15-101232 ARECEIVEDELECTRICAL
CITY OF
i r�. 12 2015
Federal Way_ PERMIT APPLICATION
15 _/ O , I1 Q F FEEDDRAj.WA
PERMIT NUMBER- _ 1 n - v C 5A e ZLq
SITE ADDRESS: 31 fi ig Lt 2 N P /We, 5.U). Federal Wa SUITE/UNIT/SPACE#
q°1ao23
.0
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ GOD - k. 1 5 - - - D o PE5)PE1tJ C F—
PROJECT NAME
(Tenant or Homeowner Last Name) 9 iviA.iL.L 11
5ee T"�f' J1eecc 9 Zee±
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Circe 5k,a ll. (743) g79- /-z
MAILING DRESS E-MAIL
152e, 1+Z yid Av& S. W.
CITY STATE ZIP FAX
_ Feel ctJ W c t 1 W0.1 1.$013 ( ) -
NAME
PRIMARY PHONE
(rzc=c sy,rD cL (6 - ( ) _
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
—
NAME
Owl-
���� PRIMARY PHONE
APPLICANT MAILING ADDRESS Y (253) 4[21- q 324
E-MAIL
2.203 5diu, ,4&111. 5T.
CITY STATE ZIP FAX
Feet/-a' Way IVc 't 8023 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
( ) -
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 su - aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup•• - city as art of this application.
SIGNATURE: ,y /L' , _ DATE
11 — lO)
PRINT NAME: I4''VI.. Y• TRAiA j
Bulletin#160—January 1,2013 Page 1 of 2 k:\}landouts\Electrical Permit Application
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Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 15 -101232 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: SMALL
Project Address: 31528 42ND AVE SW Parcel Number: 873198 2800
Project Description: Wiring for lighting, receptacles and hard -wiring smoke detectors.
REVISED on 9/15/15 to include 200 AMP panel change.**
Owne
ARRIlicant
Contractor
GREGORY J SMALL
GREGORY J SMALL
THE JUICE COMPANY INC
31528 42ND AVE SW
31528 42ND AVE SW
JUICECI933BP (1/17/17)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
11407 SE 326TH PL
AUBURN WA 98092
Additional Permit information
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 ...................... 3
PERMIT EXPIRES Tuesday, September 8, 2015
Permit Issued on Thursday, March 12, 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 accor nce with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: 7 Date:
t
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: SMALL
Project Address: 31528 42ND AVE SW
Electrical
FILE Permit #: 15 -101232 -00 -EL
Inspection Request Line: (253) 836-3050
1
Project Description: Wiring for lighting, receptacles and hard -wiring smoke detectors.
Parcel Number. 873198 2800
Owner
ARRlican
Contractor
GREGORY J SMALL
GREGORY J SMALL
31528 42ND AVE SW
31528 42ND AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional?....................... No
Electrical Fixtures
Circuits - Residential ...................... 3
PERMIT EXPIRES Tuesday, September 8, 2015
Permit Issued on Thursday, March 12, 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 acto/1nd
ance with the laws, rules and regulations of the State of Washington
� the City of Federal Way.
Owner or agent: t, � Date: "6%i, 1z_ 'Z0 c
It
Agi�CITY OF v
Federal Way
PERMIT #:
.r
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -101232 -00 -EL Address: 31528 42ND AVE SW
Project: GREGORY J SMALL FEDERAL WAY, WA 98023-2120
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.
LIFER Ground (4295)Ditch
cover ( 030)
Temporary Power (4275)
lab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
Date
By
Approved
Approv06Wn-%--.
By
Date
By
Date
By
Date �C
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved ----
Approved
By
Date
By
Date 11 ,.��„1
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF Building Division
33325 Eighth Avet ue Soufh
Federal Wa Federal Way, 98003-6325
y Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: 3icVy t2`? Pw-e-- sw. PERMIT#: IS'- tot2.S2- bo-tt:7�
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6t4 S K�
IF YOU HAVE QUESTIONS CALL IM atr (253) 835- -1-U 1-3
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.
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF Building Division
Way 33325 Eighth Avenue Soufh
-6325Federal Federal Way, x 98003-6325 Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 3152$LA 20_ PERMIT#: —f?
IF YOU HAVE QUESTIONS CALL
(253) 835- 2, to 2rr)
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.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
'7ffflRWr of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
! 6. Electrical
Permit #: 15 -101232 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: SMALL
Project Address: 31528 42ND AVE SW Parcel Number. 873198 2800
Project Description: Wiring for lighting, receptacles and hard -wiring smoke detectors.
Owner
GREGORY J SMALL
Al2RIlcant
GREGORY J SMALL
Contractor
THE JUICE COMPANY INC
31528 42ND AVE SW
31528 42ND AVE SW
JUICECI933BP (1/17/17)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
11407 SE 326TH PL
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or In;
I hereby certify that the above information is
the occupancy and the use will be in
� OP
Owner or agent
s
i
,G •.,ire
the above described property and
tions of the State of Washington
Date: 45-1 Nb( l ZF fs�
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JUN 191015 �= ZS3 —333— s
CITY OF: FEDERAL WAY
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