14-104727Cky of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: LANGIS
K ;Electrical
Permit #: 14 -104727 -00 -EL
LEInspection Request Line: (253) 835-3050
Project Address: 32613 16TH CT SW
Project Description: Add circuit for heat pump.
Parcel Number: 010453 0570
Owner
PAUL LANGIS
Applicant
BLACK HILLS INC (ELECTRICAL)
Contractor
BLACK HILLS INC (ELECTRICAL)
32613 16TH CT SW
1003 85TH AVE SE UNIT A
BLACKIR919DL (3/15/15)
FEDERAL WAY WA 98023
OLYMPIA WA 98501-5706
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Addifiionall Per mit�ttt Perm
.W
`" pian
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Eli:Fflre$° .
Circuits - Residential ...................... 1
PERMIT EXPIRES Wednesday, March 11, 2015
Permit Issued on Friday, September 12, 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: g ►a • '1
�`NP`EU
THIS CARD IS T:,®r MAIN ON-SITE
CITY OF Construction Inection Record ry
Federal V1/ay INSPECTION REQS: (253) 835-3050
PERMIT #: 14 -104727 -00 -EL Address: 32613 16TH CT SW
Project: PAUL LANGIS FEDERAL WAY, WA 98023-5438
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.
LIFER Ground ( 5)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4 55)
1:1Approved
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Right of Way -^
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
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
By
Vol Date I -I
K I
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way -^
By
Date
By
Date
By
Date
JkAw RecEir •
SEP 12 2014
"TY OF
� ITY OF FEDERAL WAY
Federal Wa§ CDS
ELEC'T'RICAL
PERMIT APPLICATION
PERMIT NUMBER f q_ / 0'(7 -?- 7 — �j &
SITE ADDRESS: �2(,�1�
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJE1bT NAME
(Tenant or Homeoumer Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
n
PROPERTY OWNER
NAME
PRIMARY PHONE
I't 5'
MAILING ADDRESS // o
E-MAIL
STATE
ZIP
/ FAX
l )
C.
ELECTRICAL
CONTRACTOR
NAME
vc
�vic
PRIMARY PHONE
) - &W
MAIL G ADDRESS
1
E-MAIL
CITY
STATE
I ZIP
FAX
WAATATE CO RACT R'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
�L-'--3'aAc
PRIMARY PHONE
10� )
MAILIN�A G
(lX e VuC.J.IU VJWI,Lt�:li l
CITY
(V�
STAT}E/�
W1
2IP
V
FAX
)
PROJECT CONTACT
NPRIMARY
PHONE
003 _
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. 1 certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 1 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 iR-c,(aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied to a city as a part of this application.
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Bulletin #160 — January 1, 2013 Page 1 of 2 k: flandouts\Electrical Permit Application