14-100369City of Federal Way
Community &Econ. Dev. Services ?
33325 8th Ave S
Federal Way, WA 98003. '
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HILL
Project Address: 33121 30TH A4 SW
Project Description: Remove/replace 0200 amp service
Electrical
Permit #: 14 -100369 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 954280 0980
Owner
AR11lican
Contractor
. JENNY HILL
SWEET HOME ELECTRIC
SWEET HOME ELECTRIC
33121 30TH AVE SW
3501 S 38TH ST UNIT 34
SWEETHE88OKW (5/17/14)
FEDERAL WAY WA 98023
TACOMA WA 98409
3501 S 38TH ST UNIT 34
TACOMA WA 98409
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, July 22, 2014
Permit Issued on Thursday, January 23, 2014
I hereby certify that t bove information i cohct�and that the construction on the above described property and
the occupancy and e'u a will be in ac o d nthe laws, rules and regulations of the State of Wa hington
of Federal Way.
Owner or agent: ! Date: 1
FINALED
eTHIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100369 -00 -EL Address: 33121 30TH AVE SW
Project: JENNY HILL FEDERAL WAY, WA 98023-2721
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)
El
Ditch cover (4030)Slab/Concrete
Final Electrical
Approved
Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
El
Temporary Power (4275)
Final Electrical
Approved
❑
Service (4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
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 t,d y, ( q
Rough Electrical
Approved
M
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERmrr NUMBER 14
0 1 1
ELtCTRICAL
PERMIT APPLICATION
RECEIVE®
JAN 2 2014
SITE ADDRESS: L � '( ZSVv , / E_Edv, �A�j q)Jq_
d — I
CDS #
PROJECT VALUATION
$te-uo-L�Q
ASSESSOR'S TGA%/YPARCEL#
g5420 -D- 0( O
--
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
CLQ
PROPERTY OWNER
NAME
l
PRIMARY PHONE
(6 ) �-
MAILING ADDRESS
Z, e
E-MAIL
CITY �y-�
VC. --1/
STATE
t m
ZIP
FAX
( ) -
ELECTRICAL
CONTRACTOR
-Q
PRIMARY PHONE
(� L
MAILING ADDRES�
EMAIL
CITY
STATE
I ZIP
FAX
WAAjSTTA7ITE CONTRACTOR'S LICENSE # /yn-- (� J/ EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
(
MAILING ADDRESS
FMAIL
CITY
STATE
ZIP
( FAX
1 � -
PROJECT CONTACT
NAME
PRIMARY 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 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 defense of such claim/, hich ma be de by any person, including the undersigned, and filed against the city,
but only where c m arises out of, reli�n of he city, including its officers and employees, upon the accuracy of the
information sup 1}e city as a pert f t is p1 a n.
SIGNATURE:
PRINT NAME:
Bulletin #160 —January 1, 2013 Page I of 2 k:\Ilandouts\Electrical Permit Application