15-105733City 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: MCCOLGAN
Project Address: 32603 6TH AVE SW
Project Description: Replacement of 0-200 ampp electric panel
. Electrical
Permit #: 15 -105733 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926490 2200
Owner
Applican
Contractor
DAVID MCCOLGAN
DAVID MCCOLGAN
OWNER IS CONTRACTOR
32603 6TH AVE SW
32603 6TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
PERMIT EXPIRES Sunday, May 8, 2016
Permit Issued on Tuesday, November 10, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and will be in dance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date:0 i�
- r
1r 7
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO RE ON-SITE f
Construction Inspe ion Record
INSPECTION REQUESTS: (253) 835-3050
15 -105733 -00 -EL Address: 32603 6TH AVE SW
DAVID MCCOLGAN FEDERAL WAY, WA 98023-5623
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
B G"
Date1'' S
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)El
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B G"
Date1'' S
Pool Bonding (4195)
Temporary Power (4275)El
Service (4235)
Final Electrical
Approved
Approved
Approved
Approved
By
Date
By
By
Date
By
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B G"
Date1'' S
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
L
CITY OF
Federal Way
PERMIT NUMBER 6 _ ( 0 � 73� 00
ELECTRICAL
A Ina J, 1.. •
NOV 10 2015
CITY OF FEDERAL WAY
f f
SITE ADDRESS:372-UO-3 JC'U i �e.olz f a 1 �j (fid i`� q
C.�
sulTF/Uk40A0PACF #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
\ `�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
,�(� �_
PRIMARY PHONE
(ZG Z) -4tq - (56,4
MAILING ADDRESS
E-MAIL
e t
CITY
STATE
ZIP
FAX
W Pr
2160225
( )
NAME
// PRIMARY PHONE
l )
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
J tvy�� ��
PRIMARY PHONE
Z�2 )`�
ADDRESSMAILING � 5W
r"Ear
A�iqu
CITY
,S'T'ATE
ZIP /`)r7
FAX
PROJECT CONTACT
NAME'
PRIMARY PHONE
UA,)I q - q 56+
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 cla' which may be made by any person, including the undersigned, and filed against the city,
but only where srWh�ru arises out t� eliance of the city, including its officers and employees, upon the accuracy of the
information Supp ed to the ci as a pg of his lication.
SIGNATURE:
PRINT NAME: I
Bulletin # 160 —January 1, 2013
CA,
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