14-104073 •
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City of Federal Way Permit #: 14-104073-00-EL
Community
y&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: YOSIIIMOTO �,‘b&‘
Project Address: 30140 2ND PL SW Parcel Number: 233730 0440
Project Description: Installation of roof-mounted photo-voltaic system;interconnect via 25-A breaker in main
panel; upgrade electrical panel to 200-A; replace mast&meter.
Owner Applicant Contractor
CATHERINE KAYO YOSHIMOTO JON LANGE SUNERGY SYSTEMS INC
30140 2ND PL SW SUNERGY SYSTEMS INC SUNERSI905D4(4/9/16)
FEDERAL WAY WA 98023-3971 4546 LEARY WAY NW 4546 LEARY WAY NW
SEATTLE WA 98107 SEATTLE WA 98107
•
Additional Permit Information
Is this an Online or O.T.C.application No Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Mast or Meter Repair(Residential/ 1
PERMIT EXPIRES Sunday, March 1, 2015
Permit Issued on Tuesday, September 2, 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 ill b i a rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: -� Date: q 2
• r , THIS CARD IS TO IN ON-SITE t
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-104073-00-EL Address: 30140 2ND PL SW
Project: CATHERINE KAYO YOSHIMOTO FEDERAL WAY, WA 98023-3971
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.
CI Ditch cover(4030) 0 Slab/Concrete Floor(4255) Ei Pool Bonding(4195)
Approved Approved to place concrete Approved
By Date By Date By Date
o Service(4235) ❑ Feeders/Sub-panels(4045) El Rough Electrical(4225)
Approved Approved Approved
By C -J Date c ,,t iet..._/..4 By Date By Date
El Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved
By Date By a` ik,., Date cv_tclLI
I Rough Electrical Final Electrical1:1 Right of Way
Approved Approved Approved
By Date By Date By Date
• RSD
CITY OF
AUG 12 2014 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
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PERMIT NUMBER / `y _ 6 y 0 /3_ J_ V
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(sSUITE/UIfIT/SPACEM
BITE ADDREBB: 1 �J\�,J
PROJECT VALUATION ASSESSOR'S TAX/PARCEL a CURRENT/PROPOSED USE
$ II �'oo a 337 & 0 - O c/ o
PROJECT NAME Si(Tenant or Homeowner Last Name) V0 1; (IC f 0
PROJECT DESCRIPTION /k S/4// roc'f "Ica v1 k.ti No fr.V o i'fG{C_ Sy S ,rr%
Detailed description of work to l N,i<e- co el et(2.v..j. V i 4 2 S-A g rr�r i'� .:.1
be included on this permit only
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sic=w M C fl A J- A4.4-s 7
NAME PRIMARY PHONE
PROPERTY OWNER ( 0 rkr. vSINL A"e)Jb (6r° )67g - `1270
MAILING 3014eRE552�cr L E-MAIL
CITY STATE ZIP FAX
PldeiCk tv-itf y/1 ?07., 3 ( ) -
N PRIMARY PHONE
o� > SrS (2.0 )571 - `172.6
E-MAIL
ELECTRICAL LIS-96 Leary Welt lwf 120.1L.6S...�n 4,_r seg Sle's ic.irn.�
CONTRACTOR CITY ( STAp ZIP fAX
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A STATE CONTRACTOR'S LICENSE t EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
fide( 1100 bti '1 ' ? '/C
NAME PRIMARY PHONE
APPLICANT JO n a "),...72_ ( )c7( "17 e 6
MAILING ADDRESS [ ,IcE-MAIL
48'416 Leary `r ry •� STATECITY MP FAX
SAC4WPIO wA ` ?(c)? ( ) -
NAME- PRIMARY PHONE
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PROJECT CONTACT ^ LG v7C) (Zee )S7( -/72-4
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 suppliedto the •, apart of this application.
SIGNATURE: Air,.
' DATE g 'i i y
PRINT NAME: _, -73-6 4 / e"T K,c
Bulletin#160-January 1,2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application
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