15-100570I
Electrical
tCity of Federal Way
Community & Econ. Dev. Services Permit #: 15 -100570 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 FILE Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: LAVERGNE '0
$7a
Project Address: 30024 8TH AVE SW Parcel Number: 062104 9026
Project Description: 100 amp like for like panel change
Owner
Aonlicant
Contractor
IMPERIAL CS I LLC
MARVIN OWENS
SOLARSIDE ELECTRIC LLC
8180 E KAISER BLVD
SOLARSIDE ELECTRIC
SOLAREL901JW (4/16/16)
ANAHEIM HILLS, CA 92808
218 125TH ST S
218 125TH ST S
TACOMA WA 98444
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Tuesday, August 4, 2015
Permit Issued on Thursday, February 5, 2015
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: 14 lit�`y Date: 2-
V`NP�EO
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction I ection Record .
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 15 -100570 -00 -EL Address: 30024 8TH AVE SW
Project: IMPERIAL CS I LLC FEDERAL WAY, WA 98023-8203
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.
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
PERMIT NUMBER —
FEB 0 5 2015
CITY OF FEDERAL WAY
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ELECTRICAL
PERMIT APPLICATION
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PROJECT VALUATION
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME ._ /a
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
oIC4rel 41116 116 i iC
FEDERAL WAY BUSINESS LICENSE #
NAME
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PRIMARY PHONE
APPLICANT
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PROJECT CONTACT1
NAME
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PRIMARY PHONE
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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 Iocal, state, or federal laws regulating
construction or environmental taws.
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.
j
SIGNATURE: �Z �1 • DATE `
PRINT NAME: Cil
Bulletin # 160 – January 1, 2013 Page 1 of 2 k:\J-Iandouts\Electrical Permit Application