13-105384 • • EI ctrical
City of FederalWay y } Permit #: 13-105334 00-EL
Community&Econ.on.D "
ev.Services � �i "
33325 8th Ave S _;
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FORD
Project Address: 1826 S 285TH PL UNIT D Parcel Number: 32'7614 0200
Project Description: Add track lighting and (3)wall cadet heaters
Owner Applicant Contractor
DEBORAH A FORD DEBORAH A FORD OWNER I5 CONTRACTOR
1826 S 285TH PL UNIT D 1826 S 285TH PL UNIT D
FEDERAL WAY WA 98003-3093 FEDERAL WAY WA 98003-3093
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 5
PERMIT EXPIRES Sunday, June 1, 2014
Permit Issued on Tuesday, December 3, 2013
I hereby certify that the above information is correct and that the construction on the above described prope and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washing on
{ and the City of,Federal Way.
Owner or agent: i ,, Date: ----
CA a(
—C 4
THIS CARD IS TO MAIN ON-SITE
A
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105384-00-EL Address: 1826 S 285TH PL UNIT D
Project: DEBORAH A FORD FEDERAL WAY, WA 98003-3264
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
2-1
By (i144 Date t - 3
0 Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OF EL CTRICAL \.
Federal Way PERMIT APPLI r
PERMIT NUMBER ( f _ 1 0 15 ✓ E DEC 0 3 013
— — — — CITY OF FEC)E L In/n.v
SUITE/UNIT/SPACE#
SITE ADDRESS:
PROJECT VALUATION co ASSESSOR'S TAX/PARCEL# I
AX/PARCELSI � - � � I CURRENT/PROPOSED USE
SOO (L
PROJECT NAME
(Tenant or Homeowner Last Name)
rdk2>a
PROJECT DESCRIPTION � ` $JC CQ((�1
y
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 4- 2-\0-0 1i&I\ 1 ( ) -
MAILING ADDRESS 3` E-MAIL
CITY STATE ZIP FAX
(,,)t� 9 F ) ) 3 (),53) _;z3-/ - /2 -7"?
NAME PRIMARY PHONE
)
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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 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.
SIGNATURE:-1 _ 40 7 f� DATE l Z/34
v 2
PRINT NAME: 4?YJ &rte-r c
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application