18-102819 Electrical
City of Federal way Permit #:18-102819-00-EL
Community Development Dept
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: BUCKHOLZ
Project Address: 513 SW 305TH ST Parcel Number: 178890 0170
Project Description: Service change out 200 amp
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•
Owner Applicant Contractor
JENNIFER BUCHOLZ CHARLIE MCHENRYTAYLOR CREEK TAYLOR CREEK ELECTRIC
627 SW 294TH ST ELECTRIC LLC
TAYLOCE905BJ(1/11/20)
FEDERAL WAY WA 26314 SE 237TH ST
98023-3541 MAPLE VALLEY WA 98038 26314 SE 237TH ST
MAPLE VALLEY WA 98038
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt.Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Thursday,27 June,2019
Permit Issued on Wednesday,June 27,2018
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 oragent: --- Date: Co J i g
1
•
4ATHIS CARD IS TO REMAIN ON-SITE
Fecleral Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 102819 00 Address: 513 SW 305TH ST
Project: JENNIFER BUCHOLZ FEDERAL WAY WA 98023-3952
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.
r--.1
UFER Ground(4295) El Ditch cover(4030) ; 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date �\By Date ; By Date
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
.By Date L',4By Date BY A,,,•, Date LN-2Gc—l 21(
El Feeders/Sub-panels(4045) •' ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
.By bate i.By Date •.BY Date
® Final-Electrical(4055)
Approved
By r.cry,.-., Date jo,.1 Q....l .
I
0 Rough Electrical 0 Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way
JUN 2* 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY I F ( 0 Z 8 f Ci CO
COMMUNfTY DEVELOPMENT PERMIT NUMBER _ / -
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 ) 3 5 uNl 335 57--
PROJECT VALUATION ASSESSOR'STAXkRC ci 0 0 ( 7...._c:-.) CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) 6......_.c.k-h o I -Z
e•): Chwlyi____ ((a:3 A -E-7, �A-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 5,.),.?(C--t,,I &__c ho 1 Z ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
352MAy(oc C-sr-e_.-e.LA__ . ...t-e.cA-r C (2' te ) 334 - 1362-
MAILING
ILING ADDRESS E-MAIL
ELECTRICAL 2t4 3 H SE 23---rt' S f
c,karICS II'I caCn r^N WCLYKV34<<4.T
CONTRACTOR CITY STATEZIP FAX
r kb U'u.lLr.r Lio 9'ga 38 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-"nes,'1(1-oC E 9 DS 0 7 1 / 1 l /20
NAME PRIMARY PHONE
APPLICANT S A rvL' ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAMEPRIMARY PHONE
PROJECT CONTACT
C.- v-I c6-ks"to (2clp ) 3 341 - /3 SZ
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.
SIGNATURE — DATE (-P /.2-7(7UIO7
PRINT NAME: C.- -r )re-- MCI-ft/wit
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application