18-105130Electrical
City °rFederal Way _ Permit #:18 -105130 -00 -EL
Community Development Dept
33325 86 Ave S
Fedail Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fax (253) 8352609
Project Name: SUSS
Project Address: 3117 SW 342ND ST Parcel Number: 536020 0019
Project Description: Installation of 7.8 kW photovoltaic solar system on roof.
Owner
Applicant
Contractor
ROBERT SUSS
ELI HEADBLOSSOM SOLAR
BLOSSOM SOLAR
3117 SW 342ND ST
1706 LOMBARD AVE
BLOSSSL823M7 (7/27/20)
FEDERAL WAY, WA 98023
EVERETT WA 98201
1706 LOMBARD AVE
EVERETT WA 98201
Additional Permit Infonnation
Is this an Online or O.T.C. application? .................. No
Circuits - Residential 1
PERMIT EXPIRES Saturday, 16 November, 2019
Permit Issued on Friday, November 16, 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.
��ff%% II
Owner or agent: 0/, Date: 11/1qt18 18
CITY or/M
Federal Way
PERMIT #: 1810513000
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 3117 SW 342ND ST
Project: ROBERT SUSS FEDERAL WAY WA 98023
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 an the back of this card.
i❑
LIFER Ground (4295)
0
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
rBy
Approved
1By
Approved
By Date
Approved to place concrete
By
Date
Date
Date
By
Date
Pool Bonding (4195)
Approved
Temporary Power (4275)
Approved
Service (4235)
Approved
t By Date A By Date X By Date I
El Feeders/Sub-paneb (4045)
Rough Electrical
Rough Electrical (4225)
R1
Ceiling Cover (4020)
Approved
rBy
Approved
Approved
By Date
Date
By
Date
® Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
4k
CITY of
Federal Way
RECEIVED
OCT 31 2018
COM UNITY DEYEt OP ENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER 19 - 0 5—Z Q -
SITE ADDRESS: 3117 SW 342nd St Federal Way 98023
SUITE/UNIT/SPACE N
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL i
CURRENT/PROPOSED USE
$ 20,000
5 3 6 0 2 0- 0 0 1 9
Residence
PROJECT NAME
(Tenant or Homeowner Last Name)
SUSS
PROJECT DESCRIPTION
Installat"on of 7.8 kW Photovoltamc Solar System on roof,
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
Robert Suss
PRIMARY PRONE
( 253 ) 927-4782
MAILING ADDRESS
It-MAM
3117 SW 342nd St
bobsuss@msn.com
CITY
Federal Way
STATE
WA
ZIP
198023
FAR
( _
NAME
Blossom Solar
PRIMARY PRONE
425 610 - 7067
MADJNG ADDRESS
1706 Lombard Ave
E-MAIL
info@blossomsolar.com
ELECTRICAL
CONTRACTOR
CITY�'WA
TATE
z>p
FAX
Everett
98201
-
WA STATS CONTRACTOR'S LICENSE • EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 1
NAME
PRIMARY PRONE
APPLICANT
Eli Head
(2 -8967
MAILING ADDRESS
E -MAD.
Same as above
info@blossomsolar.com
CITY
STATE
ZIP
PAX
PROJECT CONTACT
NAMEliHead
PRO
(206 ) 92P 8967
I certW under penalty of pedury that I am the property owner or authorised agent of the property owner. I certVy that to the best of
my knowledge, the igrormatlon 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 authorised 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 flied 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: 11 -� /� DATE 10/26/18
PRINT NAME: Eli
PERMIT CENTER + 33325 8'h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + r: ci oaeaeraiway.com
Bulletin #160 - April 14, 2016 Page 1 of 1 k:\landouts\Electrical Permit Application