14-104814 • • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-104814-00-E L
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: RAWLINGS
Project Address: 726 S 294TH PL Parcel Number: 515250 0100
Project Description: Replace panel connect grounding/bonding and install(3)dedicated circuits
Owner Applicant Contractor
ROBIN S RAWLINGS A C ELECTRIC SERVICE A C ELECTRIC SERVICE
726 S 294TH PL 20012 35TH AVE S CELECCE873OZ (9/9/15)
FEDERAL WAY,WA 98003 SEATAC WA 98198 20012 35TH AVE S
SEATAC WA 98198
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt. Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 3
PERMIT EXPIRES Tuesday, March 17, 2015
Permit Issued on Thursday, September 18, 2014
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.
t
Owner or agent/4/ j /G/ Date: , C/V
w
CITY OF
• THIS CARD IS TO IN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104814-00-EL Address: 726 S 294TH PL
Project: ROBIN S RAWLINGS FEDERAL WAY, WA 98003-3613
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.
O UFER Ground (4295) ❑ Ditch cover(4030) ' ❑ 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
"ok ._ °t_2") -1
El Feeders/Sub-panels(4045) ‘ ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date0‘...2)... ., I ti
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
, .
A • E&CTRICA4 ,
CITY OF ;,
Federal Way PERMIT APPLICA PION
PERMIT NUMBER _ I d 4 g- ( 4 _ RECEIVED
SEP 18 2014
SUITE/UNIT/SPACE
SITE ADDRESS:
5 2.„1604, p� CITY OF FEDERAL WAY
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT ROPOSED USE
$ ; * S ( 5 Z _S _ 0 ( 00
- -
PROJECT NAME `(
(Tenant or Homeowner Last Name) �^F��r'^ C' "`�N�`J
(( I
\c..c..� FGvte ( byvttc_ C. .tir( v, /i - 3
PROJECT DESCRIPTION ' e d` to J
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 12-066,v, P---c-4,1 ( ) -
MAILING ADDRESS E-MAIL
--- T'L 5 z g L!i`` P
CITY STATE ZIP FAX
(elerch;� (")&141 ( ) -
NAME ( _ PRIMARY PHONE
AC e-(/ertic-- ce (Z°(-) 'Sl-itik- l -4
MAILING ADDRESS E-MAIL
ELECTRICAL i C. 3C7 A-. Q
CONTRACTOR CITY _ STA ZIP FAX
deal ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Li, L� i<1.-3 3 ,a 7/
NAME PRIMARY PHONE
APPLICANT (r-),(;k 44c.,...5<0- (10(c Mi - ((-
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT NAME ` PRIMARY PHONE
' ( zoo) 53g- 02 i'4"-
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: e-/(d"to„(�� `,� DATE 01(/I(
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PRINT NAME: W.1({ .,-.-
Bulletin#160—January 1,2013 Page 1 of 2 k:\l-landouts\Electrical Permit Application