15-105475 S Electrical
City of Federal ay
Community Services F I LE Permit #: 15-105475-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: STRUTHERS
Project Address: 410 S 306TH ST Parcel Number: 241330 0440
Project Description: Install switch for bathroom fan
`
Owner Applicant Contractor
DANIEL STRUTHERS DANIEL STRUTHERS OWNER IS CONTRACTOR
• . 410S306THST 410S306THST
FEDERAL WAY WA 98003-4067 FEDERAL WAY WA 98003-4067
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Sunday, April 24, 2016
Permit Issued on Tuesday, October 27, 2015
I hereby certify that the abo a information is - = d that the construction on the above described property and
the occupancy and the us 'will be i acc- •. ce wit the laws, rules and regulations of the State of Was ington
I a !: h- . of Federal Way.
Owner or agent: C '`, Date: -AV '
FINALEL ,
THIS CARD IS TO RE ON-SITE ,
CITY OF Construction Inspaton Record ` t
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105475-00-EL Address: 410 S 306TH ST
Project: DANIEL STRUTHERS FEDERAL WAY, WA 98003-4067
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.
0 UFER Ground (4295) - 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . /
❑ Pool Bonding(4195) '❑ Temporary Power(4275) 0 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 '113 Date tt• ‘n ` I t By Date
'
Final-Electrical(4055)
• Approved
1141 ..., Date r,c-- —
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
41► ELECTRICAL
CITY OF „;,,,,, RECEIVED
Federal Way PERMIT APPLICATION
OCT 27 2015
PERMIT NUMBER t 5 _ I FE E L
SUITE/UNIT/SPACE#
SITE ADDRESS: j1 to
S te~ 5
PROJECT VALUATION (( ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3—o- vLi i s brl - o Lfgo
PROJECT NAM . I �
(Tenant or Homeowner Last Name) S-f,wl`i t S
b p Sptow 'tom -fid u— ra6)4-\ t t 11-5-64 h
t L1
PROJECT DESCRIPTION fru, ��- `(
' �U�' C
Detailed description of work to
be included on this permit only
NAMES PRIMARY PHONE
PROPERTY OWNER :DO le ( ((ie - r (2S3 ) 5-1.9 - 104-6
MAILING ADDRESS E-MAIL
`(l0 S 364S� �du ri e H ,I ems,
CITY STATE ZIP FAX
(Ai- q)063 )
NAME / LL. PRIMARY PHONE
( ( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT d�tI hid ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP / FAX
l )
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 a art t application.
SIGNATURE: ( _ DATE W2/3/2'6/,j"
PRINT NAME: P�1;a cc 1 r fL e. v c
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application