14-101044' r
Annlicant
City y
BARBARA SEALOCK
Community & Econ. Dev. Services
33325
FILE
8th Ave
101 SW 119TH ST
Federal Way, WA 98003
FRONT ROYAL VA 22630
Ph: (253) 835-2607 Fax: (253) 835-2609
205 SAWYER ST NE
Project Name: SEALOCK
Project Address: 903 S 314TH ST
Electrical
Permit #: 14 -101044 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9219
Project Description: Adding/altering up to (2) circuits for associated remodel"*REVISED 6/16114 TO
INCLUDE (10) ADDITIONAL CIRCUITS AND (1) SUB -PANEL***
Owner
Annlicant
Contractor
BARBARA SEALOCK
JOHN KRIEG
RICK'S QUALITY ELECTRIC
985 HAPPY CREEK RD
101 SW 119TH ST
RICKSQE872J4 (5/2/15)
FRONT ROYAL VA 22630
BURIEN WA 98146
205 SAWYER ST NE
OLYMPIA WA 98506
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 i 1 Circuits - Residential ...................... 12
PERMIT EXPIRES Saturday, December 13, 2014
Permit Issued on Friday, March 7, 2014
1 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 acgbrdance wi a laws, rules and regulations of the State of Washington
Ae and thw0tv of Federal -Z& v.
Owner or agent:
Date: 4 , s 5 • IZQ5 4
{ It , • _� J
City of Federal way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: SEALOCK
Project Address: 903 S 314TH ST
• T
Electrical
Permit #: 14 -101044 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Adding/altering up to (2) circuits for associated remodel
Parcel Number: 082104 9219
Owner
Applicant
Contractor
BARBARA SEALOCK
JOHN KRIEG
RICK'S QUALITY ELECTRIC
985 HAPPY CREEK RD
101 SW 119TH ST
RICKSQE872J4 (5/2/15)
FRONT ROYAL VA 22630
BURIEN WA 98146
205 SAWYER ST NE
OLYMPIA WA 98506
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Fixtures
Circuits - Residential ...................... 4
PERMIT EXPIRES Wednesday, September 3, 2014
Permit Issued on Friday, March 7, 2014
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 icordance wit the laws, rules and regulations of the State of Washington
rd and ity of Federal Way.
o`y
Owner or agent: -- Date: ZZ4 &9
THIS CARD IS TO *dAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -101044 -00 -EL Address: 903 S 314TH ST
Project: BARBARA SEALOCK FEDERAL WAY, WA 98003-5319
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.
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical
Approved
0
Temporary Power (4275)
E]
Service (4235)
By
Pool Bonding (4195)
Approved
Date
By
Approved
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
V►j Date V
1(0 (
By
Date
Final - Electrical (4055)
Approved
By
KV/ Date t'L
3 p
1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
Crry OF
Federal Way
ELECTRICAL
PERMIT APPLICAON
PERMIT NUMBER 14 _ 10 10 44 o®
MAR 0 f2014
SITE ADDRESS: '5� 03
OJ IO 00
ASSESSOR'STAR/PAROL 1 /�
CURRENT/PROPOSED USE
_
PROJECT NAME
(Tenant or Homeowner Last Name)
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'��/•' U)yti �i�� W' ' Jl�f'1
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
1
PROPERTY OWNER
NAME
C �C
PRIMARY PHONE
) 3 Z� _ S-73,77 (
MAILING ADDRESS
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E-MAIL
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CITY
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STATE
ZIP
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
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ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX }
WAS ATE CONTRACTOR'S LICENSE # EXPIRATION DATE
g c
FEDERAL WAY BUSINESS LICENSE k
Gc 17 :Sfs�l0
NAME
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PRIMARY PHONE /
) 3217 - :5�3�7 r
APPLICANT
MA�ILINNG ADDREES�S� l �5e /a/ l yn
E-MAILA
PROJECT CONTACT
NAME
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PRIMARY PHONEIt
✓ 0275-3
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 claimses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a part o;his application.
SIGNATURE:
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PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 klHandoutsTlectrical Permit Application
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