18-103543City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax: (253) 835-2609
Project Name: GRAHAM
Project Address: 29025 23RD PL S
Project Description: Replace existing panel with a new 125A panel.
Electrical
Permit #:18 -103543 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 422250 0320
Owner
Applicant
Contractor
ROBERT GRAHAM
JOHN DANIELSDANIELS ELECTRIC LLC
DANIELS ELECTRIC LLC
29025 23RD PL S
P.O. BOX 372
DANIEEL918DB (3/24/19)
MOUNTLAKE TERRACE, WA 98043-0372
PO BOX 372
FEDERAL WAY WA 98003
MOUNTLAKE TERRACE WA 98043
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml
PERMIT EXPIRES Thursday, 8 August, 2019
Permit Issued on Wednesday, August 8, 2018
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
shington and the City of Federal Way.
Owner or agent: Qaz Date: D
hwTHIS CARD IS TO REMAIN ON-SITE " • :
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18103543 00 Address: 29025 23RD PL S
Project: ROBERT GRAHAM FEDERAL WAY WA 98003-7927
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.
El
UFER Ground (4295)
s❑
Ditch cover (4030)3❑
Final Electrical
6
Slab/Concrete Floor (4255)
Approved
Approved
Approval
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
By
Date
®
Pool Bonding (4195)rBy
®
Temporary Power (4275)
Final Electrical
6
Service (4235)
Approved
Approval
Approval
Approved
Approved
By
Approved
By
Date
BY
Date
By
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Final Electrical
Ceiling Cover (4020)
El
Approved
Approval
Approved
By
Date
By
Date
BY
Date
1t1 Final - Electrical (4055)
Approval
By IN Date
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approval
Approval
By
Date
By
Date
By
Date
RECEIVED
��r„oF � ( ELEC'T'RICAL
Federal Way AUG s 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
GOMMUN!TY DEVELOPMENT
PERMIT NUMBER ' S_ I o 5 q3
SITE ADDRESS: ``?qo 4 � C8 eq % 5
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARC L#
o
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Rhert #A--
PROJECT DESCRIPTION
/�dl
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
f%C/' j''
PRIMARY PHONE
(� % - C?7 190
MAILING ADDRESS
E-MAIL
CKCIC6-r-q�
TAT
ZIP
FAX
Q
() -
NAME
/ /�J� PRIMARY PHONE
MAILING ADDRESS
% d�$
E-MAIL
C�i'lAcSP�✓ (/—
ELECTRICAL
CITY�TTE
ZIP
29
FAX
( -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
9
FEDERAL WAY BUSINESS LICENSE #
E `
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
C
C.
T E
ZIP�J
/ iL
(( FAX
1
PROJECT CONTACT
NAME d yL�
PRIMARY PHO
,.
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 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 the city as a part of thyplWlication._
SIGNATURE:
PRINT NAME:
LAN
Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
IJ