14-101901CIO of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: RICHTER
Project Address: 28844 23RD PL S
Project Description: Meter repair
Electrical
Permit #: 14 -101901 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 422250 0370
Owner
ARolicant
Contractor
SETH RICHTER
RIC INC
RIC INC
28844 23RD PL S
PO BOX 64250
RICIN"071K8 (5/28/15)
FEDERAL WAY WA 98003
UNIVERSITY PLACE WA 98499
PO BOX 64250
UNIVERSITY PLACE WA 98499
PERMIT EXPIRES
Permit Issue
I hereby certify that the above information
the occupancy and the use will be irftgl
Owner or agent:
t and that
,.e with the
the Cillo
, 0021er 22, 2014
D 014
WIstruction on the above described properly and
rules and regulations of the State of Washington
al Way.
Date: � —15- — l
I
crrr CW 0:61� I
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE r -
Construction Inspection Record j
INSPECTION REQUESTS: (253) 835-3050
14 -101901 -00 -EL Address: 28844 23RD PL S
Project: SETH RICHTER FEDERAL WAY, WA 98003-7925
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)11
Ditch cover (4030)
Temporary Power (4275)
Slab Concrete Floor (4255)
0
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
0
Right of Way —�
Service (4235)
Date
Approved
By
Date
Approved
By
Date
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
0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way —�
By
Date
By
Date
By
Date
1� Federal Way
Building Division
33325 Eighth avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 'Z '% '9c "LA 1, --a, .Z� I Z---, PERMIT#: sa \ - �E- \,—
e.
IF YOU HAVE QUESTIONS CALL
(253) 835-1b %-`I
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
Page of
CITY OF
Federal Way
ELECTRICAL
PERMIT APPLION
PERMIT NumBER (I — \ 0 1 G �/ t _ 00
APR 2 5 2014
rrry ni= FFf1FRAl WaY
SITE ADDRESS: 7 7 �
4.
SUITE/UNI E i
PROJECT VALUATION
Ole2
ASSESSOR'S T�ARCEL i
� � �^ _
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION��
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAII,
CITY
STATE
ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
�� ��� 51 v
'VR
crlR U�
STATE
ZIP
c�
FAX
WA STATE CONTRALTO 'S LICENSE i EXPIRATION DATE
/C -/A/ 'F O 7/ $0 s i
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAME
�
PRIMARY PHONE
)
MAILING ADDRESS(
V
EMAIL
CITYJ A ^
l{/v �J
STA
jai
ZIp
FAX
PROJECT CONTACT
NAME
PR KARY 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:
PRINT NAME: /Flc— Z I
Bulletin # 160 - January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application