16-102398Electrical.
* .//.��
City of Federal Way, 4 i�erlln>lt ttv 6 102g9 00 "L "
Community 8 Econ. Dev. Services '
33325 8th Ave S
Federal Way, WA 98003 Inspection R uest Line: (2
53) (253) 835-2607 Fax: (253) 835-2609 i� eQ (53) 835050
Project Name: KADOR
Project Address: 33118 33RD AVE SW Parcel Number: 109976 0410
Project Description: 200 amp panel upgrade
Owner
A nlg !cant
Contractor
DYRON O KADOR
NICOLE O KADOR
OWNER IS CONTRACTOR
NICOLE O KADOR
33118 33RD AVE SW
33118 33RD AVE SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
Additional Permit Information
Electrical Work Valuation?....................................1500 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 Thursday, May 18, 2017
Permit Issued on Wednesday, May 18, 2016
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: —1 �2�/� C- Date: 5--' /J—k
THIS CARD IS TO MAIN ON-SITE ►�
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 16 -102398 -00 -EL Address: 33118 33RD AVE SW
Project: DYRON O KADOR FEDERAL WAY, WA 98023-2735
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.
0
UFER Ground (4295)1:1
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
11
Temporary Power (4275)
1:1Approved
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
Rough Electrical
Approved
11
Final Electrical
Approved
1:1Approved
Right of Way —�
By
Date
By
Date
By
Date
CITY OF
Federal Way
�
„� ELECTRICAL
�1AY 18 zm PERMIT APPLICATION
CIT` 4F FEDERAL -WAP
CDS RMIT NUMBER ' _ / 02
-- ------ --
SITE ADDRESS: 3,311
a11 SJ
SUITE/UNIT/SPACE#
�& wo- w-
PROJjECT VALUATION
I0
ASSESSOR'S TAX/PARCEL # O / `
-4-V
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
o
{-CL
PROJECT DESCRIPTION
C\ 42-W
rA,00T
Detailed description of work to—oo
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
(' 6Q - I W!!�
MAILING kDDRESS
33� t � �.
E-MAIL
.
CITY
w
STATE
W
ZIP
(q?DZ3
FAX
( ) -
NAME
PRIMARY PHONE
1
( 651 - I oc)
MAILING ADDRESS , 10
`�
E-MAIL
ELECTRICAL
i( a12 p C:cn
CITY__ pp
eco 1n}
STATE
ZIP
62i�
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
ul
I c,l
PRIMARY PHONE
APPLICANT
MAILING ; D� SS -3 ^
` �'
EMAIL
CITY i,
_®
TAT
8� E
ZIP
3
FAX
( )
PROJECT CONTACT
NAME
f-\
PRIMARY PHONE_.
( ) 51 I 06t�)
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.
1 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 of this application.
SIGNATURE:V_16�� `'�� DATE
PRINT NAME:
Bulletin # 160 - April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
rkkwfo