13-104763 •
•, •
• Electrical
City of Federal Way
Community&Econ.Dev.Services ;?—"4.
I Permit #: 13-104763-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BROWN �� 5
Project Address: 911 S 310TH PL Parcel Number: 081850 0390
Project Description: Panel change.
Owner Applicant Contractor
JASON BROWN THE RUNNERS LLC THE RUNNERS LLC
6211 CAMDEN DR 12819 SE 38TH ST BOX 379 RUNNERL915RH(12/3/13)
PASCO WA 98301 BELLEVUE WA 98006 12819 SE 38TH ST BOX 379
BELLEVUE WA 98006
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 Wednesday, April 23, 2014
Permit Issued on Friday, October 25, 2013
I hereby certify t at th- above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
A ' -� Date: Oc�- I'
Owner or agent:
1
,,„,,,,,, _4*..., -
• THIS CARD IS TO MAIN ON-SITE
CIT':OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104763-00-EL Address: 911 S 310TH PL
Project: JASON BROWN FEDERAL WAY, WA 98003-4799
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 LIFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
4 . 4
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date 10I24 (U'
,� Feeders/Sub-panels(4045) �0 Rough Electrical (4225) 'El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
❑ Final-Electrical(4055)
Approved
By VA4 Date (0 (201 f I ?
Rough Electrical Li Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
likEcEivED ELPCTRICAL
CITY OF **''
Federal Way OCT 2 5 2013 PERMIT APPLICATION
/ z / Ci///Y OF FEDERAL WAY
PERMIT NUMBER / ) _ / O q _ L,
5 3/0* P� !!Ddn`I( ,AJ( l(J SUITE/UNIT/SPACE•
SITE ADDRESS: � r 1, va 1 J lJ�
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ CC?) O I R s v _ d 3 9 O
PR CT NAME
(Tenant or Homeowner Last Name)
fore-1 Glaw9e.
PROJECT DESCRIPTION --
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER / ( h� �� ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
i k2, cuYnYIec5 LL (2-°C) 366/- agO r
MAILING ADDRESS E-MAIL
ELECTRICAL I2g Ci e 3B
CONTRACTOR CITY STATE ZIP FAX
Belie )cup r� � « t ) -
WA STATE COcrows LICE SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
rUrwerr9115 ti - /d 302?
NAMEI PRIMARY PHONE
APPLICANT
Cractir,
2� ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
PROJECT CONTACT beim e im --f tri 0 b)'S4_0 F)01
lv
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 su claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp -• o the city as a part of this application.
25Oc+(�
SIGNATURE: DATE
IPRINT NAME: Ok Y(NQ,/) 11\0
Bulletin#160—January 1,2013 Page 1 of 2 k:\Flandouts\Electrical Permit Application