L P L nn�l •�V� . ji
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# � ) VlY CURRENT/PROPOSED USE
S '3514 ,5D 5 ( 5 1 to - D I (D
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION COU T62eO`L¢-61 i 9 O vuU
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Q G a r) Z^ (a5 3) 1-('1 - 103
MAILING(IADDRESS //!� ((��//''��(� {E-MAIL /��
CIV 1 9 5 t V= PS
E ZIP �i `1 V/ tiO 4 �T%7
i Litt)t u1& CC = ( ) -
NAME PRIMARY PHONE
rn s OeCir2r u , ( � Ca-- �3
LING ADD SS QQ n E-MAIL
�
ELECTRICAL .b Z Jl� GI 6)\-12- I ��(\( � %krM1 1!7 ,(C-n
CONTRACTORITY STA E ZI FAX
ate
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
W-14 3 / J-1 6t,(4 ,0a-C
NAAMME ,� PRIMARY PHONE
APPLICANT ''r` �'Pf��1j Prt< C - (9 )62}•- L1LeLO3
TLING,AA.RES1cS E-MAIL
t'9 Q.5 U �
t,t4tt
TY STA^ E Z7i? ((2
FAX
rei
Lt ( --+---_
NAME PRIMARY PHONE
PROJECT CONTACT \I).1 V—f— N7.6 ((a.( ))
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to th 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 t he city as a par ,of thi appli•. ion.
SIGNATURE: DATE /(3
PRINT NAME: � 1 J ' / ((Mil
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit pplication