15-104782 • • Electrical
City of FeWay Permit #: 15-104782-00-EL
Community&Econ.
Dev.Services •
33325 8th Ave S 3
Federal Way,WA 98003 roc
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PARKWOOD LANE LOT 19
•
Project Address: 2611 S 288TH ST Unit 19 Parcel Number: 283520 0190
Project Description: New 200 AMP Service&Feeder for mobile home.
Owner Applicant Contractor
AFFINITY REALESTATE SVCS - 'CHARLES HOCKING • CHARLES DEAN ELECTRIC LLC
3110 JUDSON PMB 202 ST CHARLES DEAN ELECTRIC LLC CHARLDE930LQ(6/18/17)
• GIG HARBOR WA 98335 28107 20TH AVE S 28107 20TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
•
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(IN 1
PERMIT EXPIRES Saturday, March 19, 2016
Permit Issued on Monday, September 21, 2015
I hereby certify that the above information is correct and that the construction on the above described property nd
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingt n
and the City of Federal Way.
Owner or agent: `_-�' `�—" -J— Date: 2.--t ( Ste'
N ON-SITE
-
CITY OF Ag_.
Construction Inspion Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104782-00-EL Address: 2611 S 288TH ST Unit 19
Project: AFFINITY REAL ESTATE SVCS FEDERAL WAY, WA 98003-7976
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
•El Pool Bonding(4195) * �0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
•
'0 Feeders/Sub-panels(4045) �0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
El Final-Electrical(4055)
Approved
4—V-". Dates --04-1c
-1 .
•
0 Rough Electrical Final Electrical Right of Way
Approved Approved [11 Approved
By Date By Date By Date
RECEIVED
CITY OF - =' SE P 21 2015 LECTRICAL
Federal Way CITY OF FEDERAL WRY PERMIT APPLICATION
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PERMIT NUMBER- 5 _ I 0 "1 00,„„.. '// _ c
SUITE/UNIT/SPACE#
SITE ADDRESS: L10 U 2- S Si. V.--co , .Av\ `1c -3 (CI
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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e 4111111111
PROJECT NAME
(Tenant or Homeowner Last Name) F1'si21L'-
-o ' AO✓l-P SCIS \C E *L c-CE 17 r\--..- T i:1 r..-
PROJECT DESCRIPTION 'NA"°D %L�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 7AILIL ':;+� __I�t-i i✓ 00-1. %L. ee.CL k , ( ) -
MAILING ADDRESS E-MAIL
46\c, 7---ST'" J , NL 0 \
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
C-H-k.i\ttL, .b'rjr 4C--t-tet..=i N,%C (2S3 )10(1- c S 6i (c,_,
MAILING ADDRESS E-MAIL
ELECTRICAL 2- 00-1 --?,--,." i\vc. S'
CONTRACTOR CITY STATE ZIP FAX
c.kE(\rr t..,..1\�1 1,-'i'‘ C -i, ss ' j ( ) -
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 Vi`LJ t r L u 0, (2-S-3) 2-5-.-0.- S3 9
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
aII 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 incutfred 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: ® <-s - DATE Z4 -. . P 1---
,
PRINT NAME: k---Et-vi J 1-001--/(j
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application