18-105466City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 8352607 Fax (253) 8352609
Project Name: NOVAK
Project Address: 1901 S 375TH ST
Project Description: Installation of PV Solar Rooftop 5.9kW system.
Electrical
Permit #:18 -105466 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 721265 1080
Owner
Applicant
Contractor
PAMELA A NOVAK
HEIDI PASCHALSMART ENERGY TODAY
SMART ENERGY TODAY
1901 S 375TH ST
1001 COOPER POINT RD SW
SMARTET869RJ (12/18/18)
FEDERAL WAY, WA 98003
OLYMPIA WA 98502
1001 COOPER POINT RD SW
OLYMPIA WA 98502
Additional Permit Information
Is this an Online or O.T.C. application? .................. No
PERMIT EXPIRES Saturday, 14 December, 2019
Permit Issued on Friday, December 14, 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
�ndthe�CityFederal Way.
Owner or agent: Date: JA ���
MY OF
Federal Way
PERNIIT #: 18105466 00
Project: PAMELA A NOVAK
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 1901 S 375TH ST
FEDERAL WAY WA 98003-7567
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TffiS 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)
ID
Ditch cover (4030)
®
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
Date
By
Date
0
Pool Bonding (4195)
® Temporary Power (4275)
®
Service (4235)
0 Right of Way
Approved
1By
Approved
1By
Approved
By
Date
By
Date
Date
0
Feeders/Sub-panels (4045)®
Rough Electrical (4225)
Final Electrical
Ceiling Cover (4020)
0 Right of Way
Approved
Approved
Approved
EBy
Approved
By
Date
By
Date
Date
0 Final - Electrical (4055)
Approved
By Date
0
Rough Electrical
Final Electrical
0 Right of Way
Approved
rBy
Approved
J
Approved
113y
By
Date
Date
Date
41k
CITY OF
Federal Way
Mzl Ie -d % K 11 13-Iq
RECEIVED ELEC'T'RICAL
NOV 16 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
r,O
MMUNITY DEVELOPPERMIT NUMBER
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
information supplied to the city as a part of this application.
SIGNATURE: -'ASL� 6 DATE 11/2/2018
PRINT NAME: Heidi Paschal
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentelCacityoffederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS: 1901 S 375th St Federal Way, WA 98003
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL M
CURRENT/PROPOSED USE
$ 3,500
7 2 1 2 6 5 _ 1 0 8 0
PROJECT NAME
(Tenant or Homeowner Last Name)
Novak
Installation of PV Solar Rooftop 5.9kW system
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Pamela Novak
( 253 , 335 - 2535
MAILING ADDRESS
E-MAIL
1901 S 375th St
novak944(a',msn.com
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
NAME
PRIMARY PHONE
Smart Energy Today
360 1 637 _ 4343 x 2226
/
MAILING ADDRESS
E-MAIL
ELECTRICAL
1001 Cooper Point Rd SW
heidi.pCsmartenergytoday.net
CITY
STATE
ZIP
FAX
CONTRACTOR
Olympia
WA
98502
(FEDERAL/
`
WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE
WAY BUSINESS LICENSE N
2 Z U I J
SMARTET869RJ 1 / 10 / 2019
20 -15 -101145 -00 -BL
NAME
PRIMARY PHONE
Heidi Paschal
360 ) 637 _ 4343 x 2226
APPLICANT
MAILING ADDRESS
E-MAIL
1001 Cooper Point Rd SW
heidi. j smartenergytoday. net
CITY
STATE
ZIP
FAX
23
Olympia
WA
98502
/
l
NAME
PRIMARY PHONE
PROJECT CONTACT
Heidi Paschal
360 ) 637 - 4343 x 2226
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
information supplied to the city as a part of this application.
SIGNATURE: -'ASL� 6 DATE 11/2/2018
PRINT NAME: Heidi Paschal
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentelCacityoffederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application