17-105073Electrical
City of Federal way Permit #:17 -105073 -00 -EL
Community Development Dept -
33325 8th Ave S
Federal Way, WA 99003 Inspection Request Line: (253) 835-3050
Ph: (253) 8355-2607 Fax: (253) 835-2609
Project Name: RIPPENTROP-DWINNEL
Project Address: 112 S 293RD ST Parcel Number: 720250 0110
Project Description: Electrical work to include adding circuits for microwave and kitchen island. Upgrade the
existing lighting in kitchen. Add outlets in Kitchen island and connect new furnace, kitchen
range and heat pump.
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 6
PERMIT EXPIRES Saturday, 20 October, 2018
Permit Issued on Fridav, October 20, 2017
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. l i�
Owner or agent: w Date: 0/ dv 6
F�NA�FO
Owner
Applicant
Contractor
ROXANNE RIPPENTROP-DWINNEL
ROXANNE RIPPENTROP-DWINNEL
OWNER IS CONTRACTOR
112 S 293RD ST
112 S 293RD ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
USA
USA
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 6
PERMIT EXPIRES Saturday, 20 October, 2018
Permit Issued on Fridav, October 20, 2017
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. l i�
Owner or agent: w Date: 0/ dv 6
F�NA�FO
'THIS CARD IS TO REMAIN ON-SITE
cr"a Construction Inspection Record
Fed eml Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17105073 00 Address: 112 S 293RD ST
Project: ROXANNE RiPPENTROP-DWINNEL FEDERAL WAY WA 98003
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)
®
0
Ditch cover (4030)
Service (4235)
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
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
Date I
By -
Date
10 Final - Electrical (4055)
Approved
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY of A
Federal Way
RECEIVED
OCT 2U 2p17 PERMIT APPLICATION
CITY OF FEDERAL WA'
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PERMIT NUMBER V
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
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 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 apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 –April 14, 2016
Page 1 of 1
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