14-105236 • ` Electrical
' CityofcWay Permit #: 14-105236-00-EL
Commun' &Econ.
D ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax (253)835-2809 p a
Project Name: RUSTEN '7
Project Address: 29915 2ND AVE SW Parcel Number: 513700 0170
Project Description: 0-200 amp panel replacement
• Owner Applicant Contractor
ARNFINN RUSTEN CHARLES DEAN ELECTRIC LLC CHARLES DEAN ELECTRIC LLC
29915 2ND AVE SW 28107 20TH AVE S CHARLDE930LQ(6/18/15)
FEDERAL WAY WA 98023-3508 FEDERAL WAY WA 98003 28107 20TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, April 7, 2015
Permit Issued on Thursday, October 9, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
• the occupancy and the us- •I be in accordance with the laws, rules and regulations of the State of Washington
oora e City o =deral Way.
Owner or age /�r.�r �■i Date: / 9
THIS CARD IS TO : , I ON-SITE
CITY OF
:01•.
* Construction In . ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-105236-00-EL Address: 29915 2ND AVE SW
Project: ARNFINN RUSTEN FEDERAL WAY, WA 98023-3508
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . 4
❑ Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date , By ��LL._, Date, G..110_1
•
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
El Final-Electrical(4055)
Approved
By Date L Q 4 lg 1 1.'
j Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
E 'TRI AL
CITY OF C C
Federal Way PERMIT APPLICATION
ENED
PERMIT NUMBER 14 _ l 0 5 2 3 _ 00 0 C T 0 9.2 014
etUS NI ( ACE# I-WAY
SITE ADDRESS: 2../1/ S Z/N r.
1.1 a VG S %DS
PROJECT VALUATION ��� ASSESSOR'S�PAR # �� - 0 ( � CURRENT/PROPOSED USE
5
PROJECT NAME r ,� �
(Tenant or Homeowner Last Name) ZV
'Re Glace. Za8 Q 4 P PAivc L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Ar'NS I ADA) Q 05' eN ( ) -
MAILING ADDRESS E-MAIL
299/5 Z A2D o c FL)
CITY STATE ZIP FAX
cter)erc&L taj4y ( )
-
NAME • PRIMARY PHONE
GLartes DCA"' e(ec r r1C.. (2S3))09 - r'394
MAILING ADDRESS E-MAIL
ELECTRICAL Z»$t07 2e1 I► dk✓e S
CONTRACTOR CITY STATE ZIP FAX
c'e crgt. Ocky GA 500 3 ( ) -
WA STATE CONTRACTOR'S LIC SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
G14 art De-93044 � 07.103319.-00-8L
NAME PRIMARY PHONE
APPLICANT ��a",e'", 2.\......„ ( ) -
MAILING ADDRESS E-MAIL
MAI se. z
CITY - STATE ZIP FAX
igFaiV7 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT C(i QteLe 5 (83)tQ - ,39e
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 ,•• ica .n. /
SIGNATU- . e DATE( 0/79
IIV
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Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application