14-105411a 1
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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electrical
Permit #: 14 -105411 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: EDMONDSON
Project Address: 30001 24TH AVE SW Parcel Number: 893750 0320
Project Description: Replace electrical panel and add transfer switch; add circuit for septic grinder pump.
Owne
ARRlican
Contractor
FRED EDMONDSON
EASY DOES IT ELECTRIC INC
EASY DOES IT ELECTRIC INC
30001 24TH AVE SW
17712 E 2ND ST
EASYDIE044LQ (6/18/16)
FEDERAL WAY WA 98023
LAKE TAPPS WA 98391
17712 E 2ND ST
LAKE TAPPS WA 98391
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, April 14, 2015
Permit Issued on Thursday, October 16, 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
60 and the City of Federal Way.
Owner or agent: �e A%. 'L Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -105411 -00 -EL Address: 30001 24TH AVE SW
FRED EDMONDSON FEDERAL WAY, WA 98023-2370
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.
❑
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
Date
By
Approved
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
j Date to (2-1
l
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
— By
Date
By
Date
CITY OF
Federal Way
CITY OF FEDERAL WAY
CDS
OCT 16 2014
ELECTRICAL
PERMIT APPLICATION
PERmrr NuxBER e y - 10
—Y—� L
SITE ADDRESS: 5000 /_ �"4 f4 /1.(f,e' � ({)%'� '
l
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PR ECT NAME
(Tenant or Homeowner Last Name)
-/
1 KA- p/\L (J s' o /,.*
PROJECT DESCRIPTION
` r'
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME 11
���J1 ���0 mrd' ��
PRIMARY PHONE
(a.7�'�
MAILING ADDRESS
F,MAII,
CITY
STATE
WA-
ZIP
g a- 3(
FAX
) -
NAME
�9 lJoes
T7- Gam -MAILING
PRIMARY PHONE
ELECTRICAL
ADD ADD S
S � _
FMAH,
CONTRACTOR
L ( T P P
STATE
ZIP
FAX
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I `j6� 1
(�S) 44 7 -7o,:�O
WA STATE CONTRACTOR'SLICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
()PRIMARY
PROJECT CONTACT
NAME
PHONE
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 Iaws 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.
f;
-_ f -- i
SIGNATURE: ^ / DATE
PRINT NAME: i i'
Bulletin # 160 - January 1, 2013 Pagel of 2 k:Mandouts\Electrical Permit Application