14-101773}
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LEWIS
Project Address: 30019 4TH AVE SW
Project Description: Adding (1) circuit for jacuzzi tub install
1 I ,Electrical
Permit #: 14 -141773 -40 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720500 0030
Owner
Anglican
Contractor
ENOCH LEWIS
EAGLE ELECTRIC OF AUBURN LLC
EAGLE ELECTRIC OF AUBURN LLC
30019 4TH AVE S
PO BOX 1422
EAGLEEA911LC (6/6/15)
FEDERAL WAY WA 98023-3515
AUBURN WA 98071
PO BOX 1422
AUBURN WA 98071
Is this an Online or O.T.C. application?.................Yes
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Tuesday, October 14, 2014
Permit Issued on Thursday, April 17, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:"
TMS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUIOTS: (253) 835-3050
PERMIT #: 14 -101773 -00 -EL
Project: ENOCH LEWIS
Address: 30019 4TH AVE SW
FEDERAL WAY, WA 98023-3515
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.
Final - Electrical (4055)
Approved
ByDate
Rough Electrical Final Electrical Right of Way
Approved Approved 0 Approved
By Date j By Date By Date
UFER Ground (4295)Ditch
0
cover (4030)
0
Slab/Concrete Floor (4 55)
0
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
ByDate
Rough Electrical Final Electrical Right of Way
Approved Approved 0 Approved
By Date j By Date By Date
0
Temporary Power (4275)
0
Service (4235)
0
Pool Bonding (4195)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
'0
Rough Electrical (4225)
0
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
ByDate
Rough Electrical Final Electrical Right of Way
Approved Approved 0 Approved
By Date j By Date By Date
CITY OF
Federal Way
PERMIT NUMBER _ 1 0 ( _ 00
ELECTRICAL
PERMIT APtk"TION
APR 17 2014
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SITE ADDRESS: 30011 114 /j L' -c SLJ
1.L7!qT/SPACE.
PROJECT V�lA�LUUATION
$ �(/"2
ASSESSOR'S TAX/PARCEL f Q 0
:7Z U 5 V U_ 0
— — — — — — — —
CURRENT/PROPOSED USE
PROJECT NAME
Le!
(Tenant or Homeowner Last Name)
S
re
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
LL �S
PRIMARY PHONE
(3� 5 _�
MAILING ADDRESSI (�
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EMAIL
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NAME
PRIMARY PHONED
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MAILING ADDRESS
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CONTRACTORCI
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE
C-41 E,11M& lS
FEDERAL WAY BUSINESS LICENSE N
6 130
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
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PROJECT CONTACT
NAMELe v.,
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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 ci as apart of this applicat,
SIGNATURE: DATE
PRINT NAME: S �_
Bulletin # 160 —January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application
itIEIVED
Ak
ELECTRICAL
CRY OF
Federal Way � � F 0 2ot3 PERMIT APPLICATION
CI -Ty OF FEDDS�L WAY
�
PERMIT NUMBER 21-3 - / C� f ` - (�/ 0
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 apart of this application.
/f /
SIGNATURE • �..� s a�L �� '�C L`' a L ... DATE
PRINT NAME:iE nt
Bulletin #160 —January 1, 2013 Page 1 of 2 UklandoutsTlectrical Permit Application
SUITE/UNIT/SPACE f
SITE ADDRESS:C�
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PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROD CT NAME
'
(Tenant or Homeowner Last Name))
'
k
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
V "'1 ti 2
MAILING ADDRESS
E-MAIL
CITY
STATE
ZtP
FAX
NAME
' PT,1#ARY HONE
MAILIWO ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAI
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
-
APPLICANT
MAILING ADDRESS
E-MAII,
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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 apart of this application.
/f /
SIGNATURE • �..� s a�L �� '�C L`' a L ... DATE
PRINT NAME:iE nt
Bulletin #160 —January 1, 2013 Page 1 of 2 UklandoutsTlectrical Permit Application