14-102811f �
A1212lican
City of Federal Way
JANINE R BARBER
Community & Econ. Dev. Services
FILE
33325 8th Ave S
5329 LEMON RD NE
Federal Way, WA 98003
FEDERAL WAY WA 98003-5786
Ph: (253) 835-2607 Fax: (253) 835-2609
5329 LEMON RD NE
Project Name: COLONIAL FOREST CONDOMINIUMS
Project Address: 136 S 324TH PL Unit 55
Project Description: Installation of surge protector at panel.
Electrical
Permit #: 14 -102811 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 169730 0280
Owner
A1212lican
Contractor
JANINE R BARBER
SHOCKING DIFFERENCE LLC
SHOCKING DIFFERENCE LLC
136 S 324TH PL UNIT 55
5329 LEMON RD NE
SHOCKDL938KB (5/2/15)
FEDERAL WAY WA 98003-5786
OLYMPIA WA 98506
5329 LEMON RD NE
OLYMPIA WA 98506
Additional Permit information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Is Use Educational or Institutional?.......................No
Electrical Fixtures'
Circuits - Multi -family ................... 1
PERMIT EXPIRES Wednesday, December 10, 2014
Permit Issued on Friday, June 13, 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 in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent:& L��uDate: .5-/-/ 3 / L 2
r-INALED
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #:
14 -102811 -00 -EL
Address: 136 S 324TH PL Unit 55
Project: JANINE R BARBER FEDERAL WAY, WA 98003-5700
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.
11 Final - Electrical (4055)
Approved
By V/lj Date Lo 2-a
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By V/lj Date Lo 2-a
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)El
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By V/lj Date Lo 2-a
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
'-% %
E CT'RICAL
CITY OFl }I+
Federal Way -L 3 Z014 PERMIT APPLICATION
CITY OF FEDERAL WAy
PERMIT NUMBER IV— _ 9 7� _ g
SITE ADDRESS: j i jZ y A -A /0lc c-
SUITE/UNIT/SPACE #
55
PROJECT VALUATION
ASSESSOR'S TAX PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
/fit (�,,
/� X O'`I F00� C�"�
(Tenant or Homeowner Last Name)
G l�! a,,-�7er v
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
J 9&r6 e rc3)
PRIMARY PHONE
5/7 — 3339
MAILING ADDRESS
1_3G S, Pla..c Q
E-MAIL
CITY
C cyllerr.[-
STATE
I ZIP
FAX
NAME � � /}�e
S zoc '/til rlL c
PRIMARY PHONE
may- grZ1Z
MAILING ADDRESSV67E-MAIL
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ELECTRICAL
C�
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �
6 f_ ,e !V C
c �f ( IC
PRIMARY PHONE
c 3 ) 7�y LfSYZ
APPLICANT
MAILING ADDRESS
E-MAIL
CITY/ ..
1 1 G
STATE
Gr.
ZIP
IC ys-0C—
FAX
( , -
PROJECT CONTACT
NAME FPRIMARY
Gt f� Cl f^ d� l-
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.
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SIGNATURE:
PRINT NAME:
Bulletin #160 – January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application