15-104311 4041.„11\,„.. ELECTRICAL
CITY OF
Federal Way PERMIT APPefovi' N
PERMIT NUMBER 3 _
0 C 00 AUG 2 5 2015
— — — — CITY OF FEDERAL WAY
CDS
SITE ADDRESS: Ao j ti,•+Y 5� SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S yam'-'' -
PROJECT NAME AT-
(Tenant or Homeowner Last Name) L/I` jam' l T-i/e +4#
l'fj fAi"c�a' CL:'r 7� °,/,i-w./ lra✓ ---
PROJECT DESCRIPTION f /
Detailed description of work to
be included on this permit only
NAME - j PRIMARY PHONE
PROPERTY OWNER
NAME;
,'f uj� r r cJ •— p/) r4:+'" l s (? , ''f /JC-5 ,
MAILIN/G"ADDRESS AE-MAIL
\1°0'
CITY /, 1 STATE ZIP FAX
NAME le PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL (L') `" C ( 7 -)
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
i 5e . eI•7 i- Cb / __:?C'/ /6,
NAMEPRIMARY PHONE
1 et Tr 4,1..;,t.;„..)0-1 ( ) -
APPLICANT
MAILING ADDRESS E-MAIL
120 !-eY (3.37 -)
CITY STATp ZIP FAX
tiejA /L ) W - 79.c). ( ) -
PROJECT CONTACT RAL PRIMARY PHONE
�C(v4,cl r.i (Z5 )K7 " - /es, )
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 a part of this application.
•
7 , /SIGNATURE: "t; „,,..,-4,---1.—
DATE / 2 ( r
PRINT NAME: �`1— 7 --1-4)1(._,(r c
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application
0 Electr calr"
City of Federal Way Permit #: 15-104311-00-E L
Community&Econ.Dev.Services `
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 fax (253)835-2609 Inspection Request Line: (253)835-3050
:
Project Name: HERITAGE CONDOMINIUMS ,. }�
Project Address: 105 S 340TH ST Unit B Number 325945 0740
Project Description: Change out 100 amp panel.
e•
OwnerApplicant Contractor
SANDRA GRADY-MCFARLIN M S E ELECTRIC M S E ELECTRIC
105 S 340TH ST UNIT BPO BOX 13327 MSEELE*874L8(7/2/17)
FEDERAL WAY WA 98003-6605 DES MOINES WA 98198 PO BOX 13327
DES MOINES WA 98198
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(Is 1
PERMIT EXPIRES Tuesday, February 23, 2016
Permit Issued on Thursday, August 27, 2015
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
rite C' Federal Way.
Owner or agent: Date:
r
` • THIS CARD IS TO MAIN ON-SITE - - w
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-104311-00-EL Address: 105 S 340TH ST Unit B
Project: SANDRA GRADY-MCFARLIN FEDERAL WAY, WA 98003-6614
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) ❑ Ditch cover(4030) -❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date 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) ip Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Date O_ _
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date