18-103759I
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: WATSON
Project Address: 33414 35TH AVE SW
Project Description: Installation of photovoltaic panel system.
Electrical
Permit #:18 -103759 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 109960 0190
Owner
Applicant
Contractor
JENNIFER WATSON
BLOSSOM SOLAR
BLOSSOM SOLAR
33414 35TH AVE SW
1706 LOMBARD AVE
BLOSSSL823M7 (7/27/20)
FEDERAL WAY WA 98023
EVERETT WA 98201
1706 LOMBARD AVE
EVERETT WA 98201
Additional Permit Information
Is this an Online or O.T.C. application? .................. No
PERMIT EXPIRES Wednesday, 11 September, 2019
Permit Issued on Tuesday, September 11, 2018
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:
THIS CARD IS TO REMAIN ON-SITE
F�ral WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1810375900 Address: 33414 35TH AVE SW
Project: JENNIFER WATSON FEDERAL WAY WA 98023-2%8
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)
ID
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Ceiling Cover (4020)
Approved
Approved
Approved
]By
Approved to place concrete
By
Date
By
Date
Approved
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)®
Rough Electrical (4225)
Service (4235)
Ceiling Cover (4020)
Approved
Approved
Approved
]By
Approved
By
Date
By
Date
Approved
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
Approved
By
Date
Approved
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
[By
Approved
By
Date
By
Date
Date
t CITY OF /.&
Federal Way
RECEIVED ELECTRICAL
Aug 17 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENfPRRMrr NUM=R
I certify under penalty of perjury that 1 am the property owner or authorised 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. 1 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 taws 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 t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie#Ae-e city as part of this application.
SIGNATURE:
PRINT NAME:
�:/I --� //P
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\1andouts0ectrical Permit Application
Ix
SUITE/UNIT/SPACE k
SITE ADDRESS: 33414 35th ave SW federal way, WA 98023
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
21,000
1 0 9 9 6 0 - 0 1 9 0
Residence
PROJECT NAME
(tenant or Homeowner Last Name)
Watson
Installation of 9.0 kW Photovoltaic Solar System n Roof.
PROJECT DESCRIPTION
Detailed descnption of work to
be included on this permit only
NAME
PRDilARY PHONE
PROPERTY OWNER
Jennifer Watson
(253 ) 202 - 3302
NfAILKNG ADDRESS
E-MAIL.
33414 35th ave SW
Grandma.in.09@gmail.com
CITY
Federal Way
STATEFAX
WA
r'P98023
NAME plozom WOW OW
Aa5 PRIMARY PROW
MAELING ADDRESS
F -MAIL
ELECTRICAL
1706 Lombard Ave
info@blossomsolar.com
CITY
Everett
STATE
WA
zw
98201
FAX
_
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
LOSSSL 3Mj o-7/?l �a
APPLICANT
N
OXG'' nen L 711'1GiCrS 1__%- 0 5 SD i� s0
PRDI[ARY PHONE
( 5) - 0
MAII.MG ADDRESS
E-MAIL
1"OMrv,?Obi OaP"n bIA-r•<b
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME,�^
/ ►T 1 rS�
PRIMARY PHONE
30 - 7
I certify under penalty of perjury that 1 am the property owner or authorised 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. 1 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 taws 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 t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie#Ae-e city as part of this application.
SIGNATURE:
PRINT NAME:
�:/I --� //P
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\1andouts0ectrical Permit Application
Ix