18-104311City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 8352609
Project Name: FLATEN
Electrical
Permit #:18 -104311 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 1301 SW 360TH ST Parcel Number: 218000 0495
Project Description: Installation of a 10.98W solar photovoltaic system.
Owner
Applicant
Contractor
MARK FLATEN
ADAM LEEPUGET SOUND SOLAR LLC
PUGET SOUND SOLAR LLC
1301 SW 360TH
5308 BAKER AVE NW
PUGETSS920RH (12/8/18)
\
SEATTLE WA 98107
805 RAINIER AVE S
FEDERAL WAY WA 98023
SEATTLE WA 98144
Additional Permit Information
Is this an Online or O.T.C. application? .................. No
4
vE c z
Circuits - Residential
PERMIT EXPIRES Wednesday, 23 October, 2019
Permit Issued on Tuesdav, October 23, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancyend tpe use will be in accordance with the laws, rules and regulations of the State of
Washi ton and the City of Federal Way. 10-23
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
cmc Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1810431100 Address: 1301 SW 360TH ST
Project: MARK FLATEN FEDERAL WAY WA 98023-7261
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.
1❑
UFER Ground (4295)
ID
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
b❑
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
IBy
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date IL _
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date IL _
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I
By
Date
By
Date
41k
CITY OF
Federal Way
RECEIVED ELECTRICAL
SEP 14 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
OOIJh9UNil1' DEVELOPMENT
PERMIT
V
NIIMBER
SITE ADDRESS: 1301 SW 360th Street, Federal Way, WA, 98023
SUITE/UNIT/SPACE 8
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL i
CURRENT/PROPOSED USE
$ 29,871.60
2 1 8 0 0 0_ 0 4 9 5
SFR
PROJECT NAME
(Tenant or Homeoumer Last Name)
Flaten PV
Installation of a 10.98kW solar photovoltaic system on roof of SFR.
System components include (36) Itek 305W modules & (18) APS YC -500A dual input microinverters.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Mark Flaten
( 206) 200-0790
MAUMG ADDRESS
E-MAIL
1301 SW 360th Street
mflaten@aol.com
CITY
STATE
ZIP
FAX
Federal Way
WA
98023
( ) -
NAME
PREKARY PHONE
Puget Sound Solar LLC
( 360 ) 220.5662
MAILING ADDRESS
Z -MAR,
ELECTRICAL
805 Rainier Ave. S.
alee@pugetsoundsolar.com
CONTRACTOR
CITY
Seattle
STATE
WA
ZIP
98144
FAX
WA STATE CONTRACTOR'S LICENSE Y
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE $
PUGETSS920RH
12i 08 i 18
20 -12 -103078 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
Adam Lee
( 360 ) 220.5662
MAILING ADDRESS
E-MAIL
805 Rainier Ave. S.
alee@pugetsoundsolar.com
CITYSTATE
ZIP
FAX
Seattle
WA
98144
( ) _
PROJECT CONTACT
NAME
Adam Lee
PRIMARY PHONE
( 360) 220.5662
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 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
igformation supplied to the city as a part of this application.
9/11/2018
DATE
SIGNATURE: �+a�+++s.�:� o DATE
PRINT NAME: Adam Lee
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteifiii} cityoffederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application