18-102156City of Federal Way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 8352609
Project Name: GREER
Project Address: 35104 19TH AVE SW
Project Description: 200 -amp service upgrade.
Electrical
Permit #:18 -102156 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 795630 0050
Owner
Applicant
Contractor
DWAYNE GREER
ERIC HOOVERSUPERIOR ENGINEERING
SUPERIOR HVAC & ELECTRICAL
35104 19TH AVE SW
SERVICES
(ELECTRICAL)
FEDERAL WAY WA 98023-6915
14900 INTERURBAN AVE S
SUPERHE869LQ (6/18/18)
SEATTLE WA 98168
14900 INTERURBAN AVE S
SEATTLE WA 98168
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
t �r € r �� M/
IN 11,
k. �yf• �°"' 4 ,i �, % Et ✓ E „
Alt. Serv./Feeder: 1 to 200 .
PERMIT EXPIRES Tuesday, 21 May, 2019
Permit Issued on Monday, May 21, 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 t e City of Federal Way.
Owner or agent: Date: ��1 —1k
F
THIS CARD IS TO REMAIN ON-SITE
C" OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102156 00 Address: 3510419TH AVE SW
Project: DWAYNE R GREER FEDERAL WAY WA 98023-6915
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
E
UFER Ground (4295)
n
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
0
Approved
Approved
IBY
Approved to place concrete
By
Date
By
Date
By
Date
4 Pool Bonding (4195) ID
Approved
By Date I By
Temporary Power (4275) ® Service (4235)
Approved Approved
Date Illy Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
0
Approved
Approved
IBY
Approved
By
Date
By
Date
Approved
Date
1tl Final - Electrical (4055)
Approved *—�
Date / 1/1a
Rough Electrical
Final Electrical
0
Right of Way
Illy
Approved
Awed
Approved
Date
By
Date
By
Date
40k
CITY OF
Federal Way
RECEIVED
ELEC'T'RICAL
MAY 21 2018 PERMIT APPLICATION
PE"M�VDA&MW
PERMIT NUMBER / _ /.0 / 56 __6L,
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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.
SIGNATURE:
PRINT NAME:
Bulletin 4 160 —April 14, 2016 Page 1 of 1 k:AHandouts\Electrical Permit Application
SUITE/UNIT/SPACE#
SITE ADDRESS: 36 � J �/�! I M" ke 5�
PROJECT VALUATION
ASSESSOR'S TAIL/PARCEL #
CURRENT/PROPOSED USE
$ q( "
-7 3 0- U O S O
PROJECT NAME
(Tenant or Homeowner Last Name)
r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
0t&)ct n e_ Gree,v`
PRIMARY PHONE
(Z53) 30y - 16 8'
MAILING ADD�REE S
6' rV-4 ITh-' /Ty^� vo—
E-MAIL
CITpYrrrr,,..�S�TATT/.E/�.
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
' FOZoO
E-MAIL
ELECTRICAL
CONTRACTOR
CITY ��
16 Vn
STATE
"
ZIP
11666 Z
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
�a
FEDERAL WAY BUSINESS LICENSE #
,z- -C&-
NAME
PRIMARY PHONE
APPLICANT
66en
(&L)7L1_3-7460
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
(( FAX
1 )
PROJECT CONTACT
NAME
�,
PRIMARY PHONE
( 3) 9-6 - )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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.
SIGNATURE:
PRINT NAME:
Bulletin 4 160 —April 14, 2016 Page 1 of 1 k:AHandouts\Electrical Permit Application