16-101442Eical
City of Federal Way
Community & Econ. Dev. Services Permit #: 16 -101442 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 253 Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q % 836-3050
Project Name: ISAACSON
Project Address: 34024 22ND PL SW Parcel Number: 330630 0270
Project Description: Upgrade service and upgrade panel to 200 amp
Owner
Applicant
Contractor
BRYAN A ISAACSON
24/7 ELECTRICAL SERVICES
24/7 ELECTRICAL SERVICES
34024 22ND PL SW
11106 SE 225TH CT
47ELES850R2 12/22/17
FEDERAL WAY WA 98023
KENT WA 98031
11106 SE 225TH CT
KENT WA 98031
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 Friday, March 24, 2017
Permit Issued on Thursday, March 24, 2016
I hereby certify that the bove information is correct and that the construction on the above described property and
the occupancy and the
s will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
DateOwner or agent:
CITY CW OA��
Federal Way
• THIS CARD IS TOIN ON-SITE
Construction In ction Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16 -101442 -00 -EL Address: 34024 22ND PL SW
Project: BRYAN A ISAACSON FEDERAL WAY, WA 98023-7703
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/
E'
Service (4235)
Feeders/Sub-panels (4045)
Electrical
Approved
Rough Electrical (4225)
Approved
B;
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date/
E'
Rough Electrical
Approved
E]Final
Electrical
Approved
Right of Way
Approved
B;
Date
By
Date
By
Date
E ECTRICAL
0" OF MAR 2 3 2016
Federal Way PERMIT APPLICATION
CITY OF FWERAL WAY
PERMIT NUMBERZk Y, e �
)
J
SITE ADDRESS: 3 '7 2- H Y �J Z L
/ Y
w
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ /St,7D
-- --
-- -
PROJECT NAME
(Tenant or Homeowner Last Name)
"
20
f~ ifokLel
4o 2o0 jo%%
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
(
PRIMARY PHONE
0�3) Z -U y %
MAILING ADMESS
5WLC
E-MAIL
CITY
STATE
I ZIP
FAX
)
NAME
PRIMARY PHONE
71 -
MAILING ADDRESS
J1,06 5E_ �, e
E-MAIL
ELECTRICAL
CITYSTATE
K"4-
��
ZIP
930 3 l
FAX
( ) -
CONTRACTOR
WA ST TRACT =S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
EZL— 5,9 5'-0 I�'
i i
APPLICANT
NAME �
6 " ' h ZUlr
'Ah (
PRIMARY PHONE
/M/AILING ADDRESS 1
(
E-MAIL
CITYSTATE
r11(_V�
ZIP
9y0 31
FAX
, -
PROJECT CONTACT
NAME
PRIMARY PHONE
(2L Zy/ - l�6
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 1 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 Iaws 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: 1K
,nDATE
PRINT NAME: 7C&� V h :?w I,
Bulletin # 160 —January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application