15-106299 A,.. RECEIVED ELECTRICAL
CITY OF .. . D��
Federal Way 4 2015PERMIT APPLICATION
m'OF CDS RAL WAY
PERMIT NUMBER _ ) ( ' 7j C/ / _ f
SUITE/UNIT/SPACE#
SITE ADDRESS:
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION 0,t4(e fLJ WI" (,cikl_ c ''v` 1-41,1 CF ,Ott q� fe 1Lis /24vt,
Detailed description of work to z-t lI'Pl 0 Cil§' ("ati ( e f i( ti t oz., �I ,tA t,,,,,l, , 1,7
be included on this permit only / ) 1
NAME ` ,� PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
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NAME PRIMARY PHONE
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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 o this application.
SIGNATURE: „„--- j J DATE
PRINT NAME: L\', ""t
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application
i Electrical
City of Federal Way ]�
Community & Econ. Dev. Services Permit #: 15 -106299 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 FILEInspection Request Line: (2
53) 835-3050Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FEDERAL NATIONAL MORTGAGE ASSOCIATION
Project Address: 33209 26TH PL SW Parcel Number: 894430 0680
Project Description: Repair/Replace (5) circuits for -bathroom light, family room, bathroom "GFI, living room
and east wall of hall bedroom.
Owner
ARRIIcan
Contractor
FEDERAL NATIONAL MORTGAGE A
LIEM HO
THE RUNNERS LLC
PO BOX 650043
THE RUNNERS LLC
RUNNERL915RH (12/3/17)
DALLAS TX
12819 SE 38TH ST
12819 SE 38TH ST BOX 379
75265
BELLEWE WA 98006
BELLEWE WA 98006
Additional Permit Information
Electrical Work Valuation?....................................1400 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 5
PERMIT EXPIRES Saturday, June 11, 2016
Permit Issued on Monday, December 14, 2015
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent:
t,0(.KPro,c C.01>12 : 2.445-
F114p1.E0
Date: /ZIPZ�6L
THIS CARD IS TO MAIN ON-SITE
JbJCITY bF - Construction In ction Record
F@C�@Ce�I Wt'a�/ INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -106299 -00 -EL Address: 33209 26TH PL SW
Project: FEDERAL NATIONAL MORTGAGE FEDERAL WAY, WA 96023-2701
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)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
Final Electrical
Approved
❑
Service (4235)
Right of Wayr���
Approved
Approved
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
�j Date 12-
17-1 IIS
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Wayr���
Approved
By
Date
By
Date
By
Date