13-105501Electrical
CIV of Federal D v. s Permit #: 13 -105501 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FESEHA
Project Address: 28902 28TH PL S
Project Description: 0-200 amp panel replacement from fire damage
Parcel Number: 029450 0150
Owner
Al2P!!ean
Contractor
ASEGID T FESEHA
ASEGID T FESEHA
OWNER IS CONTRACTOR
28902 28TH PL S
28902 28TH PL S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
PERMIT EXPIRES
Permit Issued on Wedn
I hereby certify that the a ;eriorr�abon is cor ect arkthe occupancy and th us jf+j
Owner or agent
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al Way-
Date: 1 l S
Building Division
CIS �� 33325 Eighth Avenue South
Federa 1 WayFederal Way, 98003-6325
Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE 7
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IF YOU HAVE QUESTIONS CALL V%Ali4 (253) 835- 2-6 L3
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.
31tzltof —
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF Building Division }
Federal Way • 33325 Eighth Avenue South
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: Z0'9 O ? Z -OK PL S_ #: 13 - 1 OS.S-O (- i��—
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IF YOU HAVE ANY QUESTIONS CA a �-oL���3-835-_ 26�, 2
Call for reinspection before cover
DATE /
DETAI
SPECTOR
DO NOT REMOVE THIS NOTICE Page --� Of
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: PL-. S. PERMIT#: 13 - ivsso i - oo - ie -L_
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IF YOU HAVE QUESTIONS CALL Vk^&+� (253) 835- Z(p 2-7
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.
12- (to 1 3
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
THIS CARD IS TO REMAIN ON-SITE
"TM THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105501 -00 -EL Address: 28902 28TH PL S
Project: ASEGID T FESEHA FEDERAL WAY, WA 98003-7902
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)
0
Slab/Concrete Floor (4255)
1:1Approved
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)1:1
1:1Approved
Right of Way -�
Service (4235)
Date
Approved
By
Date
Approved
By
Approved
By
Date
By
Date
By
( Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date 3 (2-Z (I tf
By
Date
11
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way -�
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER l
ELEC'T'RICAL
PERMIT Wy�qbTION
_ 10 5 .5 0 1. _ � DEC 112013
..r., — ci=r%cDA1 WAV
SITE ADDRESS: V y
S;jrMNIT/SPACE #
PROJECT VALUATIONO
OZ T FAL # C
`/—ilk. ®
CURRENT/PROPOSEDL USE
_
—
fl
PROJECT NAME
/
L t✓
(Tenant or Homeowner Last Name)
(` !/�
PROJECT DESCRIPTION
r �'" ` } C C ✓" �` G-�f
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM
- �� ''� - �, t_
PRIMARY PHONE
(ZC (` C%
L76
E-ffiAQ.
ZIP
FAX
NAME
/ PRIMARY PHONE
L ) -
MAILING ADDRESS
rrKAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
N ^
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
MAD,
-CITY 4�
[cM_
FAX
PROJECT CONTACT
NA "l
RY PHONE
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 harmlessOw City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and de a of ch claim) which may be made by any person, including the undersigned, and filed against the city,
but only where suc.40ghn ses of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl' to'!he it* Rip of this application.
SIGNAS�
DATE
PRINT NAME:
Bulletin #160 -January 1, 2013 Page 1 of 2 k_Wandouts\Electrical Permit Application