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18-105269City of Federal Wry Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8352607 Fax (253) 835-2609 Project Name: LIDDELL Project Address: 649 SW 299TH ST Project Description: Install 16,000 watt generator and 100A transfer panel. Electrical Permit #:18 -105269 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 233680 0160 Owner Applicant Contractor DAVID A LIDDELL DAVID A LIDDELL OWNER IS CONTRACTOR 649 SW 299TH ST 649 SW 299TH ST FEDERAL WAY WA 98023-3557 FEDERAL WAY WA 98023-3557 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes CONDITIONS: A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin #150 for placement details. PERMIT EXPIRES Wednesday, 6 November, 2019 Permit Issued on Tuesday, November 6, 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 th City of Federal Way. Owner or agent: Date: THIS CARD IS TO REMAIN ON-SITE ; MY OP � Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERNIIT #: 1810526900 Address: 649 SW 299TH ST Project: DAVID A LIDDELL FEDERAL WAY WA 98023-3557 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. 0 LIFER Ground (4295) F11 Ditch cover (4030) © Slab/Concrete Floor (4255) Ceiling Cover (4020) Approved Approved Approved IBY Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Ceiling Cover (4020) Approved IBY Approved Approved IBY Approved By Date By Date By Date 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) Final Electrical Ceiling Cover (4020) Approved Approved Approved rBy Approved By Date By Date Date Date ® Final • Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ElTl/ OF Federal Way RECE��'ED ELECTRICAL Nov 06 20% PERMIT APPLICATION OF FEDI OPME� -Z SITE ADDRESS: 1 e p �� 2 (0 BDTTE/UIIIT/SPACE# PROJECT VALUATION $ 5M,6 ,Old ASSESSOR'S TAX/PARCEL # ..12� 3— 4- CURREE7 /PROPOSED USE PROJECT NAME (Tenant or Homeoumer Last Name) ((� / 1✓ L PROJECT DESCRIPTION Detailed description of work to be included on this permit only (_. 'e - .- !1 / D G 1_ n PROPERTY OWNER NAME PRWARY PH S eto MAILtN6: ADD � L� `/ll CTTT STAij7 ZIP M,-) PAZ t - ELECTRICAL CONTRACTOR NAME PRIMARY PRONE t � - ItAUMO ADDRESS E MAH. CITY STATE I1P FAX WA STATE CONTRACTOR'S LICENSE # EZPIRATION DATE FEDERAL WAY BOSS LICENSE # APPLICANT © L ! NAME PRD/ARY PHONE ( ) MAnalla ADDRESS F MAIL I YSTATE CITY STATE FAX PROJECT CONTACT NAME PRIMARY PHONE ( _ I certij# under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerdfy that to the best of my knowledge, the igformation submitted in support of this permit application is true and coreact. I eatgg that 1 will eawpty with all applicable City of Pectoral 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 owaer's nesponsibiiity for oomptiance 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, expense; and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, Including the undersigned, and jlled against the city, but only whom such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the injbrmation. supplied to the city as a part of this application. SIGNATURE: PRINT NAME: ` 4& j 1-1 A" L I b %) t.—:- LL PERMIT CENTER f 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcentera cityof ederahvay.corn Bulletin #160 —April 14, 2016 Page I of I k:\HandoutsMLetrical Pen -nit Application 2 RECEIVED CITY of NOV 0 6 2018 Property Owner Federal Way CITY OF FEDERAL f kectrical Work Permit Affidavit COMMUNITY DEVELOPMENT 18 S 2f6z,q Applying For Your Electrical Permit In Washington, only licensed electrical contractors may perform electrical work. Property owners may apply for an exemption from these requirements by completing and signing the affidavit below before applying for an electrical permit or beginning electrical work. Affidavit As authorized under RCW 19.28.261, 1, J_' A rep t- i s tg � ► 0 b er L_L_ (Printed name of proper(• owner renter or lcswe) hereby apply for an exemption from the electrical licensing and certification requirements of RCW 19.28 by submission of this affidavit. Which statement describes you? (Afark only one. If none apply, you may not take out this permit.) E( I own this property. Your name or your company's name mast be shown on the deed to the property. Real estate agents, property management companies, relatives, etc. cannot purchase permits for the proper t), owner. I rent or lease thisproperty. We need a copy of your rental agreement showing you have permission to per form electrical work. O I am an officer for a 501(c)(3) nonprofit corporation, or a nonprofit religious organization. The total market value of electrical work must be $30,001) or less and all electrical work trust be done by a non -compensated appropriatelr certified electrician. Select your property type (Mark only one. If none apply. you may not take out this permit.) E3 New single family residence that is not intended for rent. sale, or lease. where I will be living for at least 24 months after completing the electrical work. I will be personally doing the electrical work. 0 New 2, 3, or 4 unit residential building, owned by me, that is intended for rent, sale, or lease. I will be living in one of the units for at least 24 months after completing electrical work. 1, personally.. and/or a regularly employed employee(s), will be doing the electrical work. 0 New place of business, farm, or other property: Any new structure that is not intended for rent, sale, i/ or lease. 1. personalty, and/or a regularly employed employee(s), will be doing the electrical work. Existing residential property, place of business, or farm. I. personally, and/or a regularly employed employee(s), will be doing the electrical work. DEPARTMENT OF COMMUNrrY DEVELOPMENT / 33325 C AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 -� www.cityoffederalway.com perm itcenter(dcityoffederalway.com Bulletin 4170 July 27, 20 t 8 Page 1 of 2 kAlandouts� Property Owner Electrical Work Affidavit 17 501(c)(3) or nonprofit religious organization owned property: The total market value of the electrical work must be $30,W0 or less, and all electrical work will be performed by appropriately certified electricians, or certified and properly supenised trainees, who are volunteering and not being compensated for the electrical work per RCW 19.28.091(7). Your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license, or use a certified electrician, as provided under RCW 19.28.261. By signing below, I certify the information I am providing on this affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be assessed penalties. Signature Date C A-2 a t( V &. 6- r !) P& L L Printed Name of Property Owner, Renter, or Lessee Property Owner and Inspection Site Information &K d,4 -"y-,- /-- (V D a-(- L Property Owners Name and, or Company Name 6 `rL Mailing Address 4�; , U"' I-- S C, _ �-Tacn �� gZ/i'`'/� k t) A- Z po Y2 Unit/Ap .# City State Zip --2-93-qq/—�f'Ia9 0 - Daytime Daytime Phone Email Address A21 S - Inspection Site Address Unit/Apt.# P0 C— ,E -r Soi, vn L: q/cA-6'( Electrical Porter Company i Serving Utility Description of work being done (Example: adding outlets in the kitchen, second floor break area, etc.) :Lr'u n,S E'U n e�' L DEPARTMENT OF COMMUNrrY DEVELOPMENT / 33325 C AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 r, www.citvoffederalway.com --- permitcenterdcityoffederalwav.com Bulletin #170 - July 27, 2018 Page 2 of 2 k.\Handoutst Property Owner Electrical Work Affidavit