15-105930 v Electrical
City o* coWay
Community&Ecn.Federal
ServicesFILE
Permit #: 15.105930-00 EL
33325 8th Ave S
Federal Way,WAssoo3 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:: ecq
(253)835-2609 p
Project Name: WESTBY
Project Address: 604 S 298TH ST Parcel Number: 515190 0160
Project Description: Install(6)circuits for new addition/remodel.
Owner Applicant Contractor
KENNET B WESTBY CHARLES CLARK-OWNER PUGET SOUND ELECTRIC COMPANY
604 S 298TH ST PUGET SOUND ELECTRIC CO PUGETSE902KK(5/12/16)
FEDERAL WAY WA 98003-3630 2661 N PEARL ST SUITE 398 2661 N PEARL ST SUITE 409
TACOMA WA 98407-2424 TACOMA WA 98407
Additional Permit Information
Electrical Work Valuation? 6000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 6
PERMIT EXPIRES Saturday, May 21, 2016
Permit Issued on Monday, November 23, 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
A and the City of Federal Way. •
Owner or agent: ( a%v Date: /// 3/i
5—
THIS CARD IS TO (A IN ON-SITE (7}
CITY OF Construction In ection Record - .�
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105930-00-EL Address: 604 S 298TH ST
Project: KENNET B WESTBY FEDERAL WAY, WA 98003-3630
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) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
♦
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,
'0 Feeders/Sub-panels(4045) ,❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Mfg Date 1241 1 I r- By Date
0 Final-Electrical(4055)
Approved
By Date .
Rough Electrical �- Final Electrical Right of Way
Approved ElApproved Approved
[11; Date By Date By Date
• CEIVED 411)RE ELECTRICAL
CITY of A.
Federal Way Nov 23 2015 PERMIT APPLICATION
I ,c) 5 CITYLOF FEODERAL WAY
PERMIT NUMBER t (5 _ / ,CITY.
✓ _ ��
SUITE/UNIT/SPACE#
SITE ADDRESS: j„ (
Q L/ ` (77 9 y g
PROJECT VALUATION (� ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ b, c &a 5 1 5 ( qi b _ p I b
PROJECT NAME I<e��i- /1 1---b. ///
Tenant or Homeowner Last Name) , Y
r� AeQ r t4-Inn /
PROJECT DESCRIPTION
Detailed description of work to tj 1 r;
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Vt'!Yi e 1}) --)-17y (20(0 ) 93/ -Sig°)
MAILING ADDRESS E-MAIL
C_R STATE ZIP FAX
-e6Pe/ra.1 WOly Oft- gFo o3 ( ) _
N PRIMARY PHONE
r � ��Un� / ► �� (?J?) 7�7a 3 -
MAILIN�('y�ADDRESS E-
/�_" c �j �p r
ELECTRICAL Ga6((1 F 'a ii cS/1 J U /L c3�0 Cid rl,e,pc / }N+A.0
CONTRACTOR CITY STATE ZIP FAX
�i;�(,0 mi.(- WP
Cy7l/° ( ) -
0 I a5W TE CONTRACTOR'SRALICENSE#
N O��TION/AO
FEDERAL WAY BUSINESS LICENSE#
pCJ �/ U���l��98z��/c Z /�
_ PRIMARY PHONE
APPLICANT SOLI n"` &- e&' '/c co ( )
LINODDRES3 E-MAIL
Ve
2\-1 (v' JJ4 ( CI 1,� STATE ZIP FAX
( )
N PRIMARY PHONE
PROJECT CONTACT
C' u ) , ay" ( ( c ) a3
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 Iocal, 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 th' •pp ation.
lir
SIGNATURE: _ DATE /// 37,
PRINT NAME: , g I I f:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application