18-102384L�t>~ical
City C..'3' Development Permit #:18 -102384 -00 -EL
Coawunity Development Dept.
33325 8th Ave S
Federal Way, WA 98008 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fac (253) 845-2609
Project Name: LEI*TCH/HUN
Project Address: 827 SW 305TH ST Parcel Number: 178870 0100
Project Description: Install (1) 20A GFCI circuit for new septic pump.
Owner
Applicant
Contractor
STEVEN J LEETCH
STEVEN J LEETCH
OWNER IS CONTRACTOR
325 WASHINGTON AVE S #I95
325 WASHINGTON AVE S #195
KENT, WA 98032
KENT, WA 98032
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
CONDITIONS:
Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump. New septic & effluent tanks containing electrical wires and equipment MUST be
inspection and approved PRIOR to being loaded with sewage. (Per 29646B-501-001(b)(7)WAC)
PERMIT EXPIRES Saturday,1 June, 2019
Permit Issued on Fridav, June 1, 2018
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
and the City of Federal Way.
Owner or agent: Date:
FINALED
THIS CARD IS TO REMAIN ON-SITE
crrvo014& Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102384 00 Address: 827 SW 305TH ST
Project: STEVEN 3 LEETCH FEDERAL WAY WA 98023-8234
1411 ,.G
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.
El
UFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
1BY
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
1BY
Approved
Approved
By
Date
By
Date
By
Date
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical 4055)
Approved /�LL
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date,
By
Date
RECEIVED ELEC'T'RICAL
CITY OF
Federal Way JUN 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
WMMUNffY DEVELOPMENT r ,
PERMIT NUMBER _ 2 3 k W
SITE ADDRESS!,.,
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 75`—
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
M - 017
MAILING ADDRESS
E-MAIL
0
CITY
STATE
ZIP
FAX
AME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
') 9 - 0
MAILING ADDRESS
.ST /1/ W
` E-MAIL
Si o � eI(,
CITY
u �a.rJ
STATE
l rli
ZIP
9KZ)
FAX
-
PROJECT CONTACT
NAME
PRIMARY PHONE
c�U4) 37;Z-S�o s'
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 tis application.
SIGNATURE: '`` DATE V -
PRINT NAME:
Bulletin 4160 — April 14, 2016 Page I of 1 k:AHandouts\Electrical Permit Application
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