14-106049` 0 Electrical
C, of Federal Way Permit #: 14 -106049 -00 -EL
Community8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Request FILE Ins econ
Ph: (253) 835-2807 Fax: (253) 835-2809 p Line:253 835-3050
Project Name: FURRENS -yam
Project Address: 1225 SW 304TH ST
Project Description: Install and hook up septic system.
Parcel Number: 515320 0601
Owner
IVAR A FURRENES
ARRlicant
CHUCK WICKERSHAM
Contractor
NETWORK ELECTRIC INC
1225 SW 304TH ST
NETWORK ELECTRIC INC
NETWOEI088JF
FEDERAL WAY WA
PO BOX 238
PO BOX 238
98023-3417
BOTHELL WA 98041
BOTHELL WA 98041
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Electrical Fixtures
Circuits - Residential ...................... 2
Is Use Educational or Institutional?.......................No
CONDITIONS:
Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump. New septic & effluent tanks containing electrical wires and equipment MUST be
inspection and approved PRIOR to being loaded with sewage. (Per 29646B-501-001(b)(7)WAC)
PERMIT EXPIRES Wednesday, May 20, 2015
Permit Issued on Friday, November 21, 2014
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent ���.�U��,�/— Date:
CA41441c Gva e : DAP -(-4
�`NP�EO
THIS CARD IS TO MAIN ON-SITE
CITY OF �Mprr�� � Construction InIfection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -106049 -00 -EL Address: 1225 SW 304TH ST
Project: WAR A FURRENES FEDERAL WAY, WA 98023-3417
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.
LIFER Ground (4295)
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By � Date 12l $ (
rBy Date
Pool Bonding (4195)
[j
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
❑
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
K4 Date 62 �.
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER
RECEIVED
NOV 21 2014
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: a a 6r y� 3� y s
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
A-) ,s
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME � � \
1�P
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
1
ELECTRICAL
CONTRACTOR
NAME
P/RIIP ARY PHONE
"!0 J
MAILRESS
t
E-MAIL
CITY
STATE
ZDp
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
�_ Ale) a Y"T P ra
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY7-
STATE
ZIP
( FAX
1
PROJECT CONTACT
NAME q
c
PRIMARY PHONE
�1 Z
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.
1�// � I
SIGNATURE: )
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Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application