14-103129City of Federal Way
Community & Econ. Dev. Services
33325 8thAve S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GRANT
0 • * Itlectrieal
Permit #: 14 -103129 -00 -EL
o Inspection Request Line: (253) 835-3050
1 P
RENEW
3
Project Address: 1826 S 330TH ST UNIT B
Project Description: Replace panel in garage; add ceiling outlet.
Parcel Number: 321075 0140
Owner
App,lican
Contractor
JOANNE GRANT
A C ELECTRIC SERVICE
A C ELECTRIC SERVICE
1826 S 330TH ST UNIT B
20012 35TH AVE S
CELECCE8730Z (9/9/15)
FEDERAL WAY WA 98003
SEATAC WA 98198
20012 35TH AVE S
SEATAC WA 98198
Additional, Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Alt. Serv./Feeder: 0 to 200 amps (D 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Wednesday, December 24, 2014
Permit Issued on Friday, June 27, 2014
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
and the City of Federal Way.
Owner or agent: Date: �- I
pINA►-ED
1
CITY'OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ],MAIN
Record
INSPECTION REQ TS: (253) 835-3050
14 -103129 -00 -EL Address: 1826 S 330TH ST UNIT B
JOANNE GRANT FEDERAL WAY, WA 98003-9474
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.
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By K4 Date —1
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved
By
Approved to place concrete
By
IDate
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By K4 Date —1
Pool Bonding (4195)
Temporary Power (4275)
Approved
Service (4235)
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By K4 Date —1
Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
ECTRICAL
Federal Way JUN 21 M4 PERMIT APPLICATION
OF FEDERAL WAY
PERMIT NUMBER_ CM -3 �C47 / / _
-/I
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 taws 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 apart of this application.
SIGNATURE: ( DATE
PRINT NAME: L� ck "�S t ✓`
Bulletin # 160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS:
PROJECT VALUATION
$ k o.a
ASSESSOR'S TAX/PARCEL #
3"/ 0? y -
0 f
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
D_. _a
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
(�`x') 740 - -4-53c,
MAILING ADDRESS __ ,,{{ I
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E-MAIL
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STATE
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
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ELECTRICAL
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STATE
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ZIP
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FAX
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME f
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PRIMARY PHONE
( ) 319 - < It, 4
MAILING ADDRESS
E-MAIL
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STATE
ZIP
FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
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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 taws 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 apart of this application.
SIGNATURE: ( DATE
PRINT NAME: L� ck "�S t ✓`
Bulletin # 160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application