13-102638 RECEIVED
AIL ELECTRICAL
CITY OF JUN 1..7 2013
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
I 2 CDS
PERMIT NUMBER _ 1 ° Z � ./ 8" 0 0
SITE ADDRESS: SUITE/UNIT/SPACE
PROJECT VALUATION SOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) (9 -4 c �
PROJECT DESCRIPTION 04-4!,'d4.6 �/4 ,Oc/� �O r- -le
Detailed description of work to
be included on this permit only
NAME - \p- PRIMARY PHONE
PROPERTY OWNERLe
i ��1�0y� O f7cl ( )
MAILING ADDRESS C� 1 E-MAIL
CITY / STATE ZIP FAX
t '11e{4 C Vj �Cf' Z 2 r ( )
NAME PRIMARY PHONE
/r'Ke_ /IA t4 l ( ) -
MAILING ADDRESS / E-MAIL
ELECTRICAL _1 CCU /:( A '' A r _
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMEPRIMARY PHONE
APPLICANT i?Ir ll4 CL et'` ( )
MAILING ADDRESS \nn\ E-MAIL
5``
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAME '' L PRIMARY PHONE
( ) q2-- /r✓c-
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 thehecity as a parts offtthis
_application. I
•
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SIGNATURE:
DATE
PRINT NAME: j/ in914b ✓1 ki61-..
Bulletin#160—January 1,2013 Page 1 of 2 k:Aiandouts\Electrical Permit Application
Electrical
City of way
mk "' Permit #: 13-102638-00-E L
Com unity &Econ. con. Dev. Services r � -� ��
33325 8th Ave S
Federal Way, WA 98003 �a Inspection Request Line: (253) 835050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: O'BRIEN
Project Address: 35605 8TH AVE SW Parcel Number: 440560 0191
Project Description: Altered 0-200 amp service for associated detached garage addition
Owner
AApplican
Contractor
LEIGHTON O'BRIEN
LEIGHTON O'BRIEN
MIKE HAHN ELECTRIC
35605 8TH AVE SW
35605 8TH AVE SW
MIKEBBE923DJ (3/12/14)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
214 SW 66TH AVE NE
TACOMA WA 98422
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Is Use Educational or Institutional? ....................... No
No Fixtures Associated With This Permit t1
PERMIT EXPIRES Saturday, December 14, 2013
Permit Issued on Monday, June 17, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
l
FINALED
�&
federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -102638 -00 -EL
Address: 35605 8TH AVE SW
Project: LEIGHTON O'BRIEN FEDERAL WAY, WA 98023
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)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Dated `I �^
Date��
By Date
0 Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Service (4235)
Approved
By Date
0 Feeders/Sub-panels (4045) 0 Rough Electrical (4225) Ceiling Cover (4020)
Approved Approved Approved
By WVj Date l 114 By V-4 Date ( $' ((y By Date
Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date