13-101483 ELECTRICAL
CITY OP
Federal Way PERMIT APPkigA9N
PERMIT NUMBER t 3 10 1 APR 0 2 2013
CITY OF FEDERAL�� WAY
SUITE/UNIg/�6FACE#
SITE ADDRESS: o'1 ' ,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL M CURRENT/PROPOSED USE
PROJECT NAME -F-LL/1J
(Tenant or Homeowner Last Name) k)
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PROJECT DESCRIPTION 7C 1°I e t
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNERy^c1ge F(y 19 vi ( )
MAILING ADDRESS E-MAIL
-441
CITY ( STATE ZIP FAX
( u Ja y 'kJ'a ( ) -
NAME _ J. .... . . Gy PRIMARY PHONE
plo )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
_ ..__.. NAME PRIMARY PHONE
APPLICANT /1
MAILING
(.7-7 ( may ) 3�
ADDRESS /�,�/ + � � � EMAIL
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(-K/Vy
CITY / STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
Ji ("1,1 �n� T �-� ) --7.3.71
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 pa this application.
SIGNATURE. 4,7 DATE17i,/,--3/1/...5
PRINT N?. / ° ''`/'err
Bulletin#160—January 1,2013 Page 1 of 2 k:\.Handouts\Electrical Permit Application
t L
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
t„ . %
Electrical
Permit #: 13 -101483 -00 -EL
Project Name: FLYNN
Project Address: 622 SW 294TH ST
Project Description: Extending (2) circuits for associated garage addition
Inspection Request Line: (253) 835-3050
Parcel Number. 1196001895
Owner
AR121icant
Contractor
GREGORY L FLYNN
ACTION PLUS ELECTRIC INC
ACTION PLUS ELECTRIC INC
622 SW 294TH ST
6316114TH AVE SE
ACTIOPE952QM (11/14/13)
FEDERAL WAY WA 98003
BELLEVUE WA 98006
6316114TH AVE SE
BELLEVUE WA 98006
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Futures
Circuits - Residential ...................... 2
PERMIT EXPIRES Monday, — r 30, 2013
Permit Issued on Wednes , April 3, 2013
1 hereby certify that the above information is correct
the occupancy and the use will be in accorta "
Owner or agent
P ii s—y
�t the cons on on the above described property and
e lawrul regulations of the State of Washington
of Fed
Date: /J A)
crrr of *!AI�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -101483 -00 -EL Address: 622 SW 294TH ST
GREGORY L FLYNN FEDERAL WAY, WA 98023-3541
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
o Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)Ditch
cover (4 30)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By A
Date #_,-S
By
Date
o Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date