15-100976 •
• S Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-100976-00-EL
33325 8th Ave S
Federal Way,WA 98003FII.E
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CARMELLA t
Project Address: 112 S 296TH PL Parcel Number: 718300 0020
Project Description: Add 100-amp subpanel and wire downstairs.
Owner Applicant Contractor
CATHERINE CARMELLA EMERALD STATE ELECTRIC EMERALD STATE ELECTRIC
112 S 296TH PL 7215 93RD STREET CT E EMERASE892QD(11/4/15)
FEDERAL WAY WA PUYALLUP WA 98371 7215 93RD STREET CT E
PUYALLUP WA 98371
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 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: // Date: a/aR01
01S4
\Ile°
THIS CARD IS TO REMAIN ON-SITE
CITY OF � Construction In. ction Record
Federal WayINSPECTION RE UE�TS: (253) 835-3050
Q
PERMIT#: 15-100976-00-EL Address: 112 S 296TH PL
Project: CATHERINE CARMELLA FEDERAL WAY, WA 98003-3626
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 By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 3 1 IIS By Date
0 Final-Electrical(4055)
Approved
By Date 1} (.o ( 1 S
Rough Electrical Final Electrical ❑ Right of Way
❑ Approved 111Approved Approved
By Date By Date By Date
CITY OF '�'�"•.~. MAR 02 2015 EL CTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER / 5 — 1 0 ® '7 76 _
SITE ADDRESS: i J l (j �� I SUITE/UNIT/SPACE#
fff ✓l ���SSS 4,
PROJECT VALUATION ASSESSOR'S TARO# � � � �� CURRENT/PROPOSED USE
S
PROJECT NAME
(Tenant or Homeowner Last Name) �� (M�
PROJECT DESCRIPTION A�`� Ion - 0
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C(-A\/)ef nz C_,<M<.\\ ( 30 - 7Y/3 ),
MAILING ADDRESS E-MAIL
41
CITY STATE ZIP FAX
PRIMARYPHO
lIa
( 3 )36 3 -7 c
, 3
MAILING ADDRESS E-MAIL
ELECTRICAL �.�1!� ?j cJ S� !.� ten;S p Qrx«,�c1�� t e\tcic�C. t
CONTRACTOR CITY STATE ZIP FAX
SPO yC-\\v( I„�r." -
WA S''X'rE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
iol.rei.S `1),Q. I / ,),31;/
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACTE PRIMARY PHONE
1
I DC, �L� ( �`3 )363 -,;oI�I
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 apart of this application.
SIGNATURE: DATE 3/j/,
PRINT NAME: c: �v. ' JOS4Or1
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permiti"..PP lication