17-103968Electrical
City
umtyDFederal clop -e t Permit #:17 -103968 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NADEN/OCONNOR
Project Address: 32217 39TH AVE S Parcel Number: 236810 0040
Project Description: Replace fire damaged meter base.
Owner
Applicant
Contractor
RONALD NADEN
CHARLES CLARK-OWNERPUGET SOUND
PUGET SOUND ELECTRIC COMPANY
32217 39TH AVE S'
ELECTRIC CO
PUGETSE902KK (5/12/18)
FEDERAL WAY WA
2661 N PEARL ST SUITE 398
2661 N PEARL ST SUITE 409
98001
TACOMA WA 98407-2424
TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Mast or Meter Repair (Resider. I
PERMIT EXPIRES Friday, 17 August, 2018
Permit Issued on Thursday, August 17, 2017
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 ccordance with the laws, rules and regulations of the State of
Washin n d the City of Federal Way.
Owner or agent: Date:
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THIS CARD IS TO REMAIA1 1IaSITE: •
CffV • Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17103968 00 Address: 32217 39TH AVE S
Project: KELLY OCONNOR FEDERAL WAY WA 98001-9608
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)
Q
Ditch cover (4030)
F11
Slab/Concrete Floor (4255)
Approved
Approved
Rough Electrical
Approved to place concrete
ay
Date
By
Date
By
Date
1
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Rough Electrical
Approved
By
Date
By
Date
By WNs
Date I S-14
Lil
7
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
0
Ceiling Cover (4.020)
Approved
Approved
Rough Electrical
Approved
sy
Date
By
Date
By
Date
�0 Final - Electrical (4055)
Approved
By k4 Date 17-1411-t
El
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
18y
Approved
BY
_. _ ._ Date
By
Date
mo..--..-- .Date
CITY OF 'A
Federal Way
RECEIVED
AUG 17 2017
i✓i i� OF FEDERAL WAY
DV LOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER , .^ _ 1 0 ✓ 9 (% O _ V
SITE ADDRESS:
J /)La
(/
6
SUITE/UNIT/SPACE #
PROJECT VALUATION
$2, civ 7,e'-- -
ASSESSOR'S TAX/PARCEL #
U
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
J
u
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME '
�6 \ �Y!
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PRIMARY PHONE
(2S3) - Z7
MAILING ADD S
32-2l 90
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E-MAIL
CITY
Fed-ered w
STATE
ZIP
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FAX
( ) -
NAMEti
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PRIMARY PHONE
( ) - 3
MAIL ADD
r
E-MAIL
ELECTRICAL
CITY
rnti.J
STATE
W
ZIP
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
OT/
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
N
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITYS
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ZIP
FAX
( ) -
PROJECT CONTACT
NAME
Co y7,001 V y-
PRIMARY PHONE
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 Iocal, state, or federal laws regulating
construction or environmental taws.
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), whichmay made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the relianc o the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this app cati n.
SIGNATURE:
PRINT NAME:
0,7/ / 7 � -�-
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Ilandouts\Electrical Permit Application