13-100287 Electrical
City of Federal Way
Community&Econ.Dev.Services ' " Yti Permit #: 13-100287-00-EL
33325 8th Ave S
h:(253)
Fe835der-2607 al Way ax:(253)89800335-2609 t Inspection Request Line: (253) 835-3050
PFax
Project Name: SAETEURN 1707 S$
Project Address: 120 S 304TH PL Parcel Number: 339190 0050
Project Description: Altering(1)circuit to relocate one switch
Owner Applicant Contractor
SAAN SAETERUN B B ELECTRIC B B ELECTRIC
STACIE SAETEURN 2721 S ASH ST BBELEBE950P1(10/22/13)
120 S 304TH ST TACOMA WA 98409 2721 S ASH ST
FEDERAL WAY WA 98003 TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, July 17, 2013
Permit Issued on Friday, January 18, 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 b- in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. i/
Owner or agent: / Date: d/ /! ✓�J
•
r'
1
THIS CARD IS TO MAIN ON-SITE
of • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100287-00-EL Address: 120 S 304TH PL
Project: SAAN SAETERUN FEDERAL WAY, WA 98003-4061
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) 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) U Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
❑ Final-Electrical(4055)
Approved
By �..� Date .. ....0
❑ Rough Electrical1=1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
ELLCTRICAL ti
V ;,
CITY OF
Federal Way PERMIT A ' TION
PERMIT NUMBER ' 3 _ 10 z Si-
OD JAN 18 2013
CITY OF FEDERAL. WAY _
l y- SUITE/UNIT/SPACE#
SITE ADDRESS: 1 4 0 5-- 3 oL-,/-(
PROJECT VALUATION ASSESSOR'S # O _ O Q �O CURRENT/PROPOSED USE
C7`C/ 3 ✓] _
PROJECT NAME eq
(Tenant or Homeowner Last Name) (�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME �(��)j (} ,,/., PRIMARY PHONE 7�/
V 4' LV`- rY � j ) `)'�)- / ) 7) V
MAILING ADDRESS E-MAIL
ELECTRICAL -)... l. , , r� J' i�
CONTRACTOR CITY STATEZIP /%F FAX
( -G>�"./� �1!' ,---is ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
) %✓ �,��',� '�l��,r�, 1c/:5 /1.
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 •'part of this application.
i
/1------------------SIGNATURE: DATE `/i �Z—
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Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application