12-103782t Electrical
City of Federal Way
Community & Econ. Dev. Services �FILE` Permit #: 12 -103782 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 83
Ph: (253) 835-2807 Fax: (253) 835-2609 p q ( ) 5-3050
Project Name: MCGRATH gg-7 f?
Project Address: 30216 33RD AVE SW
Project Description: 30 amp for water heater
Parcel Number: 012103 9117
Owner
A1212111can
Contractor
JANET L MYERS
VICTORIA GLOVER
OUTTODAY SERVICES
ROBERT MCGRATH
OUTTODAY SERVICES
OUTTOS*910JL (4/13/13)
PO BOX 24904
2020 124TH AVE NE UNIT C103
2020 124TH AVE NE SUITE C-103
FEDERAL WAY WA 98093
BELLEVUE WA 98005
BELLEVUE WA 98005
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Saturday, August 16, 2014
Permit Issued on Thursday, August 16, 2012
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
ONLIMFQw.Df
Federal Way.
Owner or agent: Date:
—V J Or/,W/l 2o
CITY OF 4;&�p
Federal Way
PERMIT #:
12 -103782 -00 -EL
THIS CARD IS TO IN ON-SITE
Construction In ection Record
IAPECTION REQ TS: (253) 835-3050
Address: 30216 33RD AVE SW
Project: JANET L MYERS FEDERAL WAY, WA 98023-2322
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
FILE
El
LIFER Ground (4295)El
Ditch cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
FILE
El
Pool Bonding (4195)
E]
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
Final - Electrical (4055)
Approved
By Date
FILE
El
Rough Electrical
Approved
❑Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF VA� 6 PERM IT*kPPLICATION
Federal Way RECEIVED
PERMIT NUMBER (� _ l O <4 ✓ Z — SEP 0 9 2015
— TARGET DATECM QF- F -E PTRAL WAY
SITE ADDRESS
SUITE #
��2 13 33rd A SLJ
V�_.
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ -7,2-7
v 4 4, 1 0 3-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
(L
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Qy\ k 6�k�
MAILING ADDRESS
E-MAIL
SU0
CITY
��•�� C G L )C,
STATE
fir
ZIP ZIP
C7
V
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
C
STATE
ZIP
FAX
WA
545 3 -1 I
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
R�--V-)"A
-0- 0 43-oo-3l-
NAME
Reck \AcA,0\-- CA, \10
PRIMARY PHONE
.253 `s"lG _cr(T00
MAILING ADDRESS
E-MAIL
APPLICANT
/0-2_ N
CITY
STATEZIP
7 l
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
- '�r'-[ p
MAILING ADDRESS
Pc --2-V �N\E�`� �� i�� 1&0 � � �
E-MAIL�
,�� c "
(The individual to receive and
respond to all correspondence
concernmg this application)
CITY
STATE
ZIP
FAX
WA
I 6
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 city as part of this application.
SIGNATURE: DATE
PRINT NAME: ���<<
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application