13-100783r �
•
City of Federal way
Community & Econ. Dev. Services
33325 8th Ave S - r- r
Federal Way, WA 98003 '
Ph: (253) 835-2607 Fax: (253) 835-2609
L ty f
Project Name: BISHOP
Project Address: 32165 33RD AVE SW
Project Description: 200 -amp panel replacement for basement remodel.
i r Electrical
Permit #: 13 -100783 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873190 0790
wn r
ARI2111can
Contractor
SEAN BISHOP
IN-HOUSE ELECTRICAL SERVICES
IN-HOUSE ELECTRICAL SERVICES
32615 33RD AVE SW
10425 9TH PL SE
INHOUES952QG (11/16/13)
FEDERAL WAY WA 98023
LAKE STEVENS WA 98258
10425 9TH PL SE
LAKE STEVENS WA 98258
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 Sunday, August 18, 2013
Permit Issued on Tuesday, February 19, 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: Date:��
CITY of
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Ir
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100783 -00 -EL Address: 32165 33RD AVE SW
SEAN BISHOP FEDERAL WAY, WA 98023-2275
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.
Final - Electrical (4055)
Approved
By Date ——
UFER Ground (4295)Ditch
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date ——
Pool Bonding (4195)
Temporary Power (4275)Service
Final Electrical
Approved
(4235)
1:1Approved
Approved
By
Approved
Approved
By
Date
By
By Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)1:1
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By J c S Date _ _ ��
By
Date
Final - Electrical (4055)
Approved
By Date ——
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEI D
r 19 20�� ELtCTRICAL
CITY OF _U
Federal Way C1. -y pF FEDERAL WAY PERMIT APPLICATION
1 CDS (,
PERffiT NUMBER, -1 — / & 0 7 j[ _ 0j ��/
p
SITE ADDRESS: 7� r =. Ar- -
y/
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SUITE/UNIT/SPACE #
PROJECT VALUATION
"'"`"�
ASSESSOR'S TAR/PARCEL #
37-31_q c- �f 7� �
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�� t
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
rn
PROPERTY OWNER
NAME
PRIMARY PHONE
P -
MAILING ADDRESS
.7V
E-MAII.
CITY f'y1
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME �
� PRIMARY PHONE
MAILING DRESS�, ,t ft" ��
MIS `(��l/�j�'/`
E-MAIL
CITY I
(A� -�*AFA
STATE
I P �,
ZIP
Y -1,/M
WA STATONT CTOR'S LICENSE # EXPIRATION DATE
��
FEDE AY B UMSS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY 7STATE
ZIP
/ FAX
1 -
PROJECT CONTACT
N LakA \ /t (1k��
PRIMARY PHONE
'
I certify under penalty of perjury that I am the property owner or auth6rized 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 apart of this application.
SIGNATURE:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application