13-104839T
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Permit #: 13 -104839 -00 -EL
ie�:j -:3 Inspection Request Line: (253) 835-3050
Project Name: FIX 930
Project Address: 337 S 327TH LN Unit 14C Parcel Number: 701682 0370
Project Description: Adding up to (5) circuits for GFI to whirlpool tub
Owner
ARRlican
Contractor
TAMARA M FIX
TAMARA M FIX
OWNER IS CONTRACTOR
337 S 327TH LN SW 14C
337 S 327TH LN SW 14C
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electidcai Fixtures'
Circuits - Residential ...................... 5
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Monday, April 28, 2014
Permit Issued on Wednesday, October 30, 2013
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
and the City of Federal Way.
Owner or agent: � G,..�_ 7.5Date: /b - �b - ! 3
r[
AV
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOIN ON-SITE `
Construction In rec�tion Record
INSPECTION REQUE(253) 835-3050
13 -104839 -00 -EL Address: 337 S 327TH LN Unit 14C
TAMARA M FIX FEDERAL WAY, WA 98003-5769
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.
Final - Electrical (4055)
Approved
By " Date M y ( 3
UFER Ground (4295)
0
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
0
Approved
Service (4235)
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By " Date M y ( 3
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way
Approved
Service (4235)
Temporary Power (4275)
Pool Bonding (4195)
Date
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By " Date M y ( 3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER
ELECTRICAL
1: ..46 16 UA . . a •
M
OCT 3 0 2013
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SITE ADDRESS: 22 7t'
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SUITE/UePACE #
PROJECT VALUATION
o
ASSESSOR'S TAX/PARCEL #
l
= L
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
,
PROJECT DESCRIPTION
Detailed description of work to`
be included on this permit only
is
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
NAME
PRIMARY PHONE
(�j?j)
MAILING ADDRESS
7�
E-MAIL
CI STATE ZIPyy�11'�
h � . a—=Q
NAME
F AI
PRIMARY PHONE
( )
MADdNG ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
NAME
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
( )
MULING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
( ) _
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 _NW city as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k: HandoutsUectrical Permit Application