14-10096210
` ! Electrical
City of Federal Way
Community &Econ. Dev. Services � � � Permit #. 14-100962-00-EL
33325 8th Ave S
Federal Way, WA 98003 FILI=Inspection Request Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 p � q ( ) 835-3050
Project Name: BETTELON
Project Address: 32205 26TH AVE SW Parcel Number: 873180 0560
Project Description: Replace 125-amp panel.
Owner
Applicant
Contractor
JACK BETTELON
A+ ELECTRIC SERVICE
A+ ELECTRIC SERVICE
LYNNE BETTELON
7225 PACIFIC AVE SE
AELECS*994NO (8/27/15)
32205 26TH AVE SW
OLYMPIA WA 98503
7225 PACIFIC AVE SE
FEDERAL WAY WA 98023-2511
OLYMPIA WA 98503
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 Saturday, August 30, 2014
Permit Issued on Monday, March 3, 2014
1 hereby certify that a &ac
rrect and that the construction on the above described property and
the occupancy d th ece with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or age t: Date:
CITY OF
Federal Way
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100962 -00 -EL
Project: JACK BETTELON
Address: 32205 26TH AVE SW
FEDERAL WAY, WA 98023-2511
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.
v
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
v
13 Final - Electrical (4055)
Approved
By Date
BILE
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
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
13 Final - Electrical (4055)
Approved
By Date
BILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
QTY OF MAR 0 3 2014
ELECTRICAL'
CITY OF
FE
Federal Way oEmLwAY PERMIT APPLICATION
j CDS j
PERMIT NUMBER �v/ _ ® 142
d",_ C/
SITE ADDRESS: 2 J �� c5 5 ,�'
IA%k'/PARCEL
SUITE/UNIT/SPACE f
PROJECT VALUATION
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ASSESSOR'S T ♦
3 D
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
LA -cc- 1,2 S P
PROJECT DESCRIPTION
R
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
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MAILING ADDRESSE-MAH.
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CT"I•Y �
STA►yTE-
FAX
NAME
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MAILING ADDRESS J
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ELECTRICAL
CONTRACTOR
CI'T'Y_
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STATE
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FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE ►
S
APPLICANT
NAME ALA34
PRIMARY PHONE
� 5M,7
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP . �,
FAR
PROJECT CONTACT
NAME nV/��(/� ,/
PRIMARYl�'�- PHONE
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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 udth
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 ity Federal Way as to any claim (including costs, expenses, and attorneys' fees in in
the investigation defense of such which may be made by any person, including the undersigned and filed against the city,
but only where c claim arises of the reliance of the city, including its officers and employees, upon the accuracy of the
information pfie to a city as a of this plication.
SIGNA - 3 /
DATE
PRINT N
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application