15-100176. 1k, 9
City of Federal Way
Community & EcDn. Dev. Services
33325 8th Ave S
federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHERLES
Project Address: 29830 23RD AVE SW
Project Description: Installation of rooftop PV system.
•
electrical
Permit #: 15 -100176 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 012103 9152
Owner
Applicant
Contractor
GREG SHERLES
SUNERGY SYSTEMS INC
SUNERGY SYSTEMS INC
2515 S 283RD PL
4546 LEARY WAY NW
SUNERSI905D4 (4/9/16)
FEDERAL WAY WA 98003
SEATTLE WA 98107
4546 LEARY WAY NW
SEATTLE WA 98107
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, August 2, 2015
Permit Issued on Tuesday, February 3, 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: Date:
CITY of 40&
-
Federal Way
PERMIT #:
15 -100176 -00 -EL
THIS CARD IS TOrTS:
ON-SITE
Construction Inon Record
INSPECTION REQ3) 835-3050
Address: 29830 23RD AVE SW
Project: GREG SHERLES FEDERAL WAY, WA
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)
13
Ditch cover (4030)
0
Slab/Concrete Floor (425r)—
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
0
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 `
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
V
cmr of 'A
Federal Way
46 Recervev
JAN 13 2015
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER / 15 — 1' O O / 7 ( —
SITE ADDRESS: ,� 9B 2 3 r� A ve Su✓ .
D
SUITE/UNIT/SPACE#
PROJECT VALUATION
$ t� SOCA.'0J
ASSESSOR'S TAR/PARCEL #
0
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Q r
' n4er
jC
PROJECT DESCRIPTION
IW41, 1 q CAltC
yI c n
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME /
6jreoj )e -S
PRIMARY PHONE
(2s3 ) ZZ/ - 277 7
MAMING ADdk&SS
,27830 23` V
E -MAD.
Taer x.c
CITY
Vorr4j
STATE
ZIP
-3
FAX
NAME C
5wner,
PRIMARY PHONE
(Z°(. )S7/ -M.
MAIL ADD
`l S `i6 1 r r LA/q
E-MAIL
7p►, t@ne S Stews.
ELECTRICAL
CONTRACTOR
CITY
�ea
STATEzIP
%JCA
$l0
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE #
Sus-er-g 050
EXPIRATION DATE
q / ? i/5 -
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
~ L `I n — 5« n a r
S S wI
PRDAARY PHONE
(2e G) S 71 _ `ll 7,2 6
ADDRESS
M/
`/ G r 6✓a 1� 1�i
E-MAIL.ING
E -MA
- n n /,Q �u u• drtwS
CITY I f
STATE
ZIP
AR
PROJECT CONTACT
NAME
PRIKARY PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 flied 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.
SIGNATURE:
PRINT NAME: 1701 (1q
i/.iI��.5--
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application