13-102407 A
CITY OF ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
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PERMIT NUMBER ' _ I v Z- '- 0 q------ Cr.)
- - - - MAY 312013
,/ r SUIT
SITE ADDRESS: 7 i g rj- L� >�i/kG L& 3,GU; Cfl�t WAY
PROJECT VALUATION ASSESSO 'S TAX/PARCEL# - O � � O
CURRENT/PROPOSED USE i
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PROJECT NAME c
(Tenant or Homeowner Last Name) �4 0 i�/� d c ey
tivirCi2 AP if, 2-k ,% �d.,,_, 6--)-1-i ,e r- L 1-6-4-k_i
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER i4 0//t/l✓ �-CO/7— (`"Z 6.3) S /On.
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME ////� yc".�� ,(� 1 PRIMARY PHONE
/7` 7'77 5T��f,(2 ///9Ai/2Yh'7�i1.�(�/�Z/'Y J ( )
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 vim '/.- ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME APRIMARY PHONE
PROJECT CONTACT E
0 l /i/ L> .D Cc 7T- (.1.5" ) 3S- %oa,
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 Iocal, 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 part of this application.
ASIGNATURE: DATE 5 ✓ '/ -a/
PRINT NAME: I9"1)G /1/ CD --
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
• Electrical
Communes & E �,.e Permit #: 13 -102407 -00 -EL
33325 8thAve S
Federal Way, WA 98003 _ I Inspection Request Line: 2
Ph: (253) 835-2807 Far. (253) 835-2809:+) �4;- p q (53) 835050
Project Name: PALISADES AT DASH POINT CONDOMINIUM 14-B
Project Address: 31865 48TH CIR SW Unit 14-B Parcel Number: 661320 0100
Project Description: Addinglaltering (1) circuit for new ceiling fan installation
Owner
Au lin cant
Contractor
NADINE SCOTT
NADINE SCOTT
HOMESTEAD HANDYMAN
31865 48TH CIR SW
31865 48TH CIR SW
HOMESH*984MS (7/10/14)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
502 SW 317TH PL
FEDERAL WAY WA 98003
PERMIT EXPIRES Wed
Permit Issued on
I hereby certify that the above information is correct and
the occupancy and the use will be in accordance witbA
Owner or agent:
.k
\i
'W V
ber 27 013
31,
ns on on the above described property and
e V. regulations of the State of Washington
Date: S— 3 / - / 3
CITY OF 4;&
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -102407 -00 -EL
Project: NADINE SCOTT
Address: 31866 48TH CIR SW Unit 14-B
FEDERAL WAY, WA 98023
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.
Right of Way
LIFER Ground (4 95)Ditch
cover (4030) Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By
Date By
Date By Date
Pool Bonding (4195)
Temporary Power (4275) Service (4235)
Approved
Approved 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
❑
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF Building Division
33325 Eighth Avenue South
Federal Wa Federal Way, 98003-6325
ViZA�&y Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: 3�8' 6as l_,r PERMIT#:
� � � .nom, ✓� 1,. �, n --e v� S -.
W (z%- (2- 'dccr,
IF YOU HAVE QUESTIONS CALL
(253) 835- 'x.15 Ln
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
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