14-100429t
• r• 1
Electrical
City of Federal Way Permit #: 14-100429-00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (253) 835-3050
Project Name: CLEARY
Project Address: 3016 SW 300TH PL Parcel Number: 416660 0210
Project Description: Meter base changeout
Owner
AR to ican
Contractor
STEPHEN J CLEARY
STEPHEN J CLEARY
• r• 1
Electrical
City of Federal Way Permit #: 14-100429-00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (253) 835-3050
Project Name: CLEARY
Project Address: 3016 SW 300TH PL Parcel Number: 416660 0210
Project Description: Meter base changeout
Owner
AR to ican
Contractor
STEPHEN J CLEARY
STEPHEN J CLEARY
OWNER IS CONTRACTOR
3016 300TH PL SW
3016 300TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Aar
Is this an Online or O.T.C. application? ................. es
Electricalrl
Mast or Meter Repair (Residential/ 1
PERMIT EXPIRE
PermitJssEl e:
I hereby certify that the above informa ' ct and
the occupancy and the use will i r ce with t
i d the City,
Owner or agent:
0
�7
n' �0
Is Ed tional or Institutional?.......................No
/, J 27, 2014
am 28, 2014
bbnstruction on the above described property and
rules and regulations of the State of Wa hington
al Way.
Date:
F
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -100429 -00 -EL Address: 3016 SW 300TH PL
STEPHEN J CLEARY FEDERAL WAY, WA 98023-2327
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.
El
Final - Electrical (4055)
Approved
By Date
El
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0Right
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By Date
El
Pool Bonding (4195)
E]
Temporary Power (4275)
0Right
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
W4 Date 2. 7_1114
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
0Right
of Way
Approved
By
Date
By
Date
By
Date
CITY OFA
Federal Way
PERMIT NumHER 1 4
ELECTRICAL
PERMIT APPTION
10 0 4Z9 _ EL
JAN 2 8 2014
SITE ADDRESS: 304 5 t v 3 O 0 �� /O/,
SPACE /
SUITE/ffiTg
_ �7
VALUATION S� /
'S TPARCEL i O
(/Q
CURRENT/PROPOSED USE
'+'PROJECT
1
-
PROJECT NAME
Homeowner
(Tenant or Last Name)
PROJECT DESCRIPTION
G �' �" c- T
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
S t✓
PRIMAI3T PHONE
MING ADD / /J /,
,+ P
O 14 S 1, � vO 4 [/ U` �_
E -MAA.
CITY
Fc,,Z e
STATE
ZIP
FAX
-
NAME
SV✓ rV_Tf_
PRIMARY PHONE
MAIMING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # E%PHUTION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
q � �
PRIMARY PHONE
APPLICANT
{ ► -
MAILING DRESS
E MAH.
CITY
STATE
ZIP
FAR
PROJECT CONTACT
NAME
SGv►�t -�
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,Jiled 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 of this application.
,SIGNATURE: )) l l DATE Q
PRINT NAME: ,s T e G 7 e'' 1, (�o �•
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: HandoutsTlectrical Permit Application
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