13-103536 •
• • Electrical
ty Way
CommunityCiof&Econ.Federal Dev.Services Permit #: 13-103536-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: HOMESENSE LLC
Project Address: 2023 S 301ST ST Parcel Number: 798300 0100
Project Description: 0-200 amp service changeout
Owner Applicant Contractor
HOMESENSE LLC M S E ELECTRIC M S E ELECTRIC
3206 50TH ST CT NW SUITE 226 PO BOX 13327 MSEELE*874L8(7/2/15)
GIG HARBOR WA 98335 DES MOINES WA 98198 PO BOX 13327
DES MOINES WA 98198
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, February 8, 2014
Permit Issued on Monday, August 12, 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
and the City of Federal Way. r
Owner or agent: fii41.2 4 Date: c5A0
, THIS,CARD IS TO MAIN ON-SITE
CITY OF ` ` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-103536-00-EL Address: 2023 S 301ST ST
Project: HOMESENSE LLC FEDERAL WAY, WA 98003-4237
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding (4195) 0 Temporary Power(4275) '❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ElRough Electrical(4225) .0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
ID Final-Electrical(4055)
Approved
By ;';„q;4 Date 6i I tiel„ f 13
❑ Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
II
'� E1CTRICAL
CITY OF -... ,
Federal Way PERMIT APPLICATION
0 2 RECEIVED
PERMIT NUMBER _ 1 / 5 3 CP _
- - - - AUG 122013
SITE ADDRESS: J �� c)( % (``( CITY OFTI5L�#
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME J , L;1\)--CV--:—
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(Tenant or Homeowner Last Name) ,v'l_1l 1� ^
PROJECT DESCRIPTION r C��a �,� / z r---
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Detailed description of work to
be included on this permit only
NAMErti PRIMARY PHONE
PROPERTY OWNER ( /' r� /-/ 1 —ct`vi-e�` (2 - )A3 - yO Z y
MAILING ADDRESSE-MAIL
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CITY STATE ZIP FAX
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NAME ] ( / PRIMARY PHONE/
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MAILING ADDRESS // E-MAIL
ELECTRICAL f(
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONT OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME _ PRIMARY PHONE
APPLICANT / ( t w� (l6 ) ? 3o-3 2
MAILINGQADDRESS E-MAIL
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CI7 STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT ,,, /74/ /111- rt.-2 ki ,\ ( 2C ) 7 36 - 2 / y�
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.
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SIGNATURE: f4��� Q DATE g i 2 �j I /
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\l-Iandouts\Electrical Permit Application