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15-106211-k_ AARRlican City of Federal Way ROGER I GOODWIN Community & Econ. Dev. Services F-ILE 33325 8th Ave S PO BOX 335 Federal Way, WA 98003 SAMMAMISH WA 98074 Ph: (253) 835-2607 Fax: (253) 835-2609 PO BOX 335 Project Name: GOODWIN Project Address: 3128 SW 302ND PL Electrical Permit #: 15 -106211 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 012103 9070 Project Description: Replace 125 amp panel; install wired and wireless interconnected smoke detectors. Install (3) prong outlets by GFCI outlets or breakers ***12121115 Add (4) circuits*** Owner AARRlican Contractor ROGER I GOODWIN INLINE ELECTRICAL SERVICES INLINE ELECTRICAL SERVICES 413 213TH PL SE PO BOX 335 INLINES855NL (8/13/17) SAMMAMISH WA 98074 TENINO WA 98589 PO BOX 335 TENINO WA 98589 Additional Permit Information Electrical Work Valuation?....................................3400.00 Is this an Online or O.T.C. application? ................. Yes Is Use Educational or Institutional? ....................... No Electrical Fixtums Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ...................... 4 PERMIT EXPIRES Sunday, June 5, 2016 Permit Issued on Tuesday, December 8, 2015 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 R and t City of Federal Way. Owner or agent: Date: City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: GOODWIN Project Address: 3128 SW 302ND PL Electrical Permit #: 15 -106211 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 012103 9070 Project Description: Replace 125 amp panel; install wired and wireless interconnected smoke detectors. Install (3) prong outlets by GFCI outlets or breakers ***12121/15 Add (4) circuits*** Owner Applicant Contractor ROGER I GOODWIN INLINE ELECTRICAL SERVICES INLINE ELECTRICAL SERVICES 413 213TH PL SE PO BOX 335 INLINESS55NL (8/13/17) SAMMAMISH WA 98074 TENINO WA 98589 PO BOX 335 TENINO WA 98589 Additional Permit Information Electrical Work Valuation?....................................3400.00 Is this an Online or O.T.C. application? ................. Yes Is Use Educational or Institutional?.......................No Electrical Fixtures - Alt. Serv./Feeder. 0 to 200 amps (F 1 Circuits - Residential ...................... 4 PERMIT EXPIRES Sunday, June 5, 2016 Permit Issued on Tuesday, December 8, 2015 hereby certify that the above information is correct and that the construction on the above described properly and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and t e City of Federal Way. Owner or agent:Gtr Date: ez SITE Project Name: GOODWIN Project Address: 3128 SW 302ND PL A electrical Permit #: 15 -106211 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 012103 9070 Project Description: Replace 125 amp panel; install wired and wireless interconnected smoke detectors. Install (3) prong outlets by GFCI outlets or breakers Owner ROGER I GOODWIN ARRIIcant INLINE ELECTRICAL SERVICES City of federal Way 413 213TH PL SE Community & Econ. Dev. Services INLINES855NL (8/13/17) 33325 8th Ave S FILE Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 TENINO WA 98589 Project Name: GOODWIN Project Address: 3128 SW 302ND PL A electrical Permit #: 15 -106211 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 012103 9070 Project Description: Replace 125 amp panel; install wired and wireless interconnected smoke detectors. Install (3) prong outlets by GFCI outlets or breakers Owner ROGER I GOODWIN ARRIIcant INLINE ELECTRICAL SERVICES Contractor INLINE ELECTRICAL SERVICES 413 213TH PL SE PO BOX 335 INLINES855NL (8/13/17) SAMMANHSH WA 98074 TENINO WA 98589 PO BOX 335 TENINO WA 98589 Additional Permit Information Electrical Work Valuation?...................................2400.00 Is this an Online or O.T.C. application? ................. Yes Is Use Educational or Institutionl?.......................No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 PERMIT EXPIRES Sunday, June 5, 2016 Permit Issued on Tuesday, December 8, 2015 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. Owner or agent: "`vV Date: jTd'` V-"Sv� loci: m l CAWA Pods QrcVf4A Tb FUJI Ur41 T I Grin, C*vA4t+fv►rs Tb Gtets � Waw Liwcr ; Dvw(w; .... t�k. THIS CARD IS TO REMAIN ON-SITE CFe ITY OF ai Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 15 -106211 -00 -EL Address: 3128 SW 302ND PL Project: ROGER I GOODWIN FEDERAL WAY, WA 98023-2342 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. Approved By Date Il cover Approved BY Date Pool Bonding (4195) Approved By Date 0 Feeders/Sub-panels (4045) Approved By Date Final - Electrical (4055) Approved BY Date Il cover Approved BY Date Approved to place concrete By Date Temporary Power (4275) Approved By Date 0 Rough Electrical (4225) Approved BY Date Approved to place concrete By Date ❑ Rough Electrical1:1Final Electrical Ri ht of Approved Approved ❑ g y Approved By Date By Date BY Date Service (4235) Approved BY Date 0 Ceiling Cover (4020) Approved BY Date ❑ Rough Electrical1:1Final Electrical Ri ht of Approved Approved ❑ g y Approved By Date By Date BY Date V ► 1 114. CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 y Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 3i 1B' sw P L • PERMIT#: ►�' I o L �- 1- v o- 1 Aire, 40t 4 (o,) - C ii w u. i + D(ve_L*±nj . ewwl S L t 11 g c, Le_ j i lvl� 1 ACA„ -1i k ti d . �-.) NSC. 3oa••� (A) - I/Vlntv`G N;YxI� roy4N.kK1ee-A IAiv LAJj •I VV% 4L., JAAW 0, � w 1f-- V 4 )L+eVi Go1+.d1 �� 611 s bUc+ �;.ea.l IgVA 11 8L V,s4-A Ov'- 253)835- (253)835- 144G •kA C. p -o VL.-••e_jc C ov%v► e- C •Jw 4G t - a I% 1-4 u I- G3 \v, P1li ce- p la g-r-c,l . �• i Nlitz- S-00--1 (c - w (,, *t C.'=r-' a k' ( -I-V v V'z c A P'5 A �*b* s Ina t 1 9" ?GvVV&V44,�h.'P-Gidru�-%� IJ A-Lo(4) - wvevf, N Is P -e -i ��1 Td e� kr—c'� � vv�c_(- l 6y Cool -e- l-0 3t, {i��Lt P✓•o�-•ti�ei (o)NeE� t y . i -1 g� . 15x i C+f inti W > v i 1 u O. K Le.' -i oit q>t GvLi 6-- 4-&U A i�4` ` wl-p 6&K OV. 601e4' -A a+I-lk Iy1t+V1C''uH TnG i- �►c Nrv�, �1n "�j CatA &_ Vstd Ibis A Ct•cem-c 9,cv •Nior, ko • -; Le) '► l P-cw 0-2-%"101 (4)- 1"-40 w i V-% M S L' aIoA Pla C,0n6Y P1 -e A to VA- -i I 14- is Av o rvv, A N �4L �In$�x-G%W V1/��i I�� H WHEN q 'lln•L � �15,o��•i 1'N J r _ 1�'� l•✓ V11 i �' 1 µ S � w 1f-- V IF YOU HAVE QUESTIONS CALL Ov'- 253)835- (253)835- WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. D TE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY OF ` Federal Way ELEC'T`RICAL PERMIT NUMBER 1 s — ' v 2) �z � L _ QO DEC 08 2015 CITY OF FEDERAL WAY SITE ADDRESS: , o a n� A SUITE /SPACES PROJECT VALUATION $ J4,10CN ASSESSOR'S TAX/PARCEL # C 1_ 2 l()�- cl 0 CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) bock wnn Sm ,' ^ i rS J --A lk n -t PROJECT DESCRIPTION Detailed description of work to be included on this permit only Q441V u fiLt S n1, b c. 4r S NAME PRIMARY PHONE PROPERTY OWNER - MAILING A15DRESS E-MAIL CITY STATE I ZIP FAX ( ) NAME ` ,) :� ��el�rlC Serv<<LS PRIMARY PHONE (3t�'8) 4101 -S ,'1( MAILING ADDRESS _ P (; F�, 3 3 E-MAIL Z N LI: f) C E I— C- G N ELECTRICAL CITY STATE �' \j , r- ZIP �S'�s , FAX CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE MAILING ADD S C x E-MAIL t1LWV-U CITY —) �, STATE fl\ ZIP 901 FAX ( ) - PROJECT CONTACT NAME PRIMARY PHONE (3 )1402 -S611 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 apart of this application. SIGNATURE: PRINT NAME: //J- Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application LdpAl Lof�'