Loading...
13-101417City of Federal way Community & Eoon. Dev. Services 33325 8th Ave S Federal way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Project Name: OGBURN 9legtrical Permit #: 13 -101417 -00 -EL f:._ , i Inspection Request Line: (253) 8363050 Project Address: 35305 191M AVE SW Parcel Number: 926975 0080 Project Description: Adding/altering (1) circuit from main panel to garage door opener Owner GREGORY W OGBURN AIIolicant S M E INC OF SEATTLE Contractor S M E INC OF SEATTLE 3530519TH AVE SW 828 POPLAR PL S SMEINS'066DB (3/2/14) FEDERAL WAY, WA 98023 SEATTLE WA 98144 828 POPLAR PL S SEATTLE WA 98144 Addit oml Pew tt ri�ati©n Is this an Online or O.T.C. application? ................. es Electrical Fbdums Circuits - Residential ...................... 1 Is Use Educational or Institutional?.......................No PERMIT EXPIRES Tuesday, September 24, 2013 Permit Issued on Thursday, March 28, 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 will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. `/ Owner or agent Dater a r" 2 g . ZD I - c Crn,e* Federal'My PERMIT #: Project: • THIS CARD IS TO ON-SITE Construction In ecti4 Record INSPECTION REQ TS: (253) 835-3050 13 -101417 -00 -EL Address: 35305 19TH AVE SW GREGORY W OGBURN FEDERAL WAY, WA 98023-6923 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 0UFER round (4295) 0 Ditch cover (4030) Temporary Power (4275) Slab/Concrete Floor (4 55) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved Date El Pool Bonding (4195) ❑Final Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date 0 Rough Electrical (4225) Ceiling Cover (4020) 0 Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved Date El Rough Electrical Approved ❑Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF Federal Way PERT NUMBER 13 0 ELtCTRICAL' PERMIT AP%ICEAEpON 1o14t7_oo MAR 2 8 2013 f,r"r / ^ r.-. SITE ADDRESS: -35305— l 9 �G' %� 1%C- �✓ r eo� w,q PROJECT VALUATION R'S TAX/PARCEL / — 00 Z — — — (S�j CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) 0a byA44 PROJECT DESCRIPTION Detailed description of work to be included on this permit only �l Ta llpj-q e pWcw�p ,tel •� ai r r�.j S f'ee-c-o— PROPERTY OWNER ELECTRICAL CONTRACTOR APPLICANT NAME ( 0. clll, 1 Ci 0b PRDdARY PHONE (1-06) NAILING ADDRESS 0,--- �1-JG E-MA E-MAIL3513 lop STAT !�rp 3 NAME S FAX ////�� PRIMAAT PHONE y/ (204) 32 / - Lr Ott o MAD 2D 6 -DVA E MAu CITY sT ZIP Fns t�o6)�26-,/ba WA STATE CONTRACTOR'S LICENSE / ERPIRATION DATE 5iVE=[2V5-*0&6N331 i NAME FEDERAL WAY BUSINESS LICENSE N I q-qS- v3611 -0o- 8 L PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX t ) PROJECT CONTACT NAME PRIMARY PHONE t ) 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 the city as a part of this application. SIGNATURE: PRINT NAME: / -Te MQ Bulletin # 160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application