15-100654r r Electrical
cry of Federal way Community & Econ. f�ev. Services Permit #: 15 -100654 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line:
Ph: (253) 835-2807 Fax (253) 835-2809 ��o� 253 835-3050
Project Name: NGARE
Project Address: 32335 29TH AVE SW
Project Description: Add circuit for hard -wired smoke dertectors.
Parcel Number: 8731901290
Owner
LUCY NGARE
Applicant
LUCY NGARE
Contractor
OWNER IS CONTRACTOR
32335 29TH AVE SW
32335 29TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Elec#ical Fixtures
Circuits - Residential .....................
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Monday, August 10, 2015
Permit Issued on Wednesday, February 11, 2015
I 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
(Al.,,Xthe City of Federal Way.
Owner or agent Date: �;)'
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -100654 -00 -EL Address: 32335 29TH AVE SW
Project: LUCY NGARE FEDERAL WAY, WA 98023-2512
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
UFER Ground (4295)Ditch
cover (4030)
❑
Slab/Concrete Floor (42-5-5)
Approved
(4235)
Approved
113y
Approved to place concrete
By
Date
By
Date
Approved
Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)Service
Right of Way
Approved
(4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
C W Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CRY OF A
Federal Way
19
=t J l i'+1,
FEB 112015 ELECTRICAL
CITY OF FEDERALWAI?ERMIT APPLI-CATION
CDS
PERMIT NUMBER -1 _ / O 0 a -5— L C,
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ 9 O O
ASSESSOR'S TAR/PARCEL #
-
— — — — — —
CURRENT/PROPOSED USE
(L E S k D E" r 1 A -L -
PROJECT NAME
(Tenant or Homeouvier Last Name)
f�(e ps R C—
"1
PROJECT DESCRIPTION
Detailed description of Mork to
be included on this permit only
a r
SW�o bi2� t cV0
PROPERTY OWNER
NAME
3 KWM U L✓ � Q k
PROM" PHONE
( ) -
MAMING ADDRESS
3 x 3 3 S' A VG7 s vJ
E•MAH.
CITY
F&be-AP�st—
STATE
Wh
ZIP
G koa 3
FAX
( -
ELECTRICAL
CONTRACTOR
NAME
- PIA D&�4
PRIMARY PHONE
(
MAILING ADDRESS
WMAH.
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY NIISHCM IJCERSE #
APPLICANT
NAME
�u� w ►� c, er2E
PPMARY PHONE
(���� b53- LW8-
MAILING ADDRESS
3 a33s t aq AVE S��
EMAII
CITY
��aAA1- ��y
STATE
WA
ZIP
gito�L
FAX
( -
PROJECT CONTACT
NAME
L.vC� W �. �.E
PRIMARY PHONE
(fid
I cert{%y 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 injbrmation 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 sup77;
ty as apart of this application. t (�
SIGNATURE: DATE
PRINT NAME: ,
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application