13-105440f ti
Electrical
City Of Federal Way _:__-; r*� ..
Community & Econ. Dev. Services Permit #: 13 -105440 -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: THOMASON
Project Address: 3916 SW 317TH ST Parcel Number: 873198 2060
Project Description: Adding (1) circuit for ceiling lights
Owner
LISA THOMASON
ARRIlcan
PACIFIC SUN SERVICES LLC
Contractor
PACIFIC SUN SERVICES LLC
3916 SW 317TH ST
4408 S 282ND ST
PACIFSS945RC (12/12/14)
FEDERAL WAY WA 98023
AUBURN WA 98001
4408 S 282ND ST
AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Uss Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
AAlw
PERMIT EXPIRES Wednesda� , 2014
Permit Issued on Friday, Decem, 201;
I hereby certify that the above information is correct and that Vkronstr
the occupancy and the use will be in accordance with the I , rules a
ander the ederal Way
Owner or agent Gor
ab
Nra
941S�7 kle�
above described property and
s of the State of Washington
Date: /o2�6'�3
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105440 -00 -EL Address: 3916 SW 317TH ST
Project: LISA THOMASON FEDERAL WAY, WA 98023-2134
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.
UFER Ground (4295)
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E] Temporary Power (4275)
E]
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Approved
By
Date
Date
By Date
By
Date
Feeders/Sub-panels (4045)
0 Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
B Date (� t
By
Date
0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved1:1
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER
ELEC'T'RICAL
PERMIT APPLIrR&-T1qJ6
DEC 0-6 2013
CITY OF FEDERAL WAY
SITE ADDRESS: .�t1 � � i `�
10
surrisitnirr/spAdOS
PROJECT VALUATIONS
-0(Q
TAR CEL #- O 0
l
CURRENT/PROPOSED USE
$ Z D
00,
_ _ _ _ _
PROJECT NAME
(Tenant or Homeowner Last Name)
r y •�j % JA_50y` I
� ( S A (� o 2c.i 00 D / j 1 � 1 `F
1 n� I C l 1 kXt-CO is /+*I P civ, C1444 -
PROJECT DESCRIPTIONd
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
(^1 S A jJ
.3e_�g - q,7w
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
FeA W0
w
X18023
( ) -
NAME
ACA F1 c <&.1 J 'OeJ201C�s (_c C
PRIMARY PHONE
(2!53) &53 - 01(036
MAILING ADDRESS 11
E-MAIL
Aac;�
ELECTRICAL
CITY
STATE
WA
ZH'
?8(nof
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE
CJ45rc
FEDERAL WAY BUSINESS LICENSE i
�G+SS jz / /Z /lu
NAM'EI lPRIMARY
w I Yin, $. TMOM
PHONE
453) &5 3 - 96 3�
APPLICANT
MAILING ADDRESS
gMAH,
SAIme 43 ��
CITY
STATE
ZH'
FAR
PROJECT CONTACT
NAME
PRIMARY 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 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: A 4 `^'� DATE / -Z �(�p LJ_
PRINT NAME: i- { ! ifiy) :3 • 7716 PiA
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: HandoutsTlectrical Permit Application
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