14-106202C
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
# s
electrical
Permit #: 14 -106202 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: COLONIAL FOREST CONDOMINIUM BLDG 5 UNIT 5
Project Address: 136 S 324TH PL Bldg 5
Parcel Number: 169730 0280
Project Description: Replacing existing electric baseboard heaters throughout and addinglaltering (1) circuit for
one new baseboard heater
Owner
A1212lican
Contractor
JANINE R BARBER
JANINE R BARBER
OWNER IS CONTRACTOR
136 S 324TH PL UNIT 55
136 S 324TH PL UNIT 55
FEDERAL WAY WA 98003-5786
FEDERAL WAY WA 98003-5786
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Tuesday, June 2, 2015
Permit Issued on Thursday, December 4, 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
and the City of Federal Way.
Owner or agent: Date: [Z-1141 I
CITY OF
Federal Way
T�EIIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -106202 -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.
0
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
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
C Date ,�
By
Date
Final - Electrical (4055)
Approved
By
Date w
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
EI&CTRICAL
CITY OF
Federal Way PERMIT APPLION
PERMIT NUMBER I _ ( V (40 Z 0 2— O O DEC Of 2014
CITY OF FEDERAL WAY
(�L-
SITE ADDRESS: / j 32 4 �' ` ,.
SUITE/UNIT/ S
PROJECT VALUATION
ASSESSOR'STAX/PARCEL t
CURRENT/PROPOSED USE
W
s
1 -
PROJECT NAME
8AIZ-f-55--
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
�G r i V1e-`�` �
PRIMARY PHONE
(-�53) 51 - 333
MAILING ADDRESS
13 l9 S. 3Z ' ��esZ�
E-MAIL
j AC2e,,-(LV l_,c0
CITY
STATE
ZIP
FAR
NAME `
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME `j
'`'
PRIMARY PHONE
-
MAILING ADDRESSE-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 the city as apart of this application.
$1 NA DATE v
r
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Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Ilandouts\Electrical Permit Application
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